Audit of severe maternal morbidity in Uganda - implications for quality of obstetric care

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dc.contributor.authorOkong, Pius
dc.contributor.authorByamugisha, Josaphat
dc.contributor.authorMirembe, Florence
dc.contributor.authorByaruhanga, Romano
dc.contributor.authorBergstrom, Staffan
dc.date.accessioned2022-01-21T05:47:58Z
dc.date.available2022-01-21T05:47:58Z
dc.date.issued2006
dc.description.abstractFor every maternal death, there are probably 100 or more morbidities, but the quality of health care for these women who survive has rarely been an issue. The purpose of this study is to explore audit of severe obstetric morbidity and the concept of near miss in four referral hospitals in Uganda. Methods. This was an exploratory systematic enquiry into the care of a subset of women with severe morbidity designated as near miss cases by organ failure or dysfunction. Patient factors and environmental factors were also explored. Data were abstracted from clinical records and from interviews with patients, relatives, and health workers. Results. Records of 685 women with severe maternal morbidity were examined and 229 cases fulfilled the criteria for near miss cases. Obstetric hemorrhage, rupture of the uterus, puerperal sepsis, and abortion complications were the major conditions leading to the near miss state in more than three quarters of the patients. Nearly half the cases were at home when the events occurred. More than half the cases delayed to seek care, because the patients were unwilling, or relatives were not helpful. Similar proportion also experienced substandard care in the hospitals. Conclusions. A systemic analysis found substandard care and records, and patient-related factors in more than half the cases of severe maternal morbidity. Audit of near miss cases might offer a non-threatening stimulus for improving the quality of obstetric care.en_US
dc.identifier.citationOkong, P., Byamugisha, J., Mirembe, F., Byaruhanga, R., & Bergstrom, S. (2006). Audit of severe maternal morbidity in Uganda–implications for quality of obstetric care. Acta obstetricia et gynecologica Scandinavica, 85(7), 797-804. DOI: 10.1080/00016340600593331en_US
dc.identifier.issn0001-6349 print/ISSN 1600-0412 online
dc.identifier.other10.1080/00016340600593331
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1379
dc.language.isoenen_US
dc.publisherActa Obstetricia et Gynecologicaen_US
dc.subjectAuditsen_US
dc.subjectNear missen_US
dc.subjectQuality obstetric careen_US
dc.subjectSevere maternal morbidityen_US
dc.subjectUgandaen_US
dc.titleAudit of severe maternal morbidity in Uganda - implications for quality of obstetric careen_US
dc.typeArticleen_US
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