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Ten women died before the required caesarean section or blood transfusion could take place because they did not bring the money in time.

Negligence and lack of staff competence contributed to the poor quality of care.

Semi structured interviews with 208 women who survived their obstetric complication and with the families of 110 women who died were conducted at home by three experienced nurses under the supervision of EK.

All the cases were identified from twelve referral hospitals in Kinshasa after admission for a serious acute obstetric complication.

There is, however, little information on the circumstances surrounding maternal deaths.