{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:17:28Z","timestamp":1765887448719},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,11,24]],"date-time":"2012-11-24T00:00:00Z","timestamp":1353715200000},"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":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To analyze maternal deaths at Nkhoma Church of Central Africa Presbyterian (CCAP) Hospital and identify factors causing delays in care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Maternal death audits are performed after every maternal death at Nkhoma CCAP Hospital. Information regarding the care provided at the health facility, the referral process, and any delays in the community was collected by an audit team using a structured approach. Data from August 2007 to September 2011 were analyzed retrospectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 61 maternal deaths occurred during the study period, of which 58 were analyzed. Most deaths were categorized as indirect (n = 34 [58.6%]). Non\u2010pregnancy\u2010related infections were the leading cause of indirect death (n = 22), with meningitis the most common (n = 13). Most patients experienced a delay in seeking care (n = 37 [63.8%]), a transport delay (n = 43 [74.1%]), or a delay in receiving adequate care (n = 34 [58.6%]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Most maternal deaths had indirect causes and were associated with delays in all phases. An audit makes clear which part of the referral chain needs to be strengthened. Nkhoma CCAP Hospital has taken steps to address all phases of delay.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2012.07.028","type":"journal-article","created":{"date-parts":[[2012,11,24]],"date-time":"2012-11-24T10:40:30Z","timestamp":1353753630000},"page":"74-77","source":"Crossref","is-referenced-by-count":12,"title":["Maternal death reviews at a rural hospital in Malawi"],"prefix":"10.1002","volume":"120","author":[{"given":"Naomi M.","family":"Vink","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hendrik C.C.","family":"de Jonge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reynier","family":"Ter Haar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen M.","family":"Chizimba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jelle","family":"Stekelenburg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11,24]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.09.063537"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60518-1"},{"key":"e_1_2_6_4_2","unstructured":"World Health Organization UNICEF UNFPA World Bank.Trends in Maternal Mortality: 1990 to 2008.http:\/\/whqlibdoc.who.int\/publications\/2010\/9789241500265_eng.pdf Published 2010"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68397-9"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2008.09.008"},{"key":"e_1_2_6_7_2","unstructured":"World Health Organization.ICD\u201010: International Statistical Classification of Diseases and Related Health Problems: Tenth Revision Second Edition.http:\/\/www.who.int\/classifications\/icd\/ICD\u201010_2nd_ed_volume2.pdf Published 2004"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)90226-7"},{"key":"e_1_2_6_9_2","unstructured":"World Health Organization.Beyond the Numbers: Reviewing Maternal Deaths and Complications to Make Pregnancy Safer.http:\/\/www.ino.searo.who.int\/LinkFiles\/Reproductive_health_Beyond_the_numbers.pdf Published 2004"},{"key":"e_1_2_6_10_2","unstructured":"MaineD. 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