{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T15:42:07Z","timestamp":1790869327906,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2006,4,25]],"date-time":"2006-04-25T00:00:00Z","timestamp":1145923200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2006,5]]},"abstract":"<jats:title>R\u00e9sum\u00e9\u2002<\/jats:title><jats:p><jats:bold>Objectif\u2002<\/jats:bold> Evaluer les soins obst\u00e9triques d'urgence et les perceptions et attentes des femmes ayant v\u00e9cu l'exp\u00e9rience d'avoir \u00e9t\u00e9\u2018presque perdue\u2019, dans le but d'am\u00e9liorer la sant\u00e9 au B\u00e9nin.<\/jats:p><jats:p><jats:bold>M\u00e9thode\u2002<\/jats:bold> Surveillance qualitative dans 7 h\u00f4pitaux dans les trois niveaux de r\u00e9f\u00e9rence de la pyramide de la sant\u00e9, de juillet \u00e0 octobre 2003. Nous avons utilis\u00e9 deux m\u00e9thodes: en premier lieu, 557 femmes qui ont \u00e9t\u00e9\u2018presque perdues\u2019 ont \u00e9t\u00e9 interview\u00e9es \u00e0 l'h\u00f4pital et un questionnaire standard a \u00e9t\u00e9 rempli, puis des entretiens individuels semi structur\u00e9s ont \u00e9t\u00e9 men\u00e9s \u00e0 domicile avec 42 de ces 557 femmes.<\/jats:p><jats:p><jats:bold>R\u00e9sultats\u2002<\/jats:bold> Les soins procur\u00e9s, le logement, les services, le co\u00fbt et les modalit\u00e9s de r\u00e9cup\u00e9ration, l'hygi\u00e8ne des pr\u00e9mices, le dynamisme, l'expertise, le soutien social, le comportement et l'attitude du personnel ont \u00e9t\u00e9 les crit\u00e8res utilis\u00e9s pour exprimer la satisfaction des patientes. La plupart des femmes interview\u00e9es \u00e0 l'h\u00f4pital \u00e9taient satisfaites de l'acc\u00e8s physique, de l'organisation, du fonctionnement et de l'environnement. Cependant, les co\u00fbts excessivement \u00e9lev\u00e9s et les exigences de r\u00e9cup\u00e9ration des d\u00e9penses, les failles du syst\u00e8me de r\u00e9f\u00e9rence, le manque d'empathie et la discrimination de la part du personnel infirmier, le manque de ressources d'urgence, le manque d'hygi\u00e8ne et de confort des pr\u00e9mices ont \u00e9t\u00e9 soulign\u00e9s par les femmes interview\u00e9es \u00e0 domicile.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Le syst\u00e8me de sant\u00e9 maternel actuel n'arrive pas \u00e0 faire face de fa\u00e7on effective aux complications obst\u00e9triques. Ce syst\u00e8me a besoin d'un meilleur financement, d\u2019\u00eatre plus accessible, moins co\u00fbteux et de la prise en compte des besoins des femmes.<\/jats:p>","DOI":"10.1111\/j.1365-3156.2006.01602.x","type":"journal-article","created":{"date-parts":[[2006,4,25]],"date-time":"2006-04-25T17:08:31Z","timestamp":1145984911000},"page":"672-680","source":"Crossref","is-referenced-by-count":10,"title":["La qualit\u00e9 de prise en charge des urgences obst\u00e9tricales dans les maternit\u00e9s de r\u00e9f\u00e9rence au B\u00e9nin: Le point de vue des \u00abEchapp\u00e9es Belles\u00bb et leurs attentes"],"prefix":"10.1111","volume":"11","author":[{"given":"J.","family":"Saizonou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Godin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. 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