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 |