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 |
