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

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

  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
 Yesa   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 sectionb 89 56.7 1 21 46.7 1 p = 0.234
Maternal deathc 8 4.1 0 3 5.3 1 p = 0.706
Stillbirthd 42 23.0 2 6 11.8 1 p = 0.080
  1. 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
  2. bDenominator: fetus alive at admission to UBTH, n = 204.
  3. cDenominator: all UBTH maternity ward admissions, n = 253.
  4. dDenominator: admitted in labour/before delivery, n = 234.