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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)