title: Assessment of the risk approach to maternity care in a district hospital in rural Tanzania.
abstract: OBJECTIVE
  The impact of the risk approach to maternity care in a district hospital in rural Tanzania has been investigated.
  
  
  METHODS
  Data have been derived from a 1-month study. Of the women who lived within 5 km of a hospital (area I) 98% actually gave birth in hospital. The pattern of complications of this area is assumed to be representative for the pattern of the district as a whole.
  
  
  RESULTS
  Only 36/168 (21%) women with high risk pregnancies living further than 5 km from a hospital, came to hospital for delivery. Of the women with low risk pregnancies (in area I) 4/89 (5%) still had a complicated delivery.
  
  
  CONCLUSIONS
  The risk approach, used to select women with high risk pregnancies should be used more extensively and as unexpected complications at the local center occur, basic facilities to deal with those problems should be made available at this level.
authors.affiliation: Department of Gynaecology, Academic Hospital Nijmegen, St. Radboud, The Netherlands.
authors.forename: A N
authors.initials: AN
authors.lastname: de Groot
authors.forename: W
authors.initials: W
authors.lastname: Slort
authors.forename: J
authors.initials: J
authors.lastname: van Roosmalen
mesh_terms: D002391:Catchment Area, Health; D005069:Evaluation Studies as Topic; D005260:Female; D006305:Health Status Indicators; D006767:Hospitals, District; D006801:Humans; D008427:Maternal Health Services; D011247:Pregnancy; D011248:Pregnancy Complications; D012307:Risk Factors; D012423:Rural Health; D013636:Tanzania