Safe motherhood in Lebanon: new population‐based results from the Beirut 1994 survey

Deeb, Mary; Campbell, Oona M. R.; Kabakian, Tamar

doi:10.1016/s0020-7292(96)02808-1

Cited by 5 publications

(9 citation statements)

References 2 publications

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“…Before this survey, Lebanese health statistics were obtained through demographic surveys based on interviews with samples of households. Women were asked a few questions about their most recent birth in the years preceding the survey 12,13 . This is a useful way of obtaining data on all births, both in maternity units and at home, but it presents some limitations.…”

Section: Discussionmentioning

confidence: 99%

“…Births among the Palestinian refugees represent about 10% of all births in Lebanon, and at least half of such births occur in Palestinian camps 18 . In the early 1990s, 11% of Lebanese women delivered at home 12 . There is a trend towards a decrease in home deliveries.…”

Section: Discussionmentioning

confidence: 99%

“…There is a trend towards a decrease in home deliveries. For example, in Beirut the proportion decreased from 10% in 1984 to 5% in 1994 12 . The exclusion of these two groups resulted in a slight over‐estimation of the intervention rates during delivery and a slight under‐estimation of the proportion of women of low social class and with poor prenatal care.…”

Section: Discussionmentioning

confidence: 99%

“…The Lebanese Ministry of Public Health wished to launch a new policy to reduce perinatal mortality and to improve health services for mothers and newborns. Very little information was available for designing this policy after 20 years of war 12,13 . A national survey was carried out in 1999–2000, using a protocol applied in France for routine surveys 6 .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Collecting population‐based perinatal data efficiently: the example of the Lebanese National Perinatal Survey

Blondel

Zein²,

Ghosn

et al. 2006

Paediatric Perinatal Epid

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We describe the methodology and the main results of the Lebanese perinatal health survey. The survey was carried out during two consecutive weeks in autumn 1999 and spring 2000, with the aim of obtaining a minimum data set on all births occurring during a short period of time. All live births and stillbirths occurring during these periods in medical settings were recorded. The sample included 5231 women and 5333 newborns. Data were obtained from medical records and by interviewing the women in hospital after delivery. All maternity units and birth centres agreed to participate. Maternal characteristics, medical care during pregnancy and delivery, and pregnancy outcome were similar for the two study periods. However, gestational age distribution differed between the two periods. In total, 9.0% of infants were born < 37 weeks of gestation and 7.0% weighed < 2500 g at birth. Wide regional variations were observed for many indicators of health, care and risk factors. For instance, the caesarean section rate varied from 16.2% in the North Region to 28.0% in Beirut. The survey protocol was successfully applied in Lebanon and may be useful in other countries that have a relatively well-developed healthcare system, but few sources of reliable population-based statistics on health and medical care. This type of survey may also be an appropriate instrument for collecting additional data for health policy evaluations.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Collecting population‐based perinatal data efficiently: the example of the Lebanese National Perinatal Survey

Blondel

Zein²,

Ghosn

et al. 2006

Paediatric Perinatal Epid

View full text Add to dashboard Cite

show abstract

“…The most recent estimates of maternal mortality are model‐based (6, 7). Other national population‐based estimates come from the sisterhood method (8, 9) and a direct questionnaire on a national household survey (10). The variable findings and wide confidence intervals make measuring reductions in maternal mortality ratios (MMRs) difficult.…”

Section: Introductionmentioning

confidence: 99%

Facility‐based audit of maternal mortality in Lebanon: A feasibility study

Campbell

Sinno

Zarwi

et al. 2009

Acta Obstet Gynecol Scand

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A review of maternal mortality trends in Lebanon, 2010–2018

El-Kak

Kabakian‐Khasholian

Ammar

et al. 2019

Intl J Gynecology & Obste

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Lebanon invested in the prevention of maternal mortality after the civil war, which left a deficient vital registration system leading to unreliable estimates of maternal mortality ratio (MMR). Starting in 2004, the Ministry of Public Health integrated reproductive health into primary health care and established a national notification system of maternal and neonatal deaths. From 1990 to 2013, Lebanon achieved an annual change in MMR of −7.5%, which was the highest rate of reduction in the region and met the requirements of Millennium Development Goal 5. For the period 2010–2018, data collected through the national notification system indicate an MMR of 14.9, which is below the officially reported MMR of 23. Since the influx of Syrian refugees, Lebanon has experienced a rise in the number of live births with a slightly increasing trend in MMR, especially in regions with the highest concentration of refugees. Causes of maternal mortality in Lebanon align with the three‐delays model, pointing to deficiencies in the quality of maternity care. More efforts are needed toward strengthening the national notification system to include cases that occur outside hospitals, identifying near‐miss cases, reinforcing the emergency response system, and engaging with all stakeholders to improve quality of care.

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Safe motherhood in Lebanon: new population‐based results from the Beirut 1994 survey

Cited by 5 publications

References 2 publications

Collecting population‐based perinatal data efficiently: the example of the Lebanese National Perinatal Survey

Collecting population‐based perinatal data efficiently: the example of the Lebanese National Perinatal Survey

Facility‐based audit of maternal mortality in Lebanon: A feasibility study

A review of maternal mortality trends in Lebanon, 2010–2018

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