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Table 1 Three-delay model of maternal deaths in Suriname, 2010–2014

From: Bottom-up development of national obstetric guidelines in middle-income country Suriname

 

HDP-related maternal deaths

n = 19 (%)

PPH-related maternal deaths

n = 21 (%)

1st delay (patients do not seek care)

1 (5.3)

1 (4.8)

2nd delay (patients do not reach care)

1 (5.3)

4 (19.0)

3rd delay (patients do not receive adequate care in hospital), reasons:

17 (89.5)

20 (95.2)

 i. Essential medications unavailable

0 (−)

2 (10.0)

 ii. Blood products unavailable

N/A

3 (15.0)

 iii. Necessary staff unavailable

1 (5.9)

2 (10.0)

 iv. Lack of quality of care (delay in diagnosis and treatment (not due to unavailability), inadequate monitoring, poor supportive treatment.

16 (94.1)

19 (95.0)

Death most likely preventable

9 (47.4)

16 (76.2)