Maternal Mortality Ratio in Lebanon in 2008 : A Hospital based Reproductive Age Mortality Study ( RAMOS )

Elie Hobeika; Samer Abi Chaker; Hilda Harb; Rita Rahbany Saad; Walid Ammar; Adib , Salim M.

doi:10.12816/0002620

Article Details

Maternal Mortality Ratio in Lebanon in 2008 : A Hospital based Reproductive Age Mortality Study ( RAMOS )

Authors:

Elie Hobeika | Samer Abi Chaker | Hilda Harb | Rita Rahbany Saad | Walid Ammar | Adib , Salim M.

Publisher:

Lebanese Order of Physicians : Scientific Committee

Main Topics:

Medicine

Journal:

Lebanese Medical Journal 2014 vol.62 Issue 1, pp.1-6

Document Type:

Article

Publication Date:

1/2014

Document Language:

English

Document ID (Org No.):

42432

Frequency:

Quarterly

pISSN:

00239852

DOI:

10.12816/0002620

Descriptors:

Keywords:

Abstract:

 INTRODUCTION AND OBJECTIVES : Internationalagencies have recently assigned Lebanon tothe group H of countries with “no national data onmaternal mortality,” and estimated a correspondingmaternal mortality ratio (MMR) of 150 per 100,000 livebirths. The Ministry of Public Health addressed the discrepancyperceived between the reality of the maternalmortality ratio experience in Lebanon and the internationalreport by facilitating a hospital-based reproductiveage mortality study, sponsored by the World HealthOrganization Representative Office in Lebanon, aimingat providing an accurate estimate of a maternal mortalityratio for 2008. The survey allowed a detailed analysisof maternal causes of deaths.
METHODS : Reproductive age deaths (15-49 years)were initially identified through hospital records. Atrained MD traveled to each hospital to ascertainwhether recorded deaths were in fact maternal deathsor not. ICD10 codes were provided by the medical controllerfor each confirmed maternal deaths.RESULTS : There were 384 RA death cases, of which13 were confirmed maternal deaths (3.39%) (numerator).In 2008, there were 84,823 live births in Lebanon(denominator).
 The MMR in Lebanon in 2008 was thusofficially estimated at 23/100,000 live births, with an“uncertainty range” from 15.3 to 30.6. Hemorrhagewas the leading cause of death, with double the frequencyof all other causes (pregnancy-induced hypertension,eclampsia, infection, and embolism).CONCLUSION : This specific enquiry responded to apunctual need to correct a clearly inadequate report,and it should be relayed by an on-going valid surveillancesystem. Results indicate that special attentionhas to be devoted to the management of peri-partumhemorrhage cases.

Article Details

Maternal Mortality Ratio in Lebanon in 2008 : A Hospital based Reproductive Age Mortality Study ( RAMOS )

Authors:

Elie Hobeika | Samer Abi Chaker | Hilda Harb | Rita Rahbany Saad | Walid Ammar | Adib , Salim M.

Publisher:

Lebanese Order of Physicians : Scientific Committee

Main Topics:

Medicine

Journal:

Lebanese Medical Journal 2014 vol.62 Issue 1, pp.1-6

Document Type:

Article

Publication Date:

1/2014

Document Language:

English

Document ID (Org No.):

42432

Frequency:

Quarterly

pISSN:

00239852

DOI:

10.12816/0002620

Descriptors:

DEATH RATE

MOTHERS

CAUSES OF DEATH

MATERNAL HEALTH SERVICES

HOSPITALS

CASE STUDIES

LEBANON

Arab

postpartum hemorrhage

development

pregnancy management

verbal autopsy

Issues

Article Details

Authors: Elie Hobeika | Samer Abi Chaker | Hilda Harb | Rita Rahbany Saad | Walid Ammar | Adib , Salim M.

Publisher: Lebanese Order of Physicians : Scientific Committee

Main Topics: Medicine

Journal: Lebanese Medical Journal 2014 vol.62 Issue 1, pp.1-6

Document Type: Article

Publication Date: 1/2014

Document Language: English

Document ID (Org No.): 42432

Frequency: Quarterly

pISSN: 00239852

DOI: 10.12816/0002620

Descriptors:

Issues

Authors:

Elie Hobeika | Samer Abi Chaker | Hilda Harb | Rita Rahbany Saad | Walid Ammar | Adib , Salim M.

Publisher:

Lebanese Order of Physicians : Scientific Committee

Main Topics:

Medicine

Journal:

Lebanese Medical Journal 2014 vol.62 Issue 1, pp.1-6

Document Type:

Article

Publication Date:

1/2014

Document Language:

English

Document ID (Org No.):

42432

Frequency:

Quarterly

pISSN:

00239852

DOI:

10.12816/0002620