Complications of childbirth and maternal deaths in Kinshasa hospitals: testimonies from women and their families
2011

Maternal Deaths and Complications in Kinshasa Hospitals

Sample size: 318 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kabali Eugénie, Gourbin Catherine, De Brouwere Vincent

Primary Institution: Institut Supérieur des Techniques Médicales de Kinshasa

Hypothesis

What are the circumstances surrounding maternal deaths and severe obstetric complications in Kinshasa hospitals?

Conclusion

Women with serious obstetric complications in Kinshasa have a better chance of survival if they have cash, go directly to a functioning referral hospital, and can negotiate with healthcare staff.

Supporting Evidence

  • High maternal mortality in Kinshasa persists despite high antenatal care coverage.
  • Financial barriers significantly delay access to emergency obstetric care.
  • Many women do not recognize danger signs during pregnancy, leading to delays in seeking care.
  • Poor quality of care and staff negligence contribute to maternal deaths.

Takeaway

In Kinshasa, many women die during childbirth because they can't afford care or don't recognize danger signs, even when they have access to hospitals.

Methodology

Semi-structured interviews were conducted with 208 women who survived obstetric complications and families of 110 women who died, analyzed using N-Vivo and SPSS.

Potential Biases

Respondents may justify their actions or downplay errors, affecting the accuracy of the data.

Limitations

The study relies on self-reported data from survivors and families, which may not accurately reflect medical causes of death.

Participant Demographics

The study included women aged 16 to over 35, with varying levels of education and marital status.

Statistical Information

P-Value

0.000

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2393-11-29

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