Table 2.
Major obstetric complication, emergency obstetric intervention and equipment by hospitals, health centres and dispensaries (proportion of health facilities reporting having seen the complication or having performed the intervention at least once during the past 6 months prior the survey)
| |
Hospital |
Health Centres |
Dispensary |
Chi-squared p-value^ |
|---|---|---|---|---|
| |
% |
% |
% |
|
| (N = 6) | (N = 13) | (N = 131) | ||
|
Major obstetric complications | ||||
| Post-partum haemorrhage |
50 |
31 |
21 |
0.436 |
| Obstructed labour |
83 |
77 |
28 |
<0.001 |
| Puerperal Sepsis# |
17 |
23 |
2 |
<0.001 |
| Eclampsia |
50 |
0 |
3 |
<0.001 |
| Complications from incomplete/unsafe abortion |
67 |
39 |
13 |
0.002 |
|
Signal functions | ||||
| Manual removal of the placenta |
50 |
23 |
11 |
0.058 |
| Assisted delivery |
17 |
15 |
4 |
<0.001 |
| Parenteral sedatives given |
33 |
0 |
1 |
<0.001 |
| Parenteral antibiotics for puerperal sepsis# |
100 |
8 |
5 |
<0.001 |
| Removal of retained abortion residuals |
50 |
31 |
1 |
<0.001 |
| Newborn resuscitation |
83 |
15 |
17 |
0.002 |
|
Equipment and supplies (functioning and available at day of visit) | ||||
| Vacuum extractor (assisted delivery) |
67 |
15 |
2 |
<0.001 |
| Magnesium Sulfate |
83 |
62 |
57 |
0.413 |
| iv. Antibiotics (i.v ampicillin, i.v. & oral metronidazole & i.v. gentamycine)$ |
100 |
23 |
8 |
<0.001 |
| Amoxicillin/Ampicilline & metronidazole, both orally* |
50 |
7 |
3 |
<0.001 |
| Manual Vacuum Aspiration (MVA) |
100 |
46 |
0 |
<0.001 |
| Newborn ambu bag | 100 | 69 | 31 | <0.001 |
^p-value for difference between level of care.
#Inconsistent reporting.
$WHO recommendation *standard for moderate severe puerperal sepsis in Tanzania.