01218nas a2200217 4500008004100000245012700041210006900168260001200237490000700249520048800256100001800744700002300762700002000785700003100805700001800836700002100854700001600875700002200891700002000913856006700933 2015 eng d00aA cross sectional study of maternal ‘near-miss’ cases in major public hospitals in Egypt, Lebanon, Palestine and Syria0 across sectional study of maternal nearmiss cases in major public c11/20150 v153 a


1 aBashour, Hyam1 aSaad-Haddad, Ghada1 aDeJong, Jocelyn1 aRamadan, Mohammed, Cherine1 aHassan, Sahar1 aBreebaart, Miral1 aWick, Laura1 aHassanein, Nevine1 aKharouf, Mayada uhttp://www.biomedcentral.com/content/pdf/s12884-015-0733-7.pdf00557nas a2200121 4500008004100000245013300041210006900174260001200243100001800255700001600273700002000289856012600309 2015 eng d00aA glance into the hidden burden of maternal morbidity and patterns of management in a Palestinian governmental referral hospital0 aglance into the hidden burden of maternal morbidity and patterns c08/20151 aHassan, Sahar1 aWick, Laura1 aDeJong, Jocelyn uhttp://icph.birzeit.edu/research/publications/glance-hidden-burden-maternal-morbidity-and-patterns-management-palestinian03141nas a2200361 4500008004100000245007600041210006900117260004200186490000800228520202700236100001902263700002002282700002202302700002102324700001702345700001802362700002102380700003102401700002002432700001702452700002302469700001702492700001902509700001802528700001602546700001702562700001602579700001602595700001802611700002202629700001902651856010902670 2005 eng d00aRoutines in facility-based maternity care: evidence from the Arab World0 aRoutines in facilitybased maternity care evidence from the Arab  bBlackwell Science LtdcSeptember/20050 v1123 a


To document facility-based practices for normal labour and delivery in Egypt, Lebanon, the West Bank (part of the Occupied Palestinian Territory) and Syria and to categorise common findings according to evidence-based obstetrics.


Three studies (Lebanon, West Bank and Syria) interviewed a key informant (providers) in maternity facilities. The study in Egypt directly observed individual labouring women.


Maternity wards.


Nationally representative sample of hospitals drawn in Lebanon and Syria. In the West Bank, a convenience sample of hospitals was used. In Egypt, the largest teaching hospital's maternity ward was observed.


Shared practices were categorised by adapting the World Health Organization's (WHO) 2004 classification of practices for normal birth into the following: practices known to be beneficial, practices likely to be beneficial, practices unlikely to be beneficial and practices likely to be ineffective or harmful.


Routine hospital practices for normal labor and delivery.


There was infrequent use of beneficial practices that should be encouraged and an unexpectedly high level of harmful practices that should be eliminated. Some beneficial practices were applied inappropriately and practices of unproven benefit were also documented. Some documented childbirth practices are potentially harmful to mothers and their babies.


Facility practices for normal labour were largely not in accordance with the WHO evidence-based classification of practices for normal birth. The findings are worrying given the increasing proportion of facility-based births in the region and the improved but relatively high maternal and neonatal mortality ratios in these countries. Obstacles to following evidence-based protocols for normal labour require examination.

1 aKhalil, Karima1 aSholkamy, Hania1 aHassanein, Nevine1 aCherine, Mohamed1 aElnoury, Amr1 aMohsen, Lamia1 aBreebaart, Miral1 aKabakian-Khasholian, Tamar1 aShayboub, Rawan1 aKhayat, Rita1 aCampbell, Oona, MR1 aOsman, Hibah1 aMourtada, Rima1 aHafez, Raghda1 aSinno, Dima1 aMikki, Nahed1 aWick, Laura1 aWick, Livia1 aBashour, Hyam1 aAbdulsalam, Asmaa1 aSheikha, Salah uhttp://icph.birzeit.edu/research/publications/routines-facility-based-maternity-care-evidence-arab-world