Document Detail

Maternal mortality ratio in Lebanon in 2008: a hospital-based reproductive age mortality study (RAMOS).
MedLine Citation:
PMID:  24684119     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION AND OBJECTIVES: International agencies have recently assigned Lebanon to the group H of countries with "no national data on maternal mortality," and estimated a corresponding maternal mortality ratio (MMR) of 150 per 100,000 live births. The Ministry of Public Health addressed the discrepancy perceived between the reality of the maternal mortality ratio experience in Lebanon and the international report by facilitating a hospital-based reproductive age mortality study, sponsored by the World Health Organization Representative Office in Lebanon, aiming at providing an accurate estimate of a maternal mortality ratio for 2008. The survey allowed a detailed analysis of maternal causes of deaths.
METHODS: Reproductive age deaths (15-49 years) were initially identified through hospital records. A trained MD traveled to each hospital to ascertain whether recorded deaths were in fact maternal deaths or not. ICD10 codes were provided by the medical controller for each confirmed maternal deaths.
RESULTS: There were 384 RA death cases, of which 13 were confirmed maternal deaths (339%) (numerator). In 2008, there were 84823 live births in Lebanon (denominator). The MMR in Lebanon in 2008 was thus officially estimated at 23/100,000 live births, with an "uncertainty range" from 153 to 30.6. Hemorrhage was the leading cause of death, with double the frequency of all other causes (pregnancy-induced hypertension, eclampsia, infection, and embolism).
CONCLUSION: This specific enquiry responded to a punctual need to correct a clearly inadequate report, and it should be relayed by an on-going valid surveillance system. Results indicate that special attention has to be devoted to the management of peri-partum hemorrhage cases.
KEYWORDS: Arab, postpartum hemorrhage, development, pregnancy management, verbal autopsy
Elie Hobeika; Samer Abi Chaker; Hilda Harb; Rita Rahbany Saad; Walid Ammar; Salim Adib
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Le Journal médical libanais. The Lebanese medical journal     Volume:  62     ISSN:  0023-9852     ISO Abbreviation:  J Med Liban     Publication Date:    2014 Jan-Mar
Date Detail:
Created Date:  2014-03-31     Completed Date:  2014-04-29     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  0375352     Medline TA:  J Med Liban     Country:  Lebanon    
Other Details:
Languages:  eng     Pagination:  1-6     Citation Subset:  IM    
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MeSH Terms
Cause of Death
Developing Countries / statistics & numerical data*
Health Surveys
Hospital Mortality*
Maternal Mortality*
Middle Aged
Odds Ratio
Postpartum Hemorrhage / mortality
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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