原创力文档complications of childbirth and maternal deaths in kinshasa hospitals testimonies from women and their families分娩并发症和孕产妇死亡在金沙萨医院证词来自妇女和她们的家庭.pdfVIP
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complications of childbirth and maternal deaths in kinshasa hospitals testimonies from women and their families分娩并发症和孕产妇死亡在金沙萨医院证词来自妇女和她们的家庭
Kabali et al. BMC Pregnancy and Childbirth 2011, 11:29
/1471-2393/11/29
RESEARCH ARTICLE Open Access
Complications of childbirth and maternal deaths
in Kinshasa hospitals: testimonies from women
and their families
1 2 3*
Eugénie Kabali , Catherine Gourbin and Vincent De Brouwere
Abstract
Background: Maternal mortality in Kinshasa is high despite near universal availability of antenatal care and hospital
delivery. Possible explanations are poor-quality care and by delays in the uptake of care. There is, however, little
information on the circumstances surrounding maternal deaths. This study describes and compares the
circumstances of survivors and non survivors of severe obstetric complications.
Method: Semi structured interviews with 208 women who survived their obstetric complication and with the
families of 110 women who died were conducted at home by three experienced nurses under the supervision of
EK. All the cases were identified from twelve referral hospitals in Kinshasa after admission for a serious acute
obstetric complication. Transcriptions of interviews were analysed with N-Vivo 2.0 and some categories were
exported to SPSS 14.0 for further quantitative analysis.
Results: Testimonies showed that despite attendance at antenatal care, some women were not aware of or
minimized danger signs and did not seek appropriate care. Cost was a problem; 5 deceased and 4 surviving
women tried to avoid an expensive caesarean section by delivering in a health centre, although they knew the
risk. The majority of surviving mothers (for whom the length of stay was known) had the caesarean section on the
day of admission while only about a third of those who died did so. Ten women died before the required
caesarean section or blood trans
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