Filippi V. auteur aut IRD Richard F. auteur aut IRD Lange I. auteur aut IRD Ouattara Fatoumata auteur aut IRD text journalArticle eng text/pdf born digital access Near-miss cases often arrive in critical condition in referral hospitals in developing countries. Understanding the reasons why women arrive at these hospitals in a moribund state is crucial to the reduction of the incidence and case fatality of severe obstetric complications. This paper discusses how near-miss audits can empower the hospital teams to document and help reduce barriers to obstetric care in the most useful way and makes practical suggestions on interviews, analytical framework, ethical issues and staff motivation. Review of the evidence shows that case reviews and confidential enquiries appear particularly Suitable to the understanding of delays. Criterion-based audits can also achieve this by establishing criteria for referral. However, hospital staff have limited intervention tools at their disposal to address barriers to emergency care at the community level. It is therefore important to involve the district management team and representatives of the community in auditing the health care seeking and treatment of women with near-miss complications. specialized pregnancy complications medical audits developing countries 050 23 3 389-400 2009 1521-6934 https://www.documentation.ird.fr/hor/fdi:010046138 10.1016/j.bpobgyn.2008.12.006 1521-6934 [F B010046138] https://www.documentation.ird.fr/hor/fdi:010046138 https://www.documentation.ird.fr/intranet/publi/2009/06/010046138.pdf Accès réservé (Intranet de l'IRD) IRD - Base Horizon / Pleins textes 2009-07-08 2017-08-23 fdi:010046138 fre