The policy environment encouraging C-section in Lebanon

Area of Science:

• Obstetrics and Gynecology
• Public Health Policy
• Healthcare Management

Background:

• Cesarean section (C-section) rates in Lebanon are a significant public health concern.
• Understanding the multifaceted environment contributing to C-section practices is essential for developing effective interventions.

Purpose of the Study:

• To analyze the factors encouraging C-section deliveries in Lebanon.
• To identify stakeholder perspectives on reducing C-section rates.
• To propose strategies for improving maternity care practices.

Main Methods:

• Semi-structured interviews with 20 key stakeholders (healthcare providers, policymakers, insurance bodies, media, women's groups).
• Group discussion with 10 obstetricians.
• Interviews with 36 women who recently underwent C-sections.
• Data analysis using Policy Maker software.

Main Results:

• Healthcare system organization, particularly the private sector's dominance, influences C-section rates.
• Lack of physician accountability and minimized roles for midwives contribute to current practices.
• Women's misconceptions about C-sections play a role in delivery choices.

Conclusions:

• Engaging diverse stakeholders, considering their influence, is vital for transforming maternity care in Lebanon.
• Strategic interventions leveraging available opportunities can address the high C-section rates.
• Collaborative approaches are necessary to improve maternal healthcare outcomes.