SciELO - Scientific Electronic Library Online

 
vol.32 issue1Managing ethical issues in sexual violence research using a pilot studyThe experience of black fathers concerning support for their wives/partners during labour author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Curationis

On-line version ISSN 2223-6279
Print version ISSN 0379-8577

Curationis vol.32 n.1 Pretoria  2009

 

RESEARCH ARTICLE

 

Response times of ambulances to calls from Midwife Obstetric Units of the Peninsula Maternal and Neonatal Service (PMNS) in Cape Town

 

 

JK MarcusI; SE ClowII

IPGDipN (Advanced Midwifery) RA, RN, RCHN, RPN. Division of Nursing and Midwifery, School of Health and Rehabilitation Sciences, Faculty of Health Sciences University of Cape Town
IIMSc (Nursing), BSocSc, AUDNE, RN, RM, RCHN. Associate Professor, Division of Nursing and Midwifery, School of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town

Correspondence

 

 


ABSTRACT

Response times of ambulances to calls from Midwife Obstetric Units, although varied, are perceived as slow. Delays in transporting women experiencing complications during or after their pregnancies to higher levels of care may have negative consequences such as fetal, neonatal or maternal morbidity or death.
An exploratory descriptive study was undertaken to investigate the response times of ambulances of the Western Cape Emergency Medical Services to calls from midwife obstetric units (MOUs) in the Peninsula Maternal and Neonatal Services (PMNS) in Cape Town. Response times were calculated from data collected in specific MOUs using a specifically developed instrument. Recorded data included time of call placed requesting transfer, diagnosis or reason for transfer, priority of call and the time of arrival of ambulance to the requesting facility. Mean, median and range of response times, in minutes, to various MOUs and priorities of calls were calculated. These were then compared using the Kruskal-Wallis test. A comparison was then made between the recorded and analysed response times to national norms and recommendations for ambulance response times and maternal transfer response times respectively.
A wide range of response times was noted for the whole sample. Median response times across all priorities of calls and to all MOUs in sample fell short of national norms and recommendations. No statistical differences were noted between various priorities of calls and MOUs.
The perception of delayed response times of ambulances to MOUs in the PMNS was confirmed in this pilot study.

Key words: MOU, ambulance, response time, PMNS


 

 

“Full text available only in PDF format”

 

 

References

BIGELOW, LK; ANDERSON, KC & CAMP, J 1997: Perinatal Transport Casebook, Journal of Perinatology. Vol. 17,No.5:p41M15.         [ Links ]

BRINK, HI 2002: Fundamentals of Research Methodology for Health Care Professionals, Juta & Co, Lansdowne.         [ Links ]

BRINK, PJ; WOOD, MJ 1998: Advanced Design in Nursing Research, 2nd edition, Sage Publications, California.         [ Links ]

MEDICAL RESEARCH COUNCIL (SOUTH AFRICA) 2000: Saving Babies: A Perinatal Care Survey of South Africa, Pretoria.         [ Links ]

GIBSON, M; BAILEY, C & FERGUSON, J 2001: Transporting the incubator: Effects upon a region of the adoption of guidelines for high-risk maternal transport, Journal of Perinatology, 21: p300-306        [ Links ]

GUNSTON, K & VAN COEVERDEN DE GROOT, HA 1975: The Cape Town Obstetric Flying Squad, South African Medical Journal. Vol. 49:1147-1148.         [ Links ]

HUMAN, I; KROON, M; BERGMAN, N; FAWCUS, S & NTWANA, B 2003: Patient population movement in a Cape Town obstetric service, South African        [ Links ]

KARRIEM, A 2005: Police may soon escort ambulances after attacks. Cape Times: 24 October.         [ Links ]

MONGWE, R 2002: Migration Study in the Western Cape: Residents' perceptions regarding migration and social service delivery (especially health and education): Case studies in George and Cape Town. Available online at www.capegatewav.gov.za/Text/2003/migrationstudy20017education+health.pdf accessed 12/09/2005.         [ Links ]

PROVINCIAL GOVERNMENT WESTERN CAPE 2003: Medical Emergency Transport and Rescue Organisation (Metro EMS) Annual Review 2003. Available online at: http://www.capegatewav.gov.za/Text/2004/11/arems2003.pdf. Accessed 05/07/2004.         [ Links ]

PROVINCIAL GOVERNMENT WESTER CAPE 2003: Community Health Services Organisation Annual Report April 2002-March 2003. Available online at: http://www.capeeateway.gov.za/Tex/2004/3/chsoannualreport20023.pdf Accessed 18/06/2004.         [ Links ]

SOUTH AFRICA (REPUBLIC) 2006: Ten Key Recommendations, available online at http://www.info.gov.za/otherdocs/2006/maternaldeaths.pdf accessed 16/01/2007        [ Links ]

SOUTH AFRICA (REPUBLIC) 2002: Saving Mothers: Second Report on Confidential Enquiries into Maternal Deaths in South Africa: 1999-2001. Government Printer: Pretoria        [ Links ]

SOUTH AFRICA (REPUBLIC) 2002: Guidelines for Maternity Care in South Africa: A Manual for Clinics, Community Health Centers and District Hospitals, 2nd edition, Government Printer, Pretoria.         [ Links ]

SMETHERHAM, J 2004: Deaths daily as ambulance service battles to keep pace. Cape Times, 16 September.         [ Links ]

UNIVERSITY OF CAPE TOWN 2004: Division of Obstetrics and Gynaecology, http://web.uct.ac.za/depts/dri/resrepO1/faculties/health/obs/obs01.html Accessed 18/06/2004.         [ Links ]

VAN COEVERDEN DE GROOT, AA; VAN COEVERDEN DE GROOT, HA; SMITH, CM & ISAACS, S 1994: Referrals for inadequate progress of labour from Midwife Obstetric Units to the referral hospitals in Cape Town, Curationis, 17(4):71-74.         [ Links ]

VAN COEVERDEN DE GROOT, HA 1993: Provision of a Community Perinatal Service in a Developing Country, The Australian & New Zealand Journal of Obstetrics and Gynaecology, 33 (3):225-229.         [ Links ]

VAN DER SPUY, Z 2003: Division of Obstetrics and Gynaecology, online from www.gsh.co.za/pc/obs.html accessed 18/06/2004.         [ Links ]

VERIAVA, F, CURNOW,P 1997: Special Report: An Investigation into the Prevailing Conditions at Ambulance & Rescue Services. Online from www.sahrc.org.za/section27casel.pdf accessed 10/ 11/2004.         [ Links ]

 

 

Correspondence:
Jason Marcus
Clinical Skills Centre
Faculty of Health Sciences
University of Cape Town
Anzio Road
Observatory, 7925
Tel: (021)4066704; Fax:(021)4486815
Email: Jason.Marcus@uct.ac.za

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License