{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T12:10:22Z","timestamp":1793967022522,"version":"4.8.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,11,6]],"date-time":"2017-11-06T00:00:00Z","timestamp":1509926400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Our study sought to determine the maternal and fetal outcomes of emergency obstetric referrals to a Nigerian teaching hospital as well as assess reasons for these referrals.<\/jats:p>\n                  <jats:p>We enrolled women referred or who presented themselves to the emergency obstetric unit for management of complications of pregnancy, labour, delivery or the puerperium.<\/jats:p>\n                  <jats:p>The majority presented late, their mean duration of stay at the referring facility being 22.25 h. Only nine (7.3%) were transported by ambulance. Severe pre-eclampsia and eclampsia (in 33, 26.8%) were the commonest obstetric indications for referral. Stillbirths occurred in 20\/122(16.4%). There were eleven maternal deaths, giving an emergency referral fatality rate of 8.9%. Both maternal and fetal outcomes of these emergency obstetric referrals were poor owing mainly to late presentation, this being the result, among other factors, of an inefficient referral system.<\/jats:p>","DOI":"10.1177\/0049475517735474","type":"journal-article","created":{"date-parts":[[2017,11,7]],"date-time":"2017-11-07T01:32:45Z","timestamp":1510018365000},"page":"132-135","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Maternal and fetal outcomes of emergency obstetric referrals to a Nigerian teaching hospital"],"prefix":"10.1177","volume":"48","author":[{"given":"Godwin O","family":"Akaba","sequence":"first","affiliation":[{"name":"Lecturer\/Consultant Obstetrician and Gynaecologist, College of Health Sciences, Department of Obstetrics and Gynecology, University of Abuja"},{"name":"Professor\/Consultant Obstetrician and Gynaecologist, Department of Obstetrics and Gynecology, University of Abuja Teaching Hospital, Abuja, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bissallah A","family":"Ekele","sequence":"additional","affiliation":[{"name":"Lecturer\/Consultant Obstetrician and Gynaecologist, College of Health Sciences, Department of Obstetrics and Gynecology, University of Abuja"},{"name":"Professor\/Consultant Obstetrician and Gynaecologist, Department of Obstetrics and Gynecology, University of Abuja Teaching Hospital, Abuja, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,11,6]]},"reference":[{"key":"bibr1-0049475517735474","unstructured":"National Population Commission (NPC) [Nigeria] and ICF Macro.\n                      Nigeria Demographic and Health Survey 2013\n                      . Abuja: National Population Commission and ICF Macro, 2013."},{"key":"bibr2-0049475517735474","unstructured":"National Population Commission (NPC) [Nigeria] and ICF Macro.\n                      Nigeria Demographic and Health Survey 2008\n                      . Abuja: National Population Commission and ICF Macro, 2008."},{"key":"bibr3-0049475517735474","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69381-1"},{"key":"bibr4-0049475517735474","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.331.7525.1107"},{"key":"bibr5-0049475517735474","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2014.10.002"},{"key":"bibr6-0049475517735474","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60478-4"},{"key":"bibr7-0049475517735474","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxq012"},{"key":"bibr8-0049475517735474","doi-asserted-by":"publisher","DOI":"10.1080\/01443610701213687"},{"key":"bibr9-0049475517735474","first-page":"304","volume":"22","author":"Akaba GO","year":"2013","journal-title":"Nig J Med"},{"key":"bibr10-0049475517735474","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001264"},{"key":"bibr11-0049475517735474","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.07.047076"},{"key":"bibr12-0049475517735474","unstructured":"Federal Ministry of Health, Nigeria (FMOH).\n                      National HIV\/AIDS and Reproductive Health Survey, 2012 (NARHS Plus)\n                      . Abuja: Federal Ministry of Health, 2013."},{"key":"bibr13-0049475517735474","doi-asserted-by":"crossref","first-page":"e005052","DOI":"10.1136\/bmjopen-2014-005052","volume":"4","author":"Afari H","year":"2104","journal-title":"BMJ Open"},{"key":"bibr14-0049475517735474","doi-asserted-by":"publisher","DOI":"10.1080\/01443610120085492"},{"key":"bibr15-0049475517735474","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2007.04.018"},{"key":"bibr16-0049475517735474","doi-asserted-by":"publisher","DOI":"10.15171\/ijhpm.2015.14"},{"key":"bibr17-0049475517735474","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-016-0158-4"},{"key":"bibr18-0049475517735474","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13450"},{"key":"bibr19-0049475517735474","first-page":"873","volume":"6","author":"Asibong U","year":"2014","journal-title":"Int J Womens Health"},{"key":"bibr20-0049475517735474","first-page":"200","volume":"13","author":"Fawole AO","year":"2010","journal-title":"Niger J Clin Pract"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475517735474","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475517735474","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475517735474","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:30:45Z","timestamp":1777642245000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475517735474"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,6]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1177\/0049475517735474"],"URL":"https:\/\/doi.org\/10.1177\/0049475517735474","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,6]]}}}