Factors associated with delayed admission of high-risk pregnant women in labour at Lilongwe central hospital, Malawi
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Date
2002
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Abstract
A probability sample of 130 high-risk pregant women who reported to labour ward with cervical dilatation of 5 centimetres and above were interviewed during the months of October to December 2001. Data was collected using a questionnaire
Findings were, that transport was one of the problems that some high-risk pregnant women had to walk for long distances for 1 -2 hours or 3 -4 hours in some instances. Decision-making was another factor where some women preferred to stay at home despite the fact that labour had started, or they had to wait for their husband or family member to give permission before starting off for the health facility. There was poor decision-making by some midwives at the health centre that delayed in referral of some high-risk pregnant women to the hospital
Recommendations were that health workers should have in-service education and refresher courses on documentation, monitoring and obstetric life saving skills to update their skills. Health workers should empower pregnant women with regard to complications in pregnancy and decision-making through information, education and communication
Key Words: Antenatal care, complications, delayed admission, factors associated, fetus, high - risk pregnant woman, labour, referral, risk
Description
Submitted in accordance with requirements for the degree of master in Nursing science
Keywords
Nursing, Pregnancy, Maternity care