Background/Objectives: Obstetrics and gynecology healthcare represents a global health concern requiring coordinated, accessible services across diverse populations. The Saudi Medical Referrals Centre (MRC) functions as a comprehensive digital health surveillance and coordination platform managing nationwide obstetrics and gynecology (OB/GYN) services. This study characterizes national OB/GYN e-referral patterns coordinated through the MRC platform to describe subspecialty utilization and inform capacity planning, and examines temporal trends in referral direction over the study period. Methods: A retrospective descriptive analysis of the MRC’s digital coordination platform examined 39,526 OB/GYN referrals across Saudi Arabia’s healthcare system (2023–2024). Descriptive statistics, chi-square tests, and one-way ANOVA tests were used to analyze patient demographics, subspecialty distribution, referral types, bed requirements, acceptance rates, geographic patterns, and multivariable logistic regression examined temporal trends in referral direction. Results: The platform achieved 91.81% overall acceptance rates. Platform surveillance revealed referral request distribution by subspecialty: general OB/GYN (60.68%), obstetrics and fetal medicine (16.37%), and reproductive endocrinology and infertility (14.94%). Most referral requests were for outpatient care (71.35%), though obstetrics and fetal medicine demonstrated relatively high NICU utilization (55.62%). Urgent referral requests constituted 22.05% of cases. Internal referral odds increased 1.7% monthly over the study period (OR = 1.017; p < 0.001). Conclusions: This nationwide descriptive analysis of 39,526 OB/GYN e-referrals reveals distinct subspecialty-specific referral patterns, with high overall acceptance rates and predominantly internal referral coordination. These system-level findings provide a baseline for future studies within digital referral platforms.
Alharbi et al. (Mon,) studied this question.