Maternal death reviews at a rural hospital in Malawi
| Autor: | Naomi M. Vink, Reynier Ter Haar, Ellen M. Chizimba, Hendrik C.C. de Jonge, Jelle Stekelenburg |
|---|---|
| Přispěvatelé: | Public Health |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Malawi Pediatrics medicine.medical_specialty Time Factors Adolescent Referral Hospitals Rural Audit Young Adult Health facility Pregnancy Cause of Death Humans Medicine Pregnancy Complications Infectious Young adult Referral and Consultation Retrospective Studies Cause of death business.industry Obstetrics and Gynecology Retrospective cohort study General Medicine medicine.disease Pregnancy Complications Maternal Mortality Maternal Death Female Maternal death business |
| Zdroj: | International Journal of Gynecology & Obstetrics, 120(1), 74-77. John Wiley & Sons Ltd. |
| ISSN: | 0020-7292 |
| Popis: | Objective: To analyze maternal deaths at Nkhoma Church of Central Africa Presbyterian (CCAP) Hospital and identify factors causing delays in care. Methods: Maternal death audits are performed after every maternal death at Nkhoma CCAP Hospital. Information regarding the care provided at the health facility, the referral process, and any delays in the community was collected by an audit team using a structured approach. Data from August 2007 to September 2011 were analyzed retrospectively. Results: In total, 61 maternal deaths occurred during the study period, of which 58 were analyzed. Most deaths were categorized as indirect (n=34 [58.6%]). Non-pregnancy-related infections were the leading cause of indirect death (n=22), with meningitis the most common (n=13). Most patients experienced a delay in seeking care (n=37 [63.8%]), a transport delay (n=43 [74.1%]), or a delay in receiving adequate care (n=34 [58.6%]. Conclusion: Most maternal deaths had indirect causes and were associated with delays in all phases. An audit makes clear which part of the referral chain needs to be strengthened. Nkhoma CCAP Hospital has taken steps to address all phases of delay. (C) 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text