Third Delays in the Management of Obstetric Emergencies: A Qualitative Study of Arua Regional Referral Hospital - Uganda
third delay is the delay
in receiving adequate and appropriate treatment at the healthcare facility by mothers
during and after pregnancy. Many factors
attribute to this; shortage of staff, insufficient training, antibiotic unavailability
and equipment among others.
Objectives: The purpose of the study was to ascertain the preparedness
of Arua regional referral hospital to handle referred emergency obstetrics cases.
Methods: A qualitative contextual
descriptive phenomenological design was used. A sample of six (6) carefully selected
mothers and four (4) midwives were used. Triangulation of methods was used to enhance
quality. Transcriptions of the interviews was analyzed using descriptive
Findings: As per
WHO criteria, Arua Regional Referral Hospital was rated as a fully functional EmOC
facility. Out of the 6 respondent mothers, two had received Emergency Obstetric
Care three times from the facility while the rest of them received EmOC more than
5times. When asked about history of having been referred out, non of them was referred
out. Again, when asked about the outcome of all their deliveries, four out of 6
had good maternal outcomes whereas 2 had bad maternal outcomes.
Conclusion: Arua RRH remains an EmOC Health Facility, falling
in keeping with the World Health Organization standard as well as the Uganda national
standard, although some improvements are still wanting.
Recommendation: The hospital needs to embark
on training other surrounding health facilities on EmOC.
Keywords: Third delays, Emergency Obstetric Care (Basic
and Comprehensive), Signal function, triangulation of methods, phenomenological
study design and member checks.
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