{"id":"https://openalex.org/W2736080277","doi":"https://doi.org/10.1186/s12884-017-1407-4","title":"The third delay: understanding waiting time for obstetric referrals at a large regional hospital in Ghana","display_name":"The third delay: understanding waiting time for obstetric referrals at a large regional hospital in Ghana","publication_year":2017,"publication_date":"2017-07-11","ids":{"openalex":"https://openalex.org/W2736080277","doi":"https://doi.org/10.1186/s12884-017-1407-4","mag":"2736080277","pmid":"https://pubmed.ncbi.nlm.nih.gov/28693518","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/5504760"},"language":"en","primary_location":{"id":"doi:10.1186/s12884-017-1407-4","doi":"https://doi.org/10.1186/s12884-017-1407-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12884-017-1407-4","pdf_url":"https://bmcpregnancychildbirth.biomedcentral.com/track/pdf/10.1186/s12884-017-1407-4","source":{"id":"https://openalex.org/S123732490","display_name":"BMC Pregnancy and Childbirth","issn_l":"1471-2393","issn":["1471-2393"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Pregnancy and Childbirth","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcpregnancychildbirth.biomedcentral.com/track/pdf/10.1186/s12884-017-1407-4","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5077133216","display_name":"David M. Goodman","orcid":"https://orcid.org/0000-0002-0180-4911","observed_orcids":["https://orcid.org/0000-0002-0180-4911"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I4210126298","display_name":"Duke Medical Center","ror":"https://ror.org/03njmea73","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David M. Goodman","raw_affiliation_strings":["Department of Obstetrics & Gynecology, Duke University Medical Center, Box 3084, Durham, NC, 27710, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics & Gynecology, Duke University Medical Center, Box 3084, Durham, NC, 27710, USA","institution_ids":["https://openalex.org/I170897317","https://openalex.org/I4210126298"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058647082","display_name":"Emmanuel Srofenyoh","orcid":"https://orcid.org/0000-0001-8934-1896","observed_orcids":["https://orcid.org/0000-0001-8934-1896"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Emmanuel K. Srofenyoh","raw_affiliation_strings":["Ridge Regional Hospital, Accra, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ridge Regional Hospital, Accra, Ghana","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004539348","display_name":"Adeyemi J. Olufolabi","orcid":"https://orcid.org/0000-0001-8902-7805","observed_orcids":["https://orcid.org/0000-0001-8902-7805"]},"institutions":[{"id":"https://openalex.org/I4210126298","display_name":"Duke Medical Center","ror":"https://ror.org/03njmea73","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Adeyemi J. Olufolabi","raw_affiliation_strings":["Department of Anesthesiology, Duke University Medical Center, Box 3094, Durham, NC, 27710, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Duke University Medical Center, Box 3094, Durham, NC, 27710, USA","institution_ids":["https://openalex.org/I4210126298"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100459306","display_name":"Sung Min Kim","orcid":"https://orcid.org/0000-0002-1957-2186","observed_orcids":["https://orcid.org/0000-0002-1957-2186","https://orcid.org/0009-0007-9854-3255"]},"institutions":[{"id":"https://openalex.org/I47251452","display_name":"Wake Forest University","ror":"https://ror.org/0207ad724","country_code":"US","type":"education","lineage":["https://openalex.org/I47251452"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sung Min Kim","raw_affiliation_strings":["Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157, USA","institution_ids":["https://openalex.org/I47251452"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5108223277","display_name":"Medge D. Owen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1282516798","display_name":"Atrium Health Wake Forest Baptist","ror":"https://ror.org/04v8djg66","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1282516798","https://openalex.org/I47251452"]},{"id":"https://openalex.org/I4405269449","display_name":"Wake Forest University Health Sciences","ror":"https://ror.org/046r1r105","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]},{"id":"https://openalex.org/I47251452","display_name":"Wake Forest University","ror":"https://ror.org/0207ad724","country_code":"US","type":"education","lineage":["https://openalex.org/I47251452"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Medge D. Owen","raw_affiliation_strings":["Department of Anesthesiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157-1009, USA. mowen@wakehealth.edu","Department of Anesthesiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157-1009, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157-1009, USA. mowen@wakehealth.edu","institution_ids":["https://openalex.org/I1282516798","https://openalex.org/I4405269449","https://openalex.org/I47251452"]},{"raw_affiliation_string":"Department of Anesthesiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157-1009, USA","institution_ids":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5108223277"],"corresponding_institution_ids":["https://openalex.org/I1282516798","https://openalex.org/I4405269449","https://openalex.org/I47251452"],"apc_list":{"value":3290,"currency":"USD","value_usd":3290},"apc_paid":{"value":3290,"currency":"USD","value_usd":3290},"fwci":7.3735,"has_fulltext":true,"cited_by_count":66,"citation_normalized_percentile":{"value":0.9760385,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"17","issue":"1","first_page":"216","last_page":"216"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.8320000171661377,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.8320000171661377,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.07090000063180923,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.044599998742341995,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/obstetric-referral","display_name":"obstetric referral","score":0.8650000095367432},{"id":"https://openalex.org/keywords/waiting-time","display_name":"waiting time","score":0.699999988079071},{"id":"https://openalex.org/keywords/maternal-mortality","display_name":"maternal mortality","score":0.5009999871253967},{"id":"https://openalex.org/keywords/maternal-morbidity","display_name":"maternal morbidity","score":0.7319999933242798},{"id":"https://openalex.org/keywords/emergency-obstetric-care","display_name":"emergency obstetric care","score":0.7289999723434448},{"id":"https://openalex.org/keywords/fetal-pelvic-disproportion","display_name":"fetal-pelvic disproportion","score":0.796999990940094},{"id":"https://openalex.org/keywords/hypertensive-disorders-of-pregnancy","display_name":"hypertensive disorders of pregnancy","score":0.9980000257492065},{"id":"https://openalex.org/keywords/uterine-scar","display_name":"uterine scar","score":0.8389999866485596},{"id":"https://openalex.org/keywords/obstetric-hemorrhage","display_name":"obstetric hemorrhage","score":0.9380000233650208},{"id":"https://openalex.org/keywords/second-stage-of-labor","display_name":"second stage of labor","score":0.8119999766349792},{"id":"https://openalex.org/keywords/night-shift-work","display_name":"night shift work","score":0.5730000138282776},{"id":"https://openalex.org/keywords/triage","display_name":"triage","score":0.640999972820282},{"id":"https://openalex.org/keywords/ghana","display_name":"Ghana","score":0.3019999861717224}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9493227005004883},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.8463554978370667},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.6335614919662476},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.6019806861877441},{"id":"https://openalex.org/C2776210078","wikidata":"https://www.wikidata.org/wiki/Q351870","display_name":"Reproductive medicine","level":3,"score":0.5292921662330627},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.46677345037460327},{"id":"https://openalex.org/C2781276381","wikidata":"https://www.wikidata.org/wiki/Q552348","display_name":"Eclampsia","level":3,"score":0.4665873646736145},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.43963879346847534},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4108075499534607},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.34034258127212524},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.191837877035141},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0829782485961914},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005869","descriptor_name":"Ghana","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008427","descriptor_name":"Maternal Health Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014218","descriptor_name":"Triage","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D036861","descriptor_name":"Delivery, Obstetric","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1186/s12884-017-1407-4","doi":"https://doi.org/10.1186/s12884-017-1407-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12884-017-1407-4","pdf_url":"https://bmcpregnancychildbirth.biomedcentral.com/track/pdf/10.1186/s12884-017-1407-4","source":{"id":"https://openalex.org/S123732490","display_name":"BMC Pregnancy and Childbirth","issn_l":"1471-2393","issn":["1471-2393"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Pregnancy and Childbirth","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:5504760","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5504760","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Pregnancy Childbirth","raw_type":"Text"},{"id":"pmid:28693518","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/28693518","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC pregnancy and childbirth","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:d3a61f32d33f4cfbb1942ebb597111f1","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/d3a61f32d33f4cfbb1942ebb597111f1","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Pregnancy and Childbirth, Vol 17, Iss 1, Pp 1-7 (2017)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12884-017-1407-4","doi":"https://doi.org/10.1186/s12884-017-1407-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12884-017-1407-4","pdf_url":"https://bmcpregnancychildbirth.biomedcentral.com/track/pdf/10.1186/s12884-017-1407-4","source":{"id":"https://openalex.org/S123732490","display_name":"BMC Pregnancy and Childbirth","issn_l":"1471-2393","issn":["1471-2393"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Pregnancy and Childbirth","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320320224","display_name":"Obstetric Anaesthetists' Association","ror":"https://ror.org/041jyes35"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2736080277.pdf","grobid_xml":"https://content.openalex.org/works/W2736080277.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W1412372741","https://openalex.org/W1555762252","https://openalex.org/W1992317261","https://openalex.org/W1998447670","https://openalex.org/W2008519789","https://openalex.org/W2057736515","https://openalex.org/W2074192817","https://openalex.org/W2111563482","https://openalex.org/W2149098154","https://openalex.org/W2149116156","https://openalex.org/W2341006137"],"related_works":["https://openalex.org/W4253827080","https://openalex.org/W3036421350","https://openalex.org/W2315667606","https://openalex.org/W2803018122","https://openalex.org/W7213998295","https://openalex.org/W2967554687","https://openalex.org/W6920485126","https://openalex.org/W1824689443","https://openalex.org/W3206507353","https://openalex.org/W4405881289"],"abstract_inverted_index":{"BACKGROUND:":[0],"Delay":[1],"in":[2,38,62,93,115,198,240],"receiving":[3,94],"care":[4,260],"significantly":[5],"contributes":[6],"to":[7,20,22,31,91,128,210,257,294,309,320],"maternal":[8],"morbidity":[9],"and":[10,41,106,110,132,159,201,224,278,316],"mortality.":[11],"Much":[12],"has":[13],"been":[14,36],"studied":[15],"about":[16],"reducing":[17],"delays":[18,27,92],"prior":[19,160],"arrival":[21,30,254],"referral":[23,50,60,146],"facilities,":[24],"but":[25],"the":[26,32,48,58,63,116,194,235,241,259,288,298,307],"incurred":[28],"upon":[29,253],"hospital":[33,61,311],"have":[34],"not":[35],"described":[37],"many":[39],"low-":[40],"middle-income":[42],"countries.":[43],"METHODS:":[44],"We":[45],"report":[46],"on":[47,101],"obstetric":[49,231,265],"process":[51],"at":[52,261],"Ridge":[53,129],"Regional":[54,130],"Hospital,":[55,131],"Accra,":[56],"Ghana,":[57],"largest":[59],"Ghana":[64],"Health":[65],"System.":[66],"This":[67,304],"study":[68,305],"uses":[69],"data":[70],"from":[71],"a":[72,83,203],"prospectively-collected":[73],"cohort":[74],"of":[75,108,113,138,156,176,183,222,244,281,301],"1082":[76],"women":[77,177,218,229,239,268],"presenting":[78,192],"with":[79,187,219,230,269],"pregnancy":[80,157,223,323],"complications":[81],"over":[82],"10-week":[84],"period.":[85],"To":[86],"characterize":[87],"which":[88],"factors":[89,272],"lead":[90],"care,":[95],"we":[96],"analyzed":[97],"wait":[98,189,236],"times":[99,190],"based":[100],"reason":[102,144],"for":[103,136,145,217,228,238],"referral,":[104],"time":[105,168,209,237],"day":[107],"arrival,":[109],"concurrent":[111],"volume":[112],"patients":[114,127],"triage":[117],"area.":[118],"RESULTS:":[119],"The":[120,141,164,207],"findings":[121],"show":[122],"that":[123,314],"108":[124],"facilities":[125,134],"refer":[126],"52":[133],"account":[135],"90.5%":[137],"all":[139,291],"transfers.":[140],"most":[142],"common":[143],"was":[147,169,213,246],"fetal-pelvic":[148],"size":[149],"disproportion":[150],"(24.3%)":[151],"followed":[152],"by":[153],"hypertensive":[154,220],"disorders":[155,221],"(9.8%)":[158],"uterine":[161],"scar":[162],"(9.1%).":[163],"median":[165,208],"arrival-to-evaluation":[166],"(wait)":[167],"40":[170],"min":[171,182,215,226,248],"(IQR":[172],"15-100);":[173],"206":[174],"(22%)":[175],"were":[178,283],"evaluated":[179,212,296],"within":[180,297],"10":[181,302],"arrival.":[184],"Factors":[185],"associated":[186],"longer":[188],"include":[191],"during":[193],"night":[195],"shift,":[196],"being":[197],"latent":[199],"labour,":[200],"having":[202],"non-time-sensitive":[204],"risk":[205,271],"factor.":[206],"be":[211,295],"32":[214],"(12-80)":[216],"37":[225],"(10-66)":[227],"hemorrhage.":[232],"In":[233],"addition,":[234],"second":[242,279],"stage":[243,280],"labour":[245,282],"30":[247],"(12-79).":[249],"CONCLUSIONS:":[250],"Reducing":[251],"delay":[252],"is":[255],"imperative":[256],"improve":[258,310],"high-volume":[262],"comprehensive":[263],"emergency":[264],"centers.":[266],"Although":[267],"time-sensitive":[270],"such":[273],"as":[274],"hypertension,":[275],"bleeding,":[276],"fever,":[277],"seen":[284],"more":[285],"quickly":[286],"than":[287],"baseline":[289],"population,":[290],"groups":[292],"failed":[293],"international":[299],"standard":[300],"min.":[303],"emphasizes":[306],"need":[308],"systems":[312],"so":[313],"space":[315],"personnel":[317],"are":[318],"available":[319],"access":[321],"high-risk":[322],"transfers":[324],"rapidly.":[325]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":10},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":10},{"year":2021,"cited_by_count":8},{"year":2020,"cited_by_count":13},{"year":2019,"cited_by_count":6},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2017-07-21T00:00:00"}