{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T04:54:44Z","timestamp":1764996884746},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2010,6,8]],"date-time":"2010-06-08T00:00:00Z","timestamp":1275955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2010,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the availability and quality of emergency obstetric care (EmOC) received by women in a rural Chinese province.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was conducted in 7 rural counties and townships in Shanxi Province, China. Data sources included interviews with 7 hospital leaders, 5 maternal and child health workers, and 7 obstetricians; 118 records of complicated delivery were audited, 21 Maternal and Child Health Annual Reports analyzed, and observations conducted of facilities and advanced labor care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The number of comprehensive EmOC facilities was adequate in all counties. Three counties had fewer basic EmOC facilities than recommended and only 4 counties reached the recommended level. Most of the existing township hospitals did not provide birthing services. All the county hospitals could perform cesarean deliveries with rates from 6.8%\u201340.8%. The management of complications was not evidence\u2010based. For example, women with pre\u2010eclampsia and eclampsia were given too little magnesium sulfate; women were not closely monitored for hemorrhage after birth and the partograph was used incorrectly with consequences for obstructed labor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Basic EmOC facilities are not adequate and township hospitals should be upgraded to provide birthing services. The quality of EmOC is poor and needs improvement.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2010.05.001","type":"journal-article","created":{"date-parts":[[2010,6,10]],"date-time":"2010-06-10T08:45:26Z","timestamp":1276159526000},"page":"181-185","source":"Crossref","is-referenced-by-count":24,"title":["Availability and quality of emergency obstetric care in Shanxi Province, China"],"prefix":"10.1002","volume":"110","author":[{"given":"Yu","family":"Gao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lesley","family":"Barclay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,6,8]]},"reference":[{"key":"e_1_2_7_2_2","volume-title":"Maternal mortality in 2005: Estimates developed by WHO, UNICEF, UNFPA, and the World Bank","author":"WHO","year":"2007"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68397-9"},{"key":"e_1_2_7_4_2","volume-title":"Guidelines for monitoring the availability and use of obstetric services","author":"UNICEF","year":"1997"},{"key":"e_1_2_7_5_2","volume-title":"Monitoring emergency obstetric care: a handbook","author":"WHO","year":"2009"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(01)00592-6"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4491-7-7"},{"key":"e_1_2_7_8_2","volume-title":"Managing complications in pregnancy and childbirth: A guide for midwives and doctors","author":"World Health Organization","year":"2003"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2008.10.004"},{"key":"e_1_2_7_10_2","volume-title":"2009 Chinese Health Statistical Digest","author":"China Ministry of Health","year":"2009"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2004.03.001"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(07)30315-7"},{"key":"e_1_2_7_13_2","unstructured":"China MCH Care and Community Health Department of MOH National Maternal and Child Surveillance Office National Maternal and Child Health Annual Report Office. Analysis of national maternal & child health surveillance results 2004 [in Chinese]. 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