{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:22:26Z","timestamp":1777908146664,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[1997,1,1]],"date-time":"1997-01-01T00:00:00Z","timestamp":852076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[1997,1]]},"abstract":"<jats:p>The objective of this study was to evaluate access to obstetric care in a rural district in East Africa using easily collected and evaluated data and avoiding expensive field surveys, complicated study design or statistical methods.<\/jats:p>\n                  <jats:p>The number of observed obstetric complications occurring during 12 months in a rural East African district hospital (the only institution with surgical facilities and access to blood transfusion in the district) were compared to the number of expected complications the district should \u2018generate\u2019.<\/jats:p>\n                  <jats:p>Of the expected &gt; 10 000 deliveries &lt;25% took place in the district hospital. The place of confinement for the other deliveries was not determined. As compared to the total number of expected conditions within the study district &lt;25% of the breech and &lt;45% twin deliveries took part in the district hospital and &lt; 10% of pregnancies complicated by placental abruptions and &lt; 5% of the pregnancies complicated by placenta praevia were managed in the district hospital.<\/jats:p>\n                  <jats:p>Comparing the number of serious pregnancy complications which were managed in the hospital to the total expected number for a particular region allows a simple assessment of the accessibility of obstetric care. This ratio might be more useful when evaluating obstetric care than traditional parameters as it stresses the importance of accessibility of care for the whole community.<\/jats:p>","DOI":"10.1177\/004947559702700110","type":"journal-article","created":{"date-parts":[[2017,7,15]],"date-time":"2017-07-15T19:03:37Z","timestamp":1500145417000},"page":"25-29","source":"Crossref","is-referenced-by-count":6,"title":["Observed versus Expected Obstetric Complications: An Assessment of Coverage of Obstetric Care in Developing Countries"],"prefix":"10.1177","volume":"27","author":[{"given":"Rudiger","family":"Pittrof","sequence":"first","affiliation":[{"name":"Maternal and Child Epidemiology Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1997,1,1]]},"reference":[{"key":"bibr1-004947559702700110","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.74.8.780"},{"key":"bibr2-004947559702700110","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(93)90240-5"},{"key":"bibr3-004947559702700110","volume-title":"Zimbabwe: Physical and Social Geography in Africa South of the Sahara","author":"Kay A.","year":"1987"},{"key":"bibr4-004947559702700110","unstructured":"Worldbank. Sub Saharan Africa: from Crisis to Sustained Growth. Washington DC: Worldbank, 1989: 217\u201379"},{"key":"bibr5-004947559702700110","first-page":"793","volume-title":"Obstetrics","author":"Clinch J.","year":"1989"},{"key":"bibr6-004947559702700110","unstructured":"Bulmer GM. In: The Biology of Twinning in Man. Oxford: Clarendon Press, 1970: 47\u201394"},{"key":"bibr7-004947559702700110","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/S0306-3356(21)00529-X","volume":"2","author":"Green-Thompson RW","year":"1982","journal-title":"Clin Obstet Gynaec"},{"key":"bibr8-004947559702700110","unstructured":"AbouZahr C, Royston E, Eds. Maternal Mortality: a Fact Book. Geneva: WHO, 1991: 3\u201314"},{"key":"bibr9-004947559702700110","unstructured":"WHO. (1993) Trained Attendants at Delivery, FHE\/MSM\/93.7. Geneva: WHO, 1993: 1\u201313"},{"key":"bibr10-004947559702700110","doi-asserted-by":"crossref","unstructured":"Royston E, Armstrong S. Preventing Maternal Deaths. Geneva: WHO, 1989: 11\u201329","DOI":"10.2307\/1966774"},{"key":"bibr11-004947559702700110","volume-title":"A Community-Based Study of Maternal Mortality in Zimbabwe","author":"Mbizvo MT","year":"1994"},{"key":"bibr12-004947559702700110","doi-asserted-by":"publisher","DOI":"10.1177\/004947559302300210"},{"key":"bibr13-004947559702700110","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(84)90457-5"},{"key":"bibr14-004947559702700110","doi-asserted-by":"publisher","DOI":"10.1177\/004947559002000401"},{"key":"bibr15-004947559702700110","volume-title":"Essential Obstetric Function at First Referral Level to Reduce Maternal Mortality","author":"WHO","year":"1986"},{"key":"bibr16-004947559702700110","first-page":"M316","volume":"8","author":"London KA","year":"1985","journal-title":"Popul Rep M"},{"key":"bibr17-004947559702700110","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/13.2.246"},{"key":"bibr18-004947559702700110","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/21.5.941"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947559702700110","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947559702700110","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:57:45Z","timestamp":1777643865000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/004947559702700110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,1]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1997,1]]}},"alternative-id":["10.1177\/004947559702700110"],"URL":"https:\/\/doi.org\/10.1177\/004947559702700110","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,1]]}}}