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Maternal near-miss ...
Maternal near-miss and death incidences – Frequencies, causes and the referral chain in Somaliland : A pilot study using the WHO near-miss approach
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- Kiruja, J. (author)
- College of Health Science and Medicine, Faculty of Nursing and Midwifery, Hargeisa University, Somaliland
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- Osman, Fatumo, 1973- (author)
- Högskolan Dalarna,Omvårdnad,School of Education, Health and Social Studies, Dalarna University, Falun, Sweden
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- Egal, J. A. (author)
- College of Health Science and Medicine, Faculty of Nursing and Midwifery, Hargeisa University, Somaliland
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- Essén, Birgitta, 1961- (author)
- Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),Internationell kvinno- & mödrahälsovård och migration/Essén
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- Klingberg-Allvin, Marie (author)
- Karolinska Institutet,Högskolan Dalarna,Omvårdnad,School of Education, Health and Social Studies, Dalarna University, Falun, Sweden,Internationell kvinno- och mödrahälsovård och migration
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- Erlandsson, Kerstin, 1961- (author)
- Högskolan Dalarna,Omvårdnad,School of Education, Health and Social Studies, Dalarna University, Falun, Sweden
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(creator_code:org_t)
- Elsevier BV, 2017
- 2017
- English.
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In: Sexual & Reproductive HealthCare. - : Elsevier BV. - 1877-5756 .- 1877-5764. ; 12, s. 30-36
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Subject headings
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- Background Somaliland is a self-declared country with a population of 3.5 million. Most of its population reside in rural areas. The objective of this pilot near-miss study was to monitor the frequency and causes of maternal near-miss and deaths and the referral chain for women to access Skilled Birth Attendants (SBA). Method: A facility-based study of all maternal near-miss and mortality cases over 5 months using the WHO near-miss tool in a main referral hospital. Reasons for bypassing the Antenatal Care facility (ANC) and late arrival to the referral hospital were investigated through verbal autopsy. Results: One hundred and thirty-eight (138) women with severe maternal complications were identified: 120 maternal near-miss, 18 maternal deaths. There were more near-miss cases on arrival (74.2%) compared with events that developed inside the hospital (25.8%). Likewise, there were more maternal deaths (77.8%) on arrival than was the case during hospitalization (22.2%). The most common mode of referral among maternal near-miss events was family referrals (66.7%). Of 18 maternal deaths, 15 were family referrals. Reasons for bypassing ANC were as follows: lack of confidence in the service provided; lack of financial resources; and lack of time to visit ANC. Reasons for late arrival to the referral hospital were as follows: lack of knowledge and transportation; and poor communication. Conclusion and clinical implication: To increase the utilization of ANC might indirectly lower the number of near-miss and death events. Collaboration between ANC staff and referral hospital staff and a more comprehensive near-miss project are proposed. © 2017 Elsevier B.V.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Keyword
- Maternal death
- Maternal near-miss
- Referral chain
- Somaliland
- Hälsa och välfärd
- Health and Welfare
Publication and Content Type
- ref (subject category)
- art (subject category)
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