Barriers to Emergency Obstetric Care Services in Perinatal Deaths in Rural Gambia : A Qualitative In-Depth Interview Study
Joint Authors
Vangen, Siri
Sundby, Johanne
Jammeh, Abdou
Source
ISRN Obstetrics and Gynecology
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-06-30
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Objective.
The Gambia has one of the world's highest perinatal mortality rates.
We explored barriers of timely access to emergency obstetric care services resulting in perinatal deaths and in survivors of severe obstetric complications in rural Gambia.
Method.
We applied the “three delays” model as a framework for assessing contributing factors to perinatal deaths and obstetric complications.
Qualitative in-depth interviews were conducted with 20 survivors of severe obstetric complications at home settings within three to four weeks after hospital discharge.
Family members and traditional birth attendants were also interviewed.
The interviews were translated into English and transcribed verbatim.
We used content analysis to identify barriers of care.
Results.
Transport/cost-related delays are the major contributors of perinatal deaths in this study.
A delay in recognising danger signs of pregnancy/labour or decision to seek care outside the home was the second important contributor of perinatal deaths.
Decision to seek care may be timely, but impaired access precluded utilization of EmOC services.
Obtaining blood for transfusion was also identified as a deterrent to appropriate care.
Conclusion.
Delays in accessing EmOC are critical in perinatal deaths.
Thus, timely availability of emergency transport services and prompt decision-making are warranted for improved perinatal outcomes in rural Gambia.
American Psychological Association (APA)
Jammeh, Abdou& Sundby, Johanne& Vangen, Siri. 2011. Barriers to Emergency Obstetric Care Services in Perinatal Deaths in Rural Gambia : A Qualitative In-Depth Interview Study. ISRN Obstetrics and Gynecology،Vol. 2011, no. 2011, pp.1-10.
https://search.emarefa.net/detail/BIM-513270
Modern Language Association (MLA)
Jammeh, Abdou…[et al.]. Barriers to Emergency Obstetric Care Services in Perinatal Deaths in Rural Gambia : A Qualitative In-Depth Interview Study. ISRN Obstetrics and Gynecology No. 2011 (2011), pp.1-10.
https://search.emarefa.net/detail/BIM-513270
American Medical Association (AMA)
Jammeh, Abdou& Sundby, Johanne& Vangen, Siri. Barriers to Emergency Obstetric Care Services in Perinatal Deaths in Rural Gambia : A Qualitative In-Depth Interview Study. ISRN Obstetrics and Gynecology. 2011. Vol. 2011, no. 2011, pp.1-10.
https://search.emarefa.net/detail/BIM-513270
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-513270