BioMed Research International / 2014 / Article / Tab 6

Research Article

Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study

Table 6

Distribution of cases of severe maternal morbidity according to occurrence of delays in obtaining obstetric care and level of performance of care.

Type of delay, related to:Level of performance
AdequateNonadequate
(%) (%)

(1) User factors 567 (10.0) 286(10.5)0.89
 Delay in seeking health services 303(5.4) 139(5.1)0.92
 Refusal of treatment 276(4.9) 150(5.5)0.66
 Unsafe abortion 48(0.9) 3(0.1)<0.001
 Total5.6452.735
(2) Health service accessibility1.945(34.4) 961(35.0)0.93
 Total5.6472.744
 Difficulty accessing antenatal care 68(1.1) 58(2.1)0.42
 Difficulties with transportation city/hospital 54(0.9) 63(2.2)0.06
 Total6.0292.819
 Absent/inadequate antenatal care1.909 (33.8) 783(28.6)0.19
 Geographic difficulty in accessing health service 22(0.4) 176(6.4)<0.001
 Total5.6452.735
(3) Quality of medical care1.046(17.3)1.263(42.6)0.01
 Total6.039 2.962
 Absence of blood products 20(0.3) 37(1.3)0.01
 Lack of medication 67(1.1) 50(1.8)0.38
 Difficulty in communication between hospital and regulatory center 250(4.1) 529(18.8)0.004
 Lack of trained staff 127(2.1) 144(5.1)0.09
 Difficulty in monitoring 180(3.0) 229(8.1)0.18
 Total6.0292.819
 Delay in referral/transfer of the case 143(2.4) 149(5.2)0.07
 Delay in diagnosis 327(5.4) 160(5.6)0.96
 Delay in starting treatment 416(6.9) 186(6.5)0.93
 Improper management of the case 589(9.7) 629(21.8)0.13
 Total6.0522.879
Any delay2.750(48.3)1.937(64.2)0.04
 Total5.6983.018

value adjusted for cluster effect.