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Table 4 Reasons for delay among women with severe maternal morbidity and severe outcome in South-west Ethiopia

From: Incidence and determinants of severe maternal outcome in Jimma University teaching hospital, south-West Ethiopia: a prospective cross-sectional study

Reasons for the delay in receiving an appropriate care

N (%)

Patient/family related factors

ـ Absence of ANCa after second half of pregnancy

46(12.6)

ـ Symptom/labor at home for more than twelve hours

97(26.6)

ـ Arriving with complication after home delivery

38(10.4)

Total number of women with delayed seeking care (delay one)

164(45.1)

Delay two (Delay in reaching at the right facility)

ـ Distance (> 40 km) from final facility

175(45.1)

ـ Transportation problem

86(23.6)

Total number of women with delayed access to appropriate facility (delay two)

208(57.1)

Delay three (delay after reaching a health facility)

At the initial facility visited (among referral cases)

ـ Referred without initiation of treatment needed

173(55.3)

ـ Other referral problems

105(33.8)

ـ Total number of women with delay at first facility

189(51.9)

Delay three at the study hospital

ـ Professional (follow up, evaluation, communication)

19(5.2)

ـ Logistics (ICUb-bed, blood, service, drugs, lab. reagent)

41(11.3)

ـ Total number of women with delay at JUTH (delay three)

60(16.5)

Total number of women with delay at health facility (delay three)

215(59.1)

Total number of women with any delay

316(86.8)

Means of transportation on presentation to the study hospital

ـ Public ambulance

237(65.1)

ـ Paid transportation

110(30.2)

ـ Other

17(4.7)

  1. aANC Antenatal Care, b ICU Intensive care Unit