Journal Article

Childbirth in Palestine

2005
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Abstract
OBJECTIVE: This study describes staffing, caseloads and reported routine practices for normal childbirth in Palestinian West Bank (WB) governmental maternity facilities and compares these practices with evidence-based care. METHODS: Data on routine childbirth practices in all eight governmental hospitals were obtained through interviews with head obstetricians and midwives. Data on staffing and monthly number of births were collected by phone or personal interview from all 37 WB hospitals. RESULTS: Forty-eight percent of WB deliveries took place in crowded and understaffed governmental hospitals. Reported practices were not consistently in line with evidence-based care. Lack of knowledge and structural barriers were reasons for this gap. CONCLUSION: The implications of limiting unnecessary interventions in the normal birth process are particularly important in a context of limited access and scarce resources. More skilled birth attendants and a universal commitment to effective care are needed.
Year
2005
Language
English
Date Published
May
Volume
89
Pages
174-8
Accession Number
15847891
ISBN Number
0020-7292 (Print)0020-7292 (Linking)
Journal Name
Int J Gynaecol Obstet
Keywords
Analgesics
Opioid
Therapeutic use
Attitude of Health Personnel
Clinical Competence
Crowding
data
Delivery
Obstetric
economics
statistics & numerical data
Drug Utilization
Evidence-Based Medicine
Female
Guideline Adherence
Hospitals
Maternity
Organization & administration
statistics & numerical
Public
Humans
Male
Meperidine
Middle East
Midwifery
Oxytocics
Oxytocin
Personnel Staffing and Scheduling
Physicians
supply & distribution
Pregnancy
Private Sector
Questionnaires
Workload