TY - JOUR T1 - A cross sectional study of maternal ‘near-miss’ cases in major public hospitals in Egypt, Lebanon, Palestine and Syria JF - Pregnancy and Childbirth Y1 - 2015 A1 - Hyam Bashour A1 - Ghada Saad-Haddad A1 - Jocelyn DeJong A1 - Mohammed Cherine Ramadan A1 - Sahar Hassan A1 - Miral Breebaart A1 - Laura Wick A1 - Nevine Hassanein A1 - Mayada Kharouf AB -

 

VL - 15 UR - http://www.biomedcentral.com/content/pdf/s12884-015-0733-7.pdf IS - 296 ER - TY - JOUR T1 - Routines in facility-based maternity care: evidence from the Arab World JF - International Journal of Obstetrics and Gynaecology Y1 - 2005 A1 - Karima Khalil A1 - Hania Sholkamy A1 - Nevine Hassanein A1 - Mohamed Cherine A1 - Amr Elnoury A1 - Lamia Mohsen A1 - Miral Breebaart A1 - Tamar Kabakian-Khasholian A1 - Rawan Shayboub A1 - Rita Khayat A1 - Oona MR Campbell A1 - Hibah Osman A1 - Rima Mourtada A1 - Raghda Hafez A1 - Dima Sinno A1 - Nahed Mikki A1 - Laura Wick A1 - Livia Wick A1 - Hyam Bashour A1 - Asmaa Abdulsalam A1 - Salah Sheikha AB -

OBJECTIVES:

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.

DESIGN:

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

SETTING:

Maternity wards.

SAMPLE:

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.

METHODS:

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.

MAIN OUTCOME MEASURES:

Routine hospital practices for normal labor and delivery.

RESULTS:

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.

CONCLUSION:

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.

PB - Blackwell Science Ltd VL - 112 IS - 9 ER -