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Facility-based audit of maternal mortality in Lebanon: a feasibility study
Hibah Osman1, Oona M R Campbell, Dima Sinno
1Department of Health Behaviour and Education, Faculty of Health Sciences, and Department of Family Medicine, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
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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