A case–control study exploring the circumstances of survivors and non-survivors of obstetric complications found
that a higher percentage of survivors had received timely
and appropriate care (40 % within 2 h and 85 % within
24 h) compared to non-survivors (19 % within 2 h and
44 % within 24 h) [100]. In another instance, neglect by
doctors apparently led to the death of a patient, as narrated by a midwife in Gambia: “She was brought to the
hospital on the 13th at around 9:00 am from another
health centre. The doctor saw her and diagnosed hand presentation. He [doctor] asked us [midwives] to observe
her. No action was taken by the doctors up to the 15th
late in the evening [48 h later] when they took her to the
theatre. He [doctor] first tried external cephalic version,
which failed before a caesarean section was performed.
The patient was wheeled dead from the theatre” [71].