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A mixed-methods study of maternal near miss and death after emergency cesarean delivery at a referral hospital in Somaliland
Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.ORCID-id: 0000-0002-0038-9402
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2017 (Engelska)Ingår i: International Journal of Gynecology & Obstetrics, ISSN 0020-7292, E-ISSN 1879-3479, Vol. 138, nr 1, s. 119-124Artikel i tidskrift (Refereegranskat) 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.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2017. Vol. 138, nr 1, s. 119-124
Nyckelord [en]
Cesarean delivery, Consent, Maternal death, Near miss, Somaliland
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URN: urn:nbn:se:du-24701DOI: 10.1002/ijgo.12176ISI: 000405092600021PubMedID: 28391614OAI: oai:DiVA.org:du-24701DiVA, id: diva2:1088119
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Sida - Styrelsen för internationellt utvecklingssamarbeteTillgänglig från: 2017-04-11 Skapad: 2017-04-11 Senast uppdaterad: 2017-10-23Bibliografiskt granskad

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Osman, FatumoKlingberg-Allvin, MarieErlandsson, Kerstin
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