Evidence map›Paper›PMID 36897375›Full record

ArticleWorld journal of surgery2023

In-Hospital Obstetric Delays in Rural Uganda: A Cross-Sectional Analysis of a Hospital Cohort.

McKayla Poppens, Rasheedat Oke, Melissa Carvalho, Yeranui Ledesma, Silas Okullu, Mary Goretty Ariokot, Esther Agwang, Peter Ekuchu, Hyginus Wange, Marissa Boeck and 3 more

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In one paragraph

Article in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

McKayla PoppensDavid Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
Rasheedat OkeProgram for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, CA, USA.
Melissa CarvalhoProgram for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, CA, USA.
Yeranui LedesmaDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA.
Silas OkulluDepartment of Surgery, Soroti Regional Referral Hospital, Soroti, Uganda.
Mary Goretty AriokotDepartment of Surgery, Soroti Regional Referral Hospital, Soroti, Uganda.
Esther AgwangDepartment of Surgery, Soroti Regional Referral Hospital, Soroti, Uganda.
Peter EkuchuDepartment of Surgery, Soroti Regional Referral Hospital, Soroti, Uganda.
Hyginus WangeDepartment of Surgery, Soroti Regional Referral Hospital, Soroti, Uganda.
Marissa BoeckDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA.
Catherine JuillardProgram for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, CA, USA.
Mary Margaret AjikoDepartment of Surgery, Soroti Regional Referral Hospital, Soroti, Uganda.
Rochelle DickerProgram for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, CA, USA. RDicker@mednet.ucla.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeaths related to pregnancy and childbirth are extremely high in low-resource countries such as Uganda. Maternal mortality in low- and middle-income countries is related to delays in seeking, reaching, and receiving adequate health care. This study aimed to investigate the in-hospital delays to surgical care for women in labor arriving to Soroti Regional Referral Hospital (SRRH).

methodsFrom January 2017 to August 2020, we collected data on obstetric surgical patients in labor using a locally developed, context-specific obstetrics surgical registry. Data regarding patient demographics, clinical and operative characteristics, as well as delays in care and outcomes were documented. Descriptive and multivariate statistical analyses were conducted.

resultsA total of 3189 patients were treated during our study period. Median age was 23 years, most gestations were at term (97%) at the time of operation, and nearly all patients underwent Cesarean Section (98.8%). Notably, 61.7% of patients experienced at least one delay in their surgical care at SRRH. Lack of surgical space was the greatest contributor to delay (59.9%), followed by lack of supplies or personnel. The significant independent predictors of delayed care were having a prenatal acquired infection (AOR 1.73, 95% CI 1.43-2.09) and length of symptoms less than 12 h (AOR 0.32, 95% CI 0.26-0.39) or greater than 24 h (AOR 2.61, 95% CI 2.18-3.12).

conclusionIn rural Uganda, there is a significant need for financial investment and commitment of resources to expand surgical infrastructure and improve care for mothers and neonates.

Indexed as

Cesarean SectionHospitalsAdultCross-Sectional StudiesFemaleHumansInfant, NewbornParturitionPregnancyUgandaYoung Adult

Identifiers

PMID36897375
PMCPMC10156771

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