Personal accounts of ‘near-miss’ maternal mortalities in Kampala, Uganda

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dc.contributor.authorWeeks, Andrew
dc.contributor.authorLavender, Tina
dc.contributor.authorNazziwa, Enid
dc.contributor.authorMirembe, Florence
dc.date.accessioned2022-01-21T21:50:32Z
dc.date.available2022-01-21T21:50:32Z
dc.date.issued2005
dc.description.abstractTo explore the socio-economic determinants of maternal mortality in Uganda through interviews with women who had ‘near misses’. Design Observational study using qualitative research methods. Setting The postnatal and gynaecology wards of a large government hospital in Kampala, Uganda. Sample Thirty women who had narrowly avoided maternal deaths with diagnoses of obstructed labour (7), severe pre-eclampsia/eclampsia (3), post caesarean infection (6), haemorrhage (5), ectopic pregnancy (5) and septic abortion (4). Methods The semi-structured interviews were conducted in the local language by a woman unconnected to the hospital, and were recorded before being translated and transcribed. Analysis was conducted in duplicate using commercial software. Results The predominant theme was powerlessness, which occurred both within and outside the hospital. It was evident in the women’s attempts to get both practical and financial help from those around them as well as in their failure to gain rapid access to care. Financial barriers and problems with transport primarily governed health-seeking behaviour. Medical mistakes and delays in referral were evident in many interviews, especially in rural health centres. Women were appreciative of the care they received from the central government hospital, although there were reports of overcrowding, long delays, shortages and inhumane care. There were no reports of bribery. Conclusions Women with near-miss maternal mortalities experience institutional and social powerlessness: these factors may be a major contributor to maternal mortality.en_US
dc.identifier.citationWeeks, A., Lavender, T., Nazziwa, E., & Mirembe, F. (2005). Personal accounts of ‘near‐miss’ maternal mortalities in Kampala, Uganda. BJOG: An International Journal of Obstetrics & Gynaecology, 112(9), 1302-1307. DOI: 10.1111/ j.1471-0528.2005.00703.xen_US
dc.identifier.other10.1111/ j.1471-0528.2005.00703.x
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1412
dc.language.isoenen_US
dc.publisherAn International Journal of Obstetrics & Gynaecologyen_US
dc.subjectPersonal accountsen_US
dc.subjectMaternal mortalitiesen_US
dc.subjectUgandaen_US
dc.titlePersonal accounts of ‘near-miss’ maternal mortalities in Kampala, Ugandaen_US
dc.typeArticleen_US
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