JOURNAL OF LIAONING TECHNICAL UNIVERSITY

REFERRAL SYSTEM OF OBSTETRIC COMPLICATIONS: THE MISSING LINK IN DEVELOPING COUNTRIES

IJAIYA, Zainab Bimpe*, FADARE, Risikat Idowu, ADERIBIGBE, Olusegun, IGE, Busayo Sarah, Prof. AKPOR, Oluwaseyi Abiodun

Abstract

Maternal mortality and morbidity persist as critical challenges in developing countries despite global efforts. This paper investigates the role of referral systems in addressing obstetric complications in such contexts. Obstetric complications, ranging from hemorrhage to obstructed labor, remain significant contributors to maternal mortality. Referral systems, fundamental to primary healthcare, aim to transfer patients to higher-level facilities for advanced care. However, in many developing nations like Nigeria, these systems face numerous challenges, including inadequate communication, transportation, and funding, alongside staff attitudes and patient awareness. The missing links in referral systems encompass technological advancements, efficient coordination, and patient-centered communication. Efforts to enhance referral system efficiency must address these gaps while ensuring patient safety and satisfaction. While self-referral options exist, they come with drawbacks such as longer wait times and resource waste. Solutions lie in improving communication, transportation, and coordination between healthcare facilities, alongside strengthening healthcare infrastructure and ensuring adequate resources. Overall, an effective referral system holds the potential to significantly reduce maternal mortality by facilitating timely access to appropriate care for obstetric complications in developing countries.

Keywords: Referral System, Obstetric Complications, Developing Countries