[Emergency obstetrical care in Benin referral hospitals: 'near miss' patients' views]. / La qualité de prise en charge des urgences obstétricales dans les maternités de référence au Bénin: le point de vue des "Echappées Belles" et leurs attentes.
Trop Med Int Health
; 11(5): 672-80, 2006 May.
Article
en Fr
| MEDLINE
| ID: mdl-16640620
OBJECTIVE: To evaluate emergency obstetric care and the perceptions and expectations of women who experienced 'near miss' events to improve maternal health in Benin. METHODS: Qualitative survey in seven hospitals at the three referral levels of the health pyramid from July to October 2003. We used two methods: 557 women with near miss events were interviewed in hospital and a standard questionnaire completed; then semi-structured individual interviews were conducted at home with 42 of these 557 women. RESULTS: Provided care, accommodation, facilities, costs and modalities of recovery, hygiene of the premises, dynamism, expertise, social support, behaviours and attitude of staff were the criteria used to express patients' satisfaction. Most women interviewed in hospital were happy with physical access, organization, functioning and environment. However, excessive costs and coercive recovery of the expenses, failure of the referral system, lack of empathy and discrimination of the nursing staff, lack of resources for emergencies, lack of hygiene and comfort of the premises were criticized by the women interviewed at home. CONCLUSION: The current maternal care system fails to effectively deal with obstetric complications. It needs to be better resourced, more easily available, cheaper and take into account the women's needs.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Amenaza de Aborto
/
Servicios Médicos de Urgencia
/
Servicios de Salud Materna
Tipo de estudio:
Clinical_trials
/
Evaluation_studies
/
Qualitative_research
Límite:
Female
/
Humans
/
Pregnancy
País/Región como asunto:
Africa
Idioma:
Fr
Revista:
Trop Med Int Health
Asunto de la revista:
MEDICINA TROPICAL
/
SAUDE PUBLICA
Año:
2006
Tipo del documento:
Article
Pais de publicación:
Reino Unido