Referral & Emergency

A free-standing birthing center requires hospital backup in case there are complications requiring more complex care. Recognising this need APS has establish close collaboration with Patan Hospital and Paropakar Maternity and Women’s Hospital, Thapathali for transfer or referral in case of complications arises that require specialist medical care.

In the community level, community mobilization by the community health service team that consists of community volunteers (Female Community Health Volunteers), mothers group, local community based organizations (CBOs) and clubs, and APS Volunteer provide community empowerment, awareness raising activities, education and social marketing of the services.


Emergency obstetric care services are available round the clock, seven days a week. The qualified, experienced, and dedicated duty nurse/midwives render the obstetric services and nursing care to the mothers and her baby. Consultants are available in case the need arises.


At present ambulance service is provided only in request. However, there is a provision for an immediate transfer to the hospitals if referral is need. A nurse-midwife team is provided in case of emergencies for prompt obstetric care.