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Table 3 Reasons for not attending referral hospital according to referral indication (n = 522)

From: Effectiveness of maternal referral system in a rural setting: a case study from Rufiji district, Tanzania

Reason Group of referral indication Total
  Demographic risks Obstetric historical risks Prenatal complications Natal complications  
  n % n % n % n %  
Financial difficulties 229 53 19 54 21 46 7 70 276
Difficult to get transport 17 3.9 2 5.7 2 4.3 1 10 22
Thought it was not necessary 15 3.5 2 5.7 0 0 0 0 17
Labour started suddenly 14 3.2 2 5.7 1 2.2 0 0 17
Delivered on the way to hospital 10 2.3 1 2.9 4 8.7 0 0 15
No one to accompany her to hospital 12 2.8 0 0 1 2.2 0 0 13
Delayed to go to hospital 12 2.8 0 0 0 0 0 0 12
The spouse was away on safari 5 1.2 0 0 4 8.7 1 10 10
Aborted 4 0.9 0 0 2 4.3 0 0 6
Labour started at night 4 0.9 0 0 0 0 0 0 4
Othera 6 1.4 1 2.9 1 2.2 1 10 9
No reason given 103 24 8 23 10 22 0 0 121
Total 431 99.9 35 99.9 46 100.3 10 100 522
  1. aOthers includes feared to deliver in hospital, spouse died, refused or sick, no one to care her children at home, disabled, or away on travel