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The PHCs have 4 6 beds and provide care for normal delivery and referral in case of complications.
The authors made recommendations on referral in case of PPH and/or retained placenta after home birth [ 9, 10].
While this would seem to support centralization of care to larger centers, this collides with another important tenet: fast referral in case of emergency [ 63].
Due to this finding, we conclude that referral in case of PPH at home to hospital in industrialised countries is under-researched.
Low-risk women whose primary choice was obstetrician-led care did not need a referral in case of a medical indication: those women were already under the supervision of an obstetrician.
In our study, the exclusion of non neoplastic cysts, hyperplastic and inflammatory lesions combined with the clinical practice of selective histological investigations and high likelihood of referral in case of malignancy, may explain the high frequency of malignancies reported.
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Both increased efficiency by either reducing unnecessary referral (in cases of suspected pulmonary embolism) or treatment (in respiratory tract infections) [ 22- 24].
The available services for referral in cases of mothers with depression are: the psychiatric hospitals, psychiatric outpatient clinics of general public hospitals, community mental health centers (which are scarce and mainly clustered in the large urban areas) and private mental health specialists (e.g., psychiatrists) [ 26].
It is largely unclear, however, which criteria allow an optimal organization of the processes of referral, co-treatment and re-referral in case of dementia.
However, it may also be due to higher chances of referrals in case of malignancies.
Each eligible poor woman receives a voucher with five detachable coupons, which entitle her to free services at the health centre (for three antenatal care visits, delivery and one postnatal care visit) and transportation costs for five round trips between her home and the health centre, and for referrals from the health centre to the referral hospital in case of complications.
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