Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
A mixed-methods study of maternal near miss and death after emergency cesarean delivery at a referral hospital in Somaliland
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0002-0038-9402
Show others and affiliations
2017 (English)In: International Journal of Gynecology & Obstetrics, ISSN 0020-7292, E-ISSN 1879-3479, Vol. 138, no 1, 119-124 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To explore maternal near miss and death after emergency cesarean delivery in Somaliland, including the impact of the prerequisite for family consent.

METHODS: A facility-based, mixed-methods study was conducted to assess all maternal near misses and deaths recorded at a referral hospital that provided services to women from all regions of Somaliland. The data sources comprised a quantitative prospective cross-sectional study using the WHO near-miss tool (performed from August 1 to December 31, 2015) and qualitative interviews with 17 healthcare providers working at the referral hospital who were in direct contact with the women in labor (performed from January 15 to March 15, 2015).

RESULTS: Of the 138 maternal near misses and deaths recorded, 50 (36%) were associated with emergency cesarean delivery. The most frequent maternal complication was severe pre-eclampsia (n=17; 34%), and the most frequent underlying causes were hypertensive disorders (n=31; 62%) and obstetric hemorrhage (n=15; 30%). Healthcare providers were often prevented from performing emergency cesarean delivery until the required consent had been received from the woman's extended family.

CONCLUSION: Maternity care in Somaliland must be improved, and the issue of legal authority for consent examined, to ensure both safe and timely provision of emergency cesarean delivery. This article is protected by copyright. All rights reserved.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017. Vol. 138, no 1, 119-124 p.
Keyword [en]
Cesarean delivery, Consent, Maternal death, Near miss, Somaliland
National Category
Nursing
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-24701DOI: 10.1002/ijgo.12176ISI: 000405092600021PubMedID: 28391614OAI: oai:DiVA.org:du-24701DiVA: diva2:1088119
Funder
Sida - Swedish International Development Cooperation Agency
Available from: 2017-04-11 Created: 2017-04-11 Last updated: 2017-10-23Bibliographically approved

Open Access in DiVA

The full text will be freely available from 2018-04-11 13:22
Available from 2018-04-11 13:22

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Osman, FatumoKlingberg-Allvin, MarieErlandsson, Kerstin
By organisation
Caring Science/Nursing
In the same journal
International Journal of Gynecology & Obstetrics
Nursing

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 196 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf