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Table 2 Characteristics of selected cases of pregnant women followed up

From: Quality of antenatal care in rural southern Tanzania: a reality check

No Health facility
Diagnosis
Distance to HF (km) Transport/
Travel time (hours)
Gaps identified during care
1 Gov. Hospital
Prenatal eclampsia &
Antepartum haemorrhage
2 On foot
0.30 h
→ 11 hours delay in care
→ 14 hours after admission: CS
→ No: follow up, document, partograph
2 Gov. Hospital
Postnatal eclampsia
1 On foot
0.15 h
→ 6 hours delay in care
→ No documentation
→ Fell down on the floor due to convulsion
3 Gov. Hospital
Pre eclamptic toxaemia
40 Bicycle
9.0 h
→ Immediate care, delivery after 4 hours
→ No: BP check up
→ No partograph.
4 Missionary
Hospital
Pre eclamptic toxaemia
< 1 On foot
0.10 h
→ Diagnosed-high BP in dispensary
→ No urine test for albumin
→ Twice sent home, 10 days delay
→ Referred to missionary hospital
→ Immediate care, Caesarian section
5 Gov. Hospital
Obstructed labour
< 1 On foot
0.10 h
→ 7 hours delay - first visit by doctor
→ 10 hours after admission CS done
→ No: document, follow up, partograph,
→ Baby had umbilical cord sepsis
6* Gov. Hospital
Obstructed labour
1 On foot
0.15 h
→ 2 hrs delay, first visit nurse
→ 2 hrs 45 m after visit of doctor CS done
→ No: follow up, document.
7 Gov. Hospital
Antepartum haemorrhage
12 Bi cycle
3.30 h
→ Advised for ultrasonography (US), Sonographer absent, delay ~24 h,
→ Discharged, returned after 10 days
→ US done, again discharged by clinician.
→ Admitted after 3 days with shock,
→ CS done, No: follow up, document.
8 Mission Hospital
Antepartum haemorrhage
> 40 Boat, Car
> 10 h
→ Immediate care
→ Ultrasonography, Caesarean section
→ Good post natal care.
9 Health Centre
Mission Hospital
Post partum haemorrhage
50 Bicycle,
on foot
> 13 h
→ Immediate care
→ Retained placenta was already removed in the health centre
10 Miss. Hospital
Post partum haemorrhage
> 80 Car
> 5 h
→ Immediate care
11 Mission Hospital
Labour pain
3 On foot
0.45 h
→ Immediate care
→ No partograph.
12 Mission Hospital
Labour pain
2 On foot
0.30 h
→ Immediate care
→ No partograph