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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Delays in receiving obstetric care and poor maternal outcomes: Results from a national multicentre cross-sectional study
BMC Pregnancy and Childbirth, Volume 14, No. 1, Article 159, Year 2014
Notification
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Description
Background: The vast majority of maternal deaths in low-and middle-income countries are preventable. Delay in obtaining access to appropriate health care is a fairly common problem which can be improved. The objective of this study was to explore the association between delay in providing obstetric health care and severe maternal morbidity/death.Methods: This was a multicentre cross-sectional study, involving 27 referral obstetric facilities in all Brazilian regions between 2009 and 2010. All women admitted to the hospital with a pregnancy-related cause were screened, searching for potentially life-threatening conditions (PLTC), maternal death (MD) and maternal near-miss (MNM) cases, according to the WHO criteria. Data on delays were collected by medical chart review and interview with the medical staff. The prevalence of the three different types of delays was estimated according to the level of care and outcome of the complication. For factors associated with any delay, the PR and 95%CI controlled for cluster design were estimated.Results: A total of 82,144 live births were screened, with 9,555 PLTC, MNM or MD cases prospectively identified. Overall, any type of delay was observed in 53.8% of cases; delay related to user factors was observed in 10.2%, 34.6% of delays were related to health service accessibility and 25.7% were related to quality of medical care. The occurrence of any delay was associated with increasing severity of maternal outcome: 52% in PLTC, 68.4% in MNM and 84.1% in MD.Conclusions: Although this was not a population-based study and the results could not be generalized, there was a very clear and significant association between frequency of delay and severity of outcome, suggesting that timely and proper management are related to survival. © 2014 Pacagnella et al.; licensee BioMed Central Ltd.
Authors & Co-Authors
Pacagnella, Rodolfo C.
Brazil, Campinas
Universidade Estadual de Campinas
Cecatti, José Guilherme
Brazil, Campinas
Universidade Estadual de Campinas
Brazil, Campinas
Center for Mother and Child Research of Campinas
Parpinelli, Mary Ângela
Brazil, Campinas
Universidade Estadual de Campinas
de Sousa, Maria Helena
Brazil, Campinas
Center for Mother and Child Research of Campinas
Haddad, Samira Maerrawi
Brazil, Campinas
Universidade Estadual de Campinas
Costa, Maria Laura Botelho
Brazil, Campinas
Universidade Estadual de Campinas
Souza, Joao Paulo
Brazil, Campinas
Universidade Estadual de Campinas
Pattinson, Robert Clive
Brazil, Campinas
Universidade Estadual de Campinas
South Africa, Pretoria
University of Pretoria
Surita, Fernanda Garanhani De Castro
Unknown Affiliation
Pinto e Silva, João Luiz C.
Unknown Affiliation
Camargo, Rodrigo Soares
Unknown Affiliation
Zotareli, Vilma
Unknown Affiliation
Gurgel, Lúcio T.
Unknown Affiliation
Say, Lale
Unknown Affiliation
Rudge, Marilza Vieira Cunha
Unknown Affiliation
Calderon, I. M.P.
Unknown Affiliation
Bahamondes, María Valéria
Unknown Affiliation
Santana, Danielly Scaranello
Unknown Affiliation
Gonçalves, Simone Pollini
Unknown Affiliation
Amaral, Eliana Martorano
Unknown Affiliation
Moraes Filho, Olímpio Barbosa De
Unknown Affiliation
Carvalho, Simone A.
Unknown Affiliation
Feitosa, Francisco Edson De Lucena
Unknown Affiliation
Chaves, George N.
Unknown Affiliation
Brum, Ione Rodrigues
Unknown Affiliation
Saint'Ynes, Gloria C.
Unknown Affiliation
Menezes, Carlos Augusto Santos
Unknown Affiliation
Santos, Patricia N.
Unknown Affiliation
Guanabara, Everardo De Macêdo
Unknown Affiliation
Almeida, Elson J.
Unknown Affiliation
Moreira, Joaquim L.
Unknown Affiliation
Sousa, Maria R.
Unknown Affiliation
Péret, Frederico A.
Unknown Affiliation
Paula, Liv B.
Unknown Affiliation
Schmaltz, Luiza Emylce Pelá Rosado
Unknown Affiliation
Pessoni, Cleire
Unknown Affiliation
Pessoni, Leila Katz Cleire
Unknown Affiliation
Bione, Adriana
Unknown Affiliation
Barbosa Lima, Antonio C.
Unknown Affiliation
Rocha Filho, Edilberto Alves
Unknown Affiliation
Amorim, Melania M.
Unknown Affiliation
Leite, Debora Farias Batista
Unknown Affiliation
Radaci, Ivelyne
Unknown Affiliation
Martins, Marília G.
Unknown Affiliation
Barroso, Frederico Vitório Lopes
Unknown Affiliation
Oliveira, Fernando Cesar
Unknown Affiliation
Nascimento, Denis José
Unknown Affiliation
Paiva, Cláudio Sérgio Medeiros
Unknown Affiliation
Lima, Moises DIogode
Unknown Affiliation
Freire, Djacyr Magna Cabral
Unknown Affiliation
Rohloff, Roger D.
Unknown Affiliation
Rodrigues, Simone M.
Unknown Affiliation
Costa, Sergio Martins
Unknown Affiliation
Pfitscher, Lucia C.
Unknown Affiliation
Luz, Adriana Gomes
Unknown Affiliation
Guimarães, Daniela Zaros
Unknown Affiliation
Lobato, Gustavo
Unknown Affiliation
Nakamura-Pereira, Marcos
Unknown Affiliation
Cordioli, Eduardo
Unknown Affiliation
Peterossi, Alessandra
Unknown Affiliation
Perez, Cynthia D.
Unknown Affiliation
Peraçoli, José Carlos
Unknown Affiliation
Costa, Roberto Antônio Araújo
Unknown Affiliation
Maia Filho, Nelson Lourenço
Unknown Affiliation
Matias, Jacinta Pereira
Unknown Affiliation
Quintana, Silvana Maria
Unknown Affiliation
Moisés, Elaine Christine Dantas
Unknown Affiliation
Lotufo, Fátima Aparecida H.
Unknown Affiliation
Carvalho, Luiz Eduardo Campos De
Unknown Affiliation
Zanette, Elvira A.O.
Unknown Affiliation
Andreucci, Carla Betina
Unknown Affiliation
Aquino, Márcia M.
Unknown Affiliation
Ohnuma, Maria H.
Unknown Affiliation
Mattar, Rosiane
Unknown Affiliation
Campanharo, Felipe Favorette
Unknown Affiliation
Statistics
Citations: 183
Authors: 75
Affiliations: 3
Identifiers
Doi:
10.1186/1471-2393-14-159
e-ISSN:
14712393
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Participants Gender
Female