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Table 5 Effect of the three delays considering combined outcome (near-miss and neonatal deaths). Fortaleza CE, 2017

From: Delays in obstetric care increase the risk of neonatal near-miss morbidity events and death: a case-control study

Delay type

Control

(%)

NNM + Death

(%)

P

1. DELAY IN DECIDING TO SEEK APPROPRIATE MEDICAL HELP (FAMILY/PATIENT)

Delay seeking care

    

0.355*

  Yes

50

(17.6)

20

(14.1)

 

  No

234

(82.4)

122

(85.9)

 

Unaware of pregnancy

    

> 0.999 *

  Yes

10

(3.5)

5

(3.5)

 

  No

274

(96.5)

137

(96.7)

 

Refusal of care

    

0.216*

  Yes

33

(11.6)

22

(12.9)

 

  No

251

(88.4)

120

(87.1)

 

2. DELAY IN REACHING APPROPRIATE HEALTH SERVICE

Absent/inadequate prenatal care

    

0.003*

  Yes

90

(31.7)

66

(46.5)

 

  No

194

(68.3)

76

(53.5)

 

Lacking specialized care

    

< 0.001*

  Yes

43

(15.1)

50

(35.2)

 

  No

241

(84.9)

69

(64.8)

 

Lacking beds

    

0.027*

  Yes

27

(9.5)

5

(3.5)

 

  No

257

(90.5)

137

(96.5)

 

3. DELAY IN RECEIVING CARE AT THE HEALTH UNIT

Delay in diagnosis

    

0.477**

  Yes

2

(0.7)

2

(1.4)

 

  No

282

(99.3)

140

(98.6)

 

Delay in case transfer/referral

    

0.265*

  Yes

8

(2.8)

7

(4.9)

 

 No

276

(97.2)

135

(95.1)

 

Improper conduct with patient

    

0.006**

  Yes

1

(0.4)

6

(4.2)

 

  No

283

(99.6)

136

(95.8)

 

Delay in initiating treatment

    

0.489**

  Yes

5

(1.8)

4

(1.9)

 

  No

279

(98.2)

106

(98.1)

 
  1. *Pearson’s chi-square test; **Fisher’s exact test