Critical comparative analysis of data sources toward understanding referral during pregnancy and childbirth: three perspectives from Nigeria

Table 7 Characterisation of referral documented in UBTH patient case notes among women referred from another health facility and outcomes

	Referred from another health facility (n = 195)
		%	95%CI
Source facility type
Government hospital		33.9	27.5–40.8
Government comprehensive health centre		4.6	2.4–8.7
Government primary health centre		5.6	3.1–9.9
Private hospital		46.2	39.2–53.2
Private maternity/primary care		6.7	3.9–11.2
Private other		2.6	1.1–6.0
Unknown/missing		0.5	0.1–3.6
Notification prior to arrival
Telephone call		1.0	0.3–4.0
No notification		58.5	51.4–65.2
Unknown/missing		40.5	33.8–47.6
Referral note present
Yes^a		59.0	51.9–65.7
No		35.4	29.0–42.4
Unknown/missing		5.6	3.1–9.9
Transport to UBTH
Private car/taxi		1.0	0.3–4.0
Unknown/missing		99.0	96.0–99.8
Accompanied by healthcare professional
Yes		2.6	1.1–6.0
No, only family accompanied		4.1	2.1–8.0
Unknown/missing		93.3	88.8–96.1
	Among referred cases			Among non-referred cases
	n	%	*missing (n)*	n	%	*missing (n)*	*p-value*
Birth by caesarean section^b	89	56.7	1	21	46.7	1	p = 0.234
Maternal death^c	8	4.1	0	3	5.3	1	p = 0.706
Stillbirth^d	42	23.0	2	6	11.8	1	p = 0.080

^aIncludes three records where a referral note was referenced in the medical case notes, but the actual referral note was missing from the patient’s file
^bDenominator: fetus alive at admission to UBTH, n = 204.
^cDenominator: all UBTH maternity ward admissions, n = 253.
^dDenominator: admitted in labour/before delivery, n = 234.

ISSN: 1472-6963