| Facility-based audit of maternal mortality in Lebanon: a feasibility study. | |
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MedLine Citation:
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PMID: 19900073 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the feasibility of establishing a maternal mortality audit in Lebanon. DESIGN: A facility-based reproductive age mortality study (RAMOS). METHODS: Records of reproductive-age female deaths over an eight-year period in three hospitals in Beirut, Lebanon, were reviewed. MAIN OUTCOME MEASURES: Quality of data sources, comprehensiveness of medical charts and accessibility of information. RESULTS: Review of records was feasible. Cross-checking three data sources identified missed cases and coding and data entry errors. The quality and accessibility of data varied between hospitals. The maternal mortality rate was 39/100,000 live births and there were 55 pregnancy-related deaths/100,000 live births. Lack of antenatal care, delay in seeking care and over-intervention on the part of the medical team were among problems identified. CONCLUSIONS: A facility-based approach is a potential tool for conducting a national maternal mortality audit in a developing country like Lebanon. Computerized medical records and mandatory participation of hospitals are prerequisites for success. This would require the government to develop a cohesive national policy on reducing maternal mortality. |
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Authors:
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Hibah Osman; Oona M R Campbell; Dima Sinno; Rana Zarwi; Anwar H Nassar |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Acta obstetricia et gynecologica Scandinavica Volume: 88 ISSN: 1600-0412 ISO Abbreviation: Acta Obstet Gynecol Scand Publication Date: 2009 |
Date Detail:
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Created Date: 2009-12-07 Completed Date: 2010-01-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370343 Medline TA: Acta Obstet Gynecol Scand Country: England |
Other Details:
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Languages: eng Pagination: 1338-44 Citation Subset: IM |
Affiliation:
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Department of Health Behaviour and Education, Faculty of Health Sciences, and Department of Family Medicine, Faculty of Medicine, American University of Beirut, Beirut, Lebanon. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Feasibility Studies Female Hospitals Humans Lebanon / epidemiology Maternal Mortality* Medical Audit Middle Aged Pregnancy Records as Topic Sampling Studies Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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//Wellcome Trust |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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