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The “Saturday Effect” in Obstetrics: A Comparison Between Referral Patterns on Saturday and Other Days of the Week

  • Anahita R. Chauhan
  • Sumit Chamariya
  • Madhva Prasad
Letter to the Editor

Respected Editor,

Through this communication, we wish to highlight that a disproportionate number of obstetric patients are referred from the first- or second-level facilities to tertiary centres on weekends, especially Saturdays [1]. Day-of-the-week linked referral patterns are recognised in Western literature, not necessarily only in obstetrics [2]. However, documentation in contemporary Indian literature is not extensive. Our research question aimed to find if “taking a break during weekends” by doctors leads to increased inter-institutional referrals.

We conducted a prospective observational study at our tertiary-care hospital over 1 year to ascertain if differential referral patterns exist. All obstetric cases referred on Saturdays were compared to those referred on all other days, including Sundays; data regarding reasons for referral, consistency between indication for referral and actual diagnosis after admission; and maternal and perinatal mortality patterns were analysed.

Of...

Notes

Compliance with Ethical Standards

Conflict of interest

All the authors declare that they have no conflict of interest.

Ethical statements

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Since it was a review of records, no informed consent was obtained from any patients for being included in the study. This article does not contain any studies with animal subjects.

References

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    Patel AB, Prakash AA, Raynes-Greenow C, Pusdekar YV et al. Description of inter-institutional referrals after admission for labor and delivery: a prospective population based cohort study in rural Maharashtra, India. BMC Health Serv Res [Internet]. 2017 May 19 [cited 2017 Nov 16];17(1):360. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28526027.
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    Arulkumaran N, Harrison DA, Brett SJ. Association between day and time of admission to critical care and acute hospital outcome for unplanned admissions to adult general critical care units: cohort study exploring the “weekend effect”. Br J Anaesth. 2017;118(1):112–22.CrossRefPubMedGoogle Scholar
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    Clark SL, Perlin JB, Fraker S, et al. Association of obstetric intervention with temporal patterns of childbirth. Obstet Gynecol. 2014;124(5):873–80.CrossRefPubMedGoogle Scholar
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    Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational study. BMJ [Internet]. 2015 Nov [cited 2017 Nov 14];351:h5774. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26602245.

Copyright information

© Federation of Obstetric & Gynecological Societies of India 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologySeth GS Medical College and KEM HospitalMumbaiIndia

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