Analysis of the referral system for obstetric patients in the city of Cali
Main Article Content
A preliminary report from a 20% sample of referred patients to the Hospital Universitario del Valle (HUV) in Cali, Colombia, from October 1987 to March 1988 showed that among the ten leading causes of reference, 70% were classified as obstetric and gynecological in origin. This finding motivated a revision of the total of referrals to this service during June 1988. In this period, the HUV arrived at 708 patients, from which 95.6% of them were living in the Departamento del Valle, and 96% came from urban areas; 82.6% were permanent and were classified as emergencies with a fatality rate of 42 per thousand. Approximately 96% of the referral sheets were answered in writing during the ten following days. It was found that 18.8% of those references belonged to a maximal level of medical attention (tertiary care level), 38% to the secondary level, and 40% to the primary care level. Deliveries, considered as usual, accounted for 54% of the total number of cases, and 84% of the surgical procedures were cesarean sections. This operation is classified as an activity that can be performed at the secondary level except for abruptio placentae or due to high obstetric risk.
Downloads
- Adolfo Vélez G., Marco Tulio Galarza I., Osler L. Peterson, Rodrigo Guerrero V., Bernard Bloom, El perfil de la cirugía y los cirujanos en el Valle del Cauca , Colombia Medica: Vol. 11 No. 3 (1980)
Similar Articles
- Merida Rodriguez-Lopez, Elsa Lorena Correa-Avendaño, Ana Maria Martinez-Avila, Juan Merlo, Multilevel analysis of birthplace effect on the proportion of C-Section in Colombia , Colombia Medica: Vol. 52 No. 3 (2021)
- Helmer Emilio Palacios-Rodríguez, Nao Hiroe, Mónica Guzmán-Rodríguez, Yaset Caicedo, Luis Saldarriaga, Carlos Alberto Ordoñez, Tomohiro Funabiki, Hybrid trauma service: on the leading edge of damage control , Colombia Medica: Vol. 52 No. 2 (2021): Damage Control Surgery (II)
- Luis Fernando Rendón, Mónica Bejarano, Remisiones en el Valle del Cauca. Análisis y pautas para orientar la red de servicios. 2003-2004. , Colombia Medica: Vol. 36 No. 1 (2005)
- Edgar Ivan Ortiz, Enrique Herrera Castañeda, Alejandro De La Torre, Coronavirus (COVID 19) Infection in Pregnancy , Colombia Medica: Vol. 51 No. 2 (2020): Coronavirus disease 2019
- Javier Enrique Fonseca, Juliana Lucía Rodriguez, Durley Maya Salazar, Validation of a predictive model for successful vaginal birth after cesarean section , Colombia Medica: Vol. 50 No. 1 (2019)
You may also start an advanced similarity search for this article.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use