PMID- 30815867
OWN - NLM
STAT- MEDLINE
DCOM- 20190410
LR  - 20190410
IS  - 1879-3479 (Electronic)
IS  - 0020-7292 (Linking)
VI  - 144 Suppl 1
DP  - 2019 Feb
TI  - Presence of doctors and obstetrician/gynecologists for patients with maternal
      complications in hospitals in six provinces of Indonesia.
PG  - 42-50
LID - 10.1002/ijgo.12734 [doi]
AB  - OBJECTIVE: To describe doctors' and specialist physicians' availability to manage
      obstetric complications in hospitals in six provinces of Indonesia. METHODS: Data
      from a nonrandomized, quasi-experimental pre-post evaluation study were used to
      describe the distribution of providers by each cadre of worker and assess the
      availability of doctors and obstetrician/gynecologists (ob/gyns) for
      consultations for women experiencing postpartum hemorrhage or
      pre-eclampsia/eclampsia, disaggregated by hospital type, province, referral
      status, and by time of day of provider consultation. RESULTS: Among hospitals
      that should have comprehensive emergency obstetric and newborn care (CEmONC)
      services available 24 hours a day, 7 days a week, many did not have a doctor
      available to manage obstetric complications as they presented, despite there
      being an average of seven ob/gyns and four doctors registered for service across 
      all facilities. Slightly over 50% of obstetric emergency cases admitted with
      postpartum hemorrhage and severe pre-eclampsia/eclampsia did not receive a
      consultation from an ob/gyn. Among the patients who received consultations, about
      70% received consultations by phone or SMS. CONCLUSION: Findings from this study 
      indicate that persistent issues of maldistribution of maternal and newborn
      specialists and high absence rates of both doctors and ob/gyns at CEmONC
      hospitals during obstetric emergencies undermines Indonesia's efforts to reduce
      high maternal mortality rates.
CI  - (c) 2019 The Authors. International Journal of Gynecology & Obstetrics published 
      by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and 
      Obstetrics.
FAU - Pedrana, Alisa
AU  - Pedrana A
AD  - Disease Elimination Program, Burnet Institute, Melbourne, Victoria, Australia.
FAU - Tholandi, Maya
AU  - Tholandi M
AD  - Jhpiego Indonesia, Jakarta, Indonesia.
FAU - Qomariyah, Siti Nurul
AU  - Qomariyah SN
AD  - Jhpiego Indonesia, Jakarta, Indonesia.
FAU - Sethi, Reena
AU  - Sethi R
AD  - Jhpiego, Baltimore, MD, USA.
FAU - Hyre, Anne
AU  - Hyre A
AD  - Jhpiego Indonesia, Jakarta, Indonesia.
FAU - Amelia, Dwirani
AU  - Amelia D
AD  - Research and Development Unit, Budi Kemuliaan Health Institute, Jakarta,
      Indonesia.
FAU - Suhowatsky, Stephanie
AU  - Suhowatsky S
AD  - Jhpiego Nepal, Kathmandu, Nepal.
FAU - Ahmed, Saifuddin
AU  - Ahmed S
AD  - Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
LA  - eng
GR  - United States Agency for International Development (USAID)
PT  - Evaluation Studies
PT  - Journal Article
PT  - Multicenter Study
PL  - United States
TA  - Int J Gynaecol Obstet
JT  - International journal of gynaecology and obstetrics: the official organ of the
      International Federation of Gynaecology and Obstetrics
JID - 0210174
SB  - IM
MH  - Adult
MH  - Female
MH  - Gynecology/statistics & numerical data
MH  - Health Services Accessibility/standards
MH  - Hospitals/*supply & distribution
MH  - Humans
MH  - Indonesia/epidemiology
MH  - Infant, Newborn
MH  - Maternal Mortality
MH  - Maternal-Child Health Services/*standards
MH  - Non-Randomized Controlled Trials as Topic
MH  - Obstetrics/statistics & numerical data
MH  - Physicians/*supply & distribution
MH  - Postpartum Hemorrhage/therapy
MH  - Pre-Eclampsia/therapy
MH  - Pregnancy
OTO - NOTNLM
OT  - Health facility delivery
OT  - Indonesia
OT  - Maternal health
OT  - Obstetrician/gynecologist
OT  - Provider availability
EDAT- 2019/03/01 06:00
MHDA- 2019/04/11 06:00
CRDT- 2019/03/01 06:00
PHST- 2019/03/01 06:00 [entrez]
PHST- 2019/03/01 06:00 [pubmed]
PHST- 2019/04/11 06:00 [medline]
AID - 10.1002/ijgo.12734 [doi]
PST - ppublish
SO  - Int J Gynaecol Obstet. 2019 Feb;144 Suppl 1:42-50. doi: 10.1002/ijgo.12734.