EC Gynaecology

Background: Triage includes brief and focused assessment and patient allocation to an acuity level based on the severity of their condition to provide necessary treatments in the shortest possible time.

Materials and Methods: This was a retrospective study. We collected data from data registers and files and analysed it on the basis of complaints/symptoms, clinical findings, hemodynamic parameters and diagnosis, of the women who were admitted in emergency obstetric unit. Women were categorized into five acuity levels according to Revised Obstetric Triage and Acuity Scale (OTAS) to find the number of women requiring emergency and resuscitative care.

Results: A total of 387 women’s data was analysed. Majority of women 156 (40.3%) were admitted for labor pains and 191 (49.3%) for other pregnancy and gyanecological issues. Women who were admitted had following degree of acuity: one (resuscitative - 7.2%), two (emergent - 42.9%), three (urgent - 12.7%), four (less urgent - 5.9%), and five (non-urgent - 31.3%).

Conclusion: We concluded that almost 50% of the women coming to obstetric unit need emergency care and therefore triaging will help in proper utilization of resources, better distribution of workload and will improve the quality and efficiency of obstetric and gynecological care of women. Proper training to be organized for the health care professionals related to emergency obstetric units in order to implement the triaging tool in obstetrics. 

 Keywords: Triage; Obstetrics and Gynecology Department; Hospital 

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