{"id":"https://openalex.org/W7223665532","doi":"https://doi.org/10.1371/journal.pgph.0006312","title":"Creating order in the uncertainty of childbirth: A qualitative study of obstetric admission and triage practices in rural Malawi","display_name":"Creating order in the uncertainty of childbirth: A qualitative study of obstetric admission and triage practices in rural Malawi","publication_year":2026,"publication_date":"2026-10-26","ids":{"openalex":"https://openalex.org/W7223665532","doi":"https://doi.org/10.1371/journal.pgph.0006312","pmid":"https://pubmed.ncbi.nlm.nih.gov/42932323","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13704880"},"language":"en","primary_location":{"id":"doi:10.1371/journal.pgph.0006312","doi":"https://doi.org/10.1371/journal.pgph.0006312","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pgph.0006312","pdf_url":"https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0006312&type=printable","source":{"id":"https://openalex.org/S4210231901","display_name":"PLOS Global Public Health","issn_l":"2767-3375","issn":["2767-3375"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS Global Public Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0006312&type=printable","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5136971863","display_name":"Emily Bundy","orcid":"https://orcid.org/0000-0003-2925-7945","observed_orcids":["https://orcid.org/0000-0003-2925-7945"]},"institutions":[{"id":"https://openalex.org/I28166907","display_name":"Karolinska Institutet","ror":"https://ror.org/056d84691","country_code":"SE","type":"education","lineage":["https://openalex.org/I28166907"]}],"countries":["SE"],"is_corresponding":true,"raw_author_name":"Emily Bundy","raw_affiliation_strings":["Karolinska Institutet"],"raw_orcid":"https://orcid.org/0000-0003-2925-7945","affiliations":[{"raw_affiliation_string":"Karolinska Institutet","institution_ids":["https://openalex.org/I28166907"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045895650","display_name":"Bianca Kandeya","orcid":"https://orcid.org/0000-0002-8829-4618","observed_orcids":["https://orcid.org/0000-0002-8829-4618"]},"institutions":[{"id":"https://openalex.org/I28166907","display_name":"Karolinska Institutet","ror":"https://ror.org/056d84691","country_code":"SE","type":"education","lineage":["https://openalex.org/I28166907"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Bianca Kandeya","raw_affiliation_strings":["Karolinska Institutet"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Karolinska Institutet","institution_ids":["https://openalex.org/I28166907"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108251024","display_name":"Wanangwa Chimwaza","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4403928428","display_name":"Kamuzu University of Health Sciences","ror":"https://ror.org/00khnq787","country_code":"MW","type":"education","lineage":["https://openalex.org/I4403928428"]}],"countries":["MW"],"is_corresponding":false,"raw_author_name":"Wanangwa Chimwaza","raw_affiliation_strings":["Centre for Reproductive Health, Kamuzu University of Health Sciences"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Reproductive Health, Kamuzu University of Health Sciences","institution_ids":["https://openalex.org/I4403928428"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045564480","display_name":"Claudia Hanson","orcid":"https://orcid.org/0000-0001-8066-7873","observed_orcids":["https://orcid.org/0000-0001-8066-7873"]},"institutions":[{"id":"https://openalex.org/I28166907","display_name":"Karolinska Institutet","ror":"https://ror.org/056d84691","country_code":"SE","type":"education","lineage":["https://openalex.org/I28166907"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Claudia Hanson","raw_affiliation_strings":["Karolinska Institutet"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Karolinska Institutet","institution_ids":["https://openalex.org/I28166907"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056613127","display_name":"Effie Kondwani Chipeta","orcid":"https://orcid.org/0000-0002-7925-3443","observed_orcids":["https://orcid.org/0000-0002-7925-3443"]},"institutions":[{"id":"https://openalex.org/I4403928428","display_name":"Kamuzu University of Health Sciences","ror":"https://ror.org/00khnq787","country_code":"MW","type":"education","lineage":["https://openalex.org/I4403928428"]}],"countries":["MW"],"is_corresponding":false,"raw_author_name":"Effie Chipeta","raw_affiliation_strings":["Centre for Reproductive Health, Kamuzu University of Health Sciences"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Reproductive Health, Kamuzu University of Health Sciences","institution_ids":["https://openalex.org/I4403928428"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5067646427","display_name":"Helle M\u00f8lsted Alvesson","orcid":"https://orcid.org/0000-0001-6109-7203","observed_orcids":["https://orcid.org/0000-0001-6109-7203"]},"institutions":[{"id":"https://openalex.org/I28166907","display_name":"Karolinska Institutet","ror":"https://ror.org/056d84691","country_code":"SE","type":"education","lineage":["https://openalex.org/I28166907"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Helle M\u00f6lsted Alvesson","raw_affiliation_strings":["Karolinska Institutet"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Karolinska Institutet","institution_ids":["https://openalex.org/I28166907"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5136971863"],"corresponding_institution_ids":["https://openalex.org/I28166907"],"apc_list":{"value":2496,"currency":"USD","value_usd":2496},"apc_paid":{"value":2496,"currency":"USD","value_usd":2496},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.87105734,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"6","issue":"10","first_page":"e0006312","last_page":"e0006312"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.5990999937057495,"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"}},"topics":[{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.5990999937057495,"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"}},{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.34689998626708984,"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/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.020600000396370888,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/obstetric-admissions","display_name":"obstetric admissions","score":0.8859999775886536},{"id":"https://openalex.org/keywords/obstetric-triage","display_name":"obstetric triage","score":0.9819999933242798},{"id":"https://openalex.org/keywords/warning-signs","display_name":"warning signs","score":0.5519999861717224},{"id":"https://openalex.org/keywords/labour-ward","display_name":"labour ward","score":0.45899999141693115},{"id":"https://openalex.org/keywords/maternity-care-providers","display_name":"maternity care providers","score":0.6890000104904175},{"id":"https://openalex.org/keywords/patient-companions","display_name":"patient companions","score":0.4819999933242798},{"id":"https://openalex.org/keywords/risk-based-decision-making","display_name":"risk-based decision making","score":0.6449999809265137},{"id":"https://openalex.org/keywords/person-centered-communication","display_name":"person-centred communication","score":0.7590000033378601},{"id":"https://openalex.org/keywords/maternal-mortality","display_name":"maternal mortality","score":0.6740000247955322},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.8149999976158142},{"id":"https://openalex.org/keywords/rural-malawi","display_name":"rural Malawi","score":0.7910000085830688},{"id":"https://openalex.org/keywords/mary-douglas","display_name":"Mary Douglas","score":0.6690000295639038}],"concepts":[{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.8560000061988831},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6043999791145325},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.5859000086784363},{"id":"https://openalex.org/C13200473","wikidata":"https://www.wikidata.org/wiki/Q2747831","display_name":"Reflexivity","level":2,"score":0.5769000053405762},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5734000205993652},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5493000149726868},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5437999963760376},{"id":"https://openalex.org/C2992232542","wikidata":"https://www.wikidata.org/wiki/Q20862341","display_name":"Maternity care","level":3,"score":0.5228999853134155},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4269999861717224},{"id":"https://openalex.org/C188198153","wikidata":"https://www.wikidata.org/wiki/Q1613840","display_name":"Limiting","level":2,"score":0.3792000114917755},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3765000104904175},{"id":"https://openalex.org/C46295352","wikidata":"https://www.wikidata.org/wiki/Q207982","display_name":"Legitimacy","level":3,"score":0.3668999969959259},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.36480000615119934},{"id":"https://openalex.org/C2776200494","wikidata":"https://www.wikidata.org/wiki/Q7075540","display_name":"Obstetric labor complication","level":3,"score":0.29660001397132874},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.2904999852180481},{"id":"https://openalex.org/C2775887326","wikidata":"https://www.wikidata.org/wiki/Q3308829","display_name":"Prenatal care","level":3,"score":0.289000004529953},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.2745000123977661},{"id":"https://openalex.org/C3018587665","wikidata":"https://www.wikidata.org/wiki/Q7268696","display_name":"Qualitative analysis","level":3,"score":0.2669999897480011},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.26350000500679016},{"id":"https://openalex.org/C2910910449","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postnatal Care","level":3,"score":0.26100000739097595},{"id":"https://openalex.org/C14036430","wikidata":"https://www.wikidata.org/wiki/Q3736076","display_name":"Function (biology)","level":2,"score":0.26010000705718994},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.25949999690055847},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2535000145435333}],"mesh":[],"locations_count":6,"locations":[{"id":"doi:10.1371/journal.pgph.0006312","doi":"https://doi.org/10.1371/journal.pgph.0006312","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pgph.0006312","pdf_url":"https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0006312&type=printable","source":{"id":"https://openalex.org/S4210231901","display_name":"PLOS Global Public Health","issn_l":"2767-3375","issn":["2767-3375"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS Global Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13704880","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13704880/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13704880/pdf/pgph.0006312.pdf","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":"PLOS Glob Public Health","raw_type":"Text"},{"id":"pmid:42932323","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42932323","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":"PLOS global public health","raw_type":"Journal Article"},{"id":"pmh:oai:researchonline.lshtm.ac.uk:4683785","doi":null,"is_oa":true,"landing_page_url":"https://orcid.org/0000-0003-2925-7945>;","pdf_url":"https://researchonline.lshtm.ac.uk/id/eprint/4683785/1/Bundy-etal-2026-creating-order-in-the-uncertainty-of-childbirth.pdf","source":{"id":"https://openalex.org/S4306402527","display_name":"LSHTM Research Online (London School of Hygiene and Tropical Medicine)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210089966","host_organization_name":"London School of Hygiene & Tropical Medicine","host_organization_lineage":["https://openalex.org/I4210089966"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"pmh:oai:doaj.org/article:1c7b0e4dc67c433e86322a6b541963ad","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/1c7b0e4dc67c433e86322a6b541963ad","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":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"PLOS Global Public Health, Vol 6, Iss 10, p e0006312 (2026)","raw_type":"article"},{"id":"pmh:oai:doaj.org/article:26ca9d910e5b49daa7cfbc32cc8ea414","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/26ca9d910e5b49daa7cfbc32cc8ea414","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":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"PLOS Global Public Health, Vol 6, Iss 10 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1371/journal.pgph.0006312","doi":"https://doi.org/10.1371/journal.pgph.0006312","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pgph.0006312","pdf_url":"https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0006312&type=printable","source":{"id":"https://openalex.org/S4210231901","display_name":"PLOS Global Public Health","issn_l":"2767-3375","issn":["2767-3375"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS Global Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.7307999730110168},{"display_name":"Gender equality","id":"https://metadata.un.org/sdg/5","score":0.6025999784469604}],"study_designs":[],"awards":[{"id":"https://openalex.org/G4402680817","display_name":"Meeting women\u2019s needs at birth through companionship: Improving the implementation evidence on context, processes and effect in low and middle-income countries","funder_award_id":"2020-04949","funder_id":"https://openalex.org/F4320322581","funder_display_name":"Vetenskapsr\u00e5det"},{"id":"https://openalex.org/G72771297","display_name":"Action Leveraging Evidence to Reduce perinatal morTality and morbidity in sub-Saharan Africa","funder_award_id":"847824","funder_id":"https://openalex.org/F4320320300","funder_display_name":"European Commission"}],"funders":[{"id":"https://openalex.org/F4320320300","display_name":"European Commission","ror":"https://ror.org/00k4n6c32"},{"id":"https://openalex.org/F4320322581","display_name":"Vetenskapsr\u00e5det","ror":"https://ror.org/03zttf063"},{"id":"https://openalex.org/F4320332999","display_name":"Horizon 2020 Framework Programme","ror":"https://ror.org/00k4n6c32"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223665532.pdf","grobid_xml":"https://content.openalex.org/works/W7223665532.grobid-xml"},"referenced_works_count":43,"referenced_works":["https://openalex.org/W574153820","https://openalex.org/W1601938470","https://openalex.org/W1968852244","https://openalex.org/W2085028749","https://openalex.org/W2125100455","https://openalex.org/W2140982500","https://openalex.org/W2148163869","https://openalex.org/W2275057075","https://openalex.org/W2305278139","https://openalex.org/W2337005413","https://openalex.org/W2531324235","https://openalex.org/W2577684879","https://openalex.org/W2605273552","https://openalex.org/W2734769519","https://openalex.org/W2747429103","https://openalex.org/W2756076335","https://openalex.org/W2777343451","https://openalex.org/W2948873720","https://openalex.org/W2992745263","https://openalex.org/W3007078198","https://openalex.org/W3032433634","https://openalex.org/W3087471750","https://openalex.org/W3102261840","https://openalex.org/W3125798055","https://openalex.org/W3134921992","https://openalex.org/W3177174661","https://openalex.org/W3213374448","https://openalex.org/W4200027330","https://openalex.org/W4223537914","https://openalex.org/W4244932993","https://openalex.org/W4282002017","https://openalex.org/W4284900076","https://openalex.org/W4294051906","https://openalex.org/W4317811469","https://openalex.org/W4318586254","https://openalex.org/W4377293096","https://openalex.org/W4378649399","https://openalex.org/W4379508004","https://openalex.org/W4386624285","https://openalex.org/W4388700858","https://openalex.org/W4389264594","https://openalex.org/W4389366567","https://openalex.org/W4402034459"],"related_works":["https://openalex.org/W4407894832","https://openalex.org/W4411664574","https://openalex.org/W4321487112","https://openalex.org/W2531324235","https://openalex.org/W4396731325","https://openalex.org/W2786551853","https://openalex.org/W2468345719","https://openalex.org/W2912754205","https://openalex.org/W3025956619","https://openalex.org/W2786041257"],"abstract_inverted_index":{"Maternal":[0],"and":[1,58,69,78,82,98,116,134,145,171,184,203,210,222,235,256],"neonatal":[2],"mortality":[3],"continues":[4],"to":[5,93,137,141,239],"be":[6],"a":[7],"concern":[8],"in":[9,29,47],"sub-Saharan":[10],"Africa.":[11],"Although":[12,148],"standardized":[13,128,248],"obstetric":[14,34,44,108,220,241],"triage":[15,35,154],"improves":[16],"clinical":[17,224],"outcomes,":[18],"little":[19],"is":[20],"known":[21],"about":[22],"how":[23,42],"locally":[24],"developed":[25],"admission":[26,45,129,214],"practices":[27],"function":[28],"low-resource":[30],"settings":[31],"where":[32],"national":[33],"guidelines":[36],"are":[37],"absent.":[38],"This":[39],"study":[40],"explored":[41],"hospital-based":[43],"procedures":[46,215],"rural":[48],"Malawi":[49],"were":[50,90,125,151],"experienced":[51],"by":[52,218],"maternity":[53,70,79,169],"care":[54,71,80],"providers,":[55,72,81,182],"laboring":[56],"women,":[57,183],"companions.":[59],"We":[60],"used":[61],"qualitative":[62],"methods":[63],"including":[64],"in-depth":[65],"interviews":[66],"with":[67,76],"mothers":[68],"focus":[73],"group":[74],"discussions":[75],"companions":[77,185],"observations":[83],"of":[84,113,178,189,247],"two":[85],"labor":[86,146],"wards.":[87],"Study":[88],"participants":[89],"chosen":[91],"purposively":[92],"represent":[94],"diverse":[95],"birth":[96],"outcomes":[97],"professionals.":[99],"Data":[100],"analysis":[101],"followed":[102],"reflexive":[103],"thematic":[104],"analysis,":[105],"concentrating":[106],"on":[107],"admissions.":[109],"Mary":[110],"Douglas'":[111],"concepts":[112],"purity,":[114],"danger,":[115],"risk":[117,221,249],"informed":[118],"interpretation":[119],"during":[120],"theme":[121],"development.":[122],"Obstetric":[123],"admissions":[124,242],"organized":[126],"through":[127,168],"forms":[130,150],"that":[131,232],"structured":[132],"assessment":[133,250],"enabled":[135],"providers":[136],"classify":[138],"women":[139],"according":[140],"visible":[142],"danger":[143,179],"signs":[144,180],"progression.":[147],"the":[149,159,187,194,245],"not":[152],"formal":[153],"tools,":[155],"they":[156,227],"functioned":[157],"as":[158],"primary":[160],"mechanism":[161],"for":[162],"prioritizing":[163,223],"care,":[164],"organizing":[165],"patient":[166,174,202,236],"movement":[167],"spaces,":[170],"managing":[172],"high":[173],"volumes.":[175],"Shared":[176],"recognition":[177],"among":[181],"reinforced":[186,229],"legitimacy":[188],"risk-based":[190],"decision":[191],"making.":[192],"At":[193],"same":[195],"time,":[196],"communication":[197,234,255],"was":[198],"selectively":[199],"restricted,":[200],"limiting":[201],"companion":[204,257],"participation":[205],"while":[206,251],"reinforcing":[207],"professional":[208],"authority":[209],"hierarchical":[211,230],"relationships.":[212],"Standardized":[213],"created":[216],"order":[217],"classifying":[219],"efficiency,":[225],"but":[226],"also":[228],"relationships":[231],"limited":[233],"participation.":[237],"Efforts":[238],"strengthen":[240],"should":[243],"preserve":[244],"benefits":[246],"incorporating":[252],"more":[253],"person-centered":[254],"engagement.":[258]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-10-27T00:00:00"}
