Accidental out-of-hospital deliveries: factors influencing delay in arrival to maternity hospital.

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dc.contributor.authorChaudhary, Pen_US
dc.date.accessioned2009-05-28T04:12:27Z
dc.date.available2009-05-28T04:12:27Z
dc.date.issued2005-04-18en_US
dc.descriptionKathmandu University Medical Journal.en_US
dc.description.abstractOBJECTIVE: To find out various factors influencing delay in arrival to Shree Panch Ratna Rajya Laxmi Maternity Hospital leading to accidental - out - of hospital delivery. METHODOLOGY: This was a hospital based cross sectional descriptive study conducted at maternity hospital, Kathmandu. Women who delivered on the way to the maternity hospital during the time period- 060/9/1 to 060/12/ 31 (4 months) were interviewed using a structured questionnaire. RESULTS: The prevalence of such deliveries was 45 out of 5703 deliveries i.e. 0.78%. Majority of women (n= 37) who had accidental - out - of hospital delivery were of parity 1-2 group (82.22%), whereas 2 of them were primigravida (4.44%) and 6 of them were of group parity 3-4 (13.33%). Economic factor was not responsible for delay for majority of women as they could arrange money immediately in emergency situation (88.88%) and majority of women had personal money saved for use in emergency (71.11%). Accessibility to the hospital was difficult for few women (21.00%) only as many women lived within the ring road of Kathmandu valley (48.88%) or outside the ring road but within municipality area of Kathmandu valley (31.11%). Only 60% of women could get transport easily during daytime only. Eight of them were late due to delay in getting transport (17.77%), whereas five patients were late due to disturbed / diverted traffic (11.11%). In three cases, transport was not available due to Nepal Bundh and delay was due to time taken to arrange ambulance (6.66%). Majority of women came for antenatal visits (84.44%) and most of them came to maternity hospital for antenatal visits (73.33%). Lack of birth preparedness and inadequate counselling during antenatal visits probably contributed towards many A-O-H (65.78%). More than half of patients were not satisfied with health staff during ANC (63.15%). Many women did not have any discussion about place of birth during ANC (73.68%) and many of them had no discussion even in the family (36.84%). Seven patients had probably precipitate labour (15.55%). 4 patients were returned back home with diagnosis of false labour pain (8.88%) and later on they delivered on the way to the hospital. SUMMARY AND CONCLUSION: Lack of birth preparedness that involves adequate counselling during ANC about symptoms and signs of onset of labour pain and prior decision about place of birth together with delay in getting transport or delay due to diverted traffic were important factors leading to A-O-H. In addition, unusually short duration of labour or dismissing the diagnosis of true onset of labour may have accounted for few cases of A-O-H.en_US
dc.description.affiliationMaternity Hospital, Thapathali. deopushpa@wlink.com.npen_US
dc.identifier.citationChaudhary P. Accidental out-of-hospital deliveries: factors influencing delay in arrival to maternity hospital. Kathmandu University Medical Journal. 2005 Apr-Jun; 3(2): 115-22en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/46596
dc.language.isoengen_US
dc.source.urihttps://www.kumj.com.npen_US
dc.source.urihttps://kumj.com.np/ftp/issue/10/115-122.pdfen_US
dc.subject.meshAdulten_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshDelivery, Obstetric --statistics & numerical dataen_US
dc.subject.meshEmergency Medical Servicesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Services Accessibilityen_US
dc.subject.meshHospitals, Maternityen_US
dc.subject.meshHumansen_US
dc.subject.meshLabor, Obstetricen_US
dc.subject.meshNepalen_US
dc.subject.meshPregnancyen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshTime Factorsen_US
dc.subject.meshTransportation --statistics & numerical dataen_US
dc.titleAccidental out-of-hospital deliveries: factors influencing delay in arrival to maternity hospital.en_US
dc.typeJournal Articleen_US
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