Department of Public Health and Community Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
East Mediterr Health J. 2012 May;18(5):426-31. doi: 10.26719/2012.18.5.426.
Understanding the factors that operate during pregnancy, delivery and postpartum is the key to success in the prevention of maternal mortality. This cross-sectional survey in Jordan for the years 2007-2008 aimed to identify the role of substandard care and delays in maternal deaths. All maternal deaths among women aged 15-49 years over this period (n = 76) were investigated retrospectively through file review and household interviews in all hospitals (n = 102) and forensic medicine departments in Jordan; elements of substandard care and delays at hospital, home and transport levels were evaluated. Substandard care accounted for 52.6% of deaths, delay in seeking care 55.3%, delay in transport 15.8% and delay in hospital care 17.1%. Women who did not recognize the danger signs of pregnancy (OR 6.32), refused medical advice to terminate the pregnancy (OR 1.78) or at a gestational age > 37 weeks (OR 1.85) were significantly more likely to delay seeking care, as were those with larger mean family size.
了解妊娠、分娩和产后期间起作用的因素是成功预防孕产妇死亡的关键。这项 2007-2008 年在约旦进行的横断面调查旨在确定护理标准不达标和延误对孕产妇死亡的影响。通过对所有医院（n=102）和法医部门的文件审查和家庭访谈，对该期间所有年龄在 15-49 岁的妇女（n=76）中的孕产妇死亡情况进行了回顾性调查；评估了医院、家庭和运输各级护理标准不达标和延误的因素。护理标准不达标占死亡的 52.6%，寻求医疗延误 55.3%，运输延误 15.8%，医院治疗延误 17.1%。那些没有意识到妊娠危险信号（OR6.32）、拒绝终止妊娠的医疗建议（OR1.78）或在妊娠 37 周以上（OR1.85）的妇女更有可能延迟寻求医疗，家庭规模较大的妇女也是如此。
