Policies and practices for normal childbirth: Jordan.
Article Type: Brief article
Subject: Childbirth (Standards)
Evidence-based medicine (Standards)
Mothers (Patient outcomes)
Mothers (Statistics)
Pub Date: 11/01/2009
Publication: Name: Reproductive Health Matters Publisher: Reproductive Health Matters Audience: General Format: Magazine/Journal Subject: Family and marriage; Health; Women's issues/gender studies Copyright: COPYRIGHT 2009 Reproductive Health Matters ISSN: 0968-8080
Issue: Date: Nov, 2009 Source Volume: 17 Source Issue: 34
Topic: Event Code: 350 Product standards, safety, & recalls; 680 Labor Distribution by Employer
Geographic: Geographic Scope: Jordan Geographic Code: 7JORD Jordan
Accession Number: 225074446
Full Text: There are movements in Europe and North America to make childbirth safer and more responsive to individual needs, contributing to repeated revisions of childbirth policies and practices. These movements are generally lacking in the Arab and Middle East region, and maternal mortality is very high in some countries. A large gap remains between actual practice and evidence-based standards. In Jordan, the quality of health care is considered high, given its economic status. The most recent estimate, in 2000, of maternal mortality was 41 deaths per 100,000 live births. Hospitals are well equipped to deal with obstetric emergencies, and many follow evidence-based practices. The internal evaluation system is typically based on team feedback but 20% of hospitals have no internal evaluation procedure. Staff at a nationally representative sample of 30 hospitals (13 private, 10 government, 6 military and 1 teaching) were interviewed to assess whether practices were evidence-based and women were being given choices in delivery. Some unnecessary procedures practised included routine pubic shaving (67% of hospitals) and routine or frequent enemas (34%). Women were restricted in their movement during labour, and the lithotomy position was usually adopted for delivery. The majority of hospitals reported strapping women in the delivery position (73% routinely). Most hospitals did not allow social support during labour and delivery. Measures are needed to encourage the best evidence-based practices regarding normal childbirth, and better evaluation processes. Jordanian women need more information about delivery options to exercise informed choice. (1)

(1.) Sweidan M, Mahfoud Z, DeJong J. Hospital policies and practices concerning normal childbirth in Jordan. Studies in Family Planning 2008;39(1):59-68.
Gale Copyright: Copyright 2009 Gale, Cengage Learning. All rights reserved.