Maternal mortality in Lebanon: Increased vulnerability among Syrian refugees.
Lebanon
maternal health
maternal mortality
preventable deaths
refugees
Journal
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
revised:
20
11
2021
received:
28
09
2021
accepted:
08
12
2021
pubmed:
11
12
2021
medline:
16
9
2022
entrez:
10
12
2021
Statut:
ppublish
Résumé
To compare the burden and causes of maternal deaths between Syrian and Lebanese women for the period of 2010-2018. A retrospective analysis was conducted of maternal deaths from the national notification system at the Ministry of Public Health in Lebanon during the period of 2010-2018. Maternal deaths among Syrian refugees and Lebanese citizens were compared based on cause of death, age of the woman, and nationality. Causes of maternal deaths were categorized as direct and indirect following WHO definitions. The maternal mortality ratio among the Syrian refugee women in Lebanon was higher than that of Lebanese women in the period 2010-2018, with its highest rate of 55.1 in 2017. Hemorrhage and indirect causes of maternal deaths are more common among Syrian refugee women whereas embolism and hypertension have higher proportions among Lebanese women. Maternal deaths within 48 h after birth are more common among Syrian than Lebanese women. Syrian refugee women carry an increased risk for maternal mortality in Lebanon. Improving timely access and equitable provision of appropriate care should be a priority for the health system in Lebanon.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
166-172Informations de copyright
© 2021 International Federation of Gynecology and Obstetrics.
Références
World Health Organization. Trends in maternal mortality 2000 to 2017: estimates by WHO, UNFPA, World Bank Group and the United Nations Population Division. UNICEF; 2019.
Winn A, Hetherington E, Tough S. Caring for pregnant refugee women in a turbulent policy landscape: perspectives of health care professionals in Calgary, Alberta. Int J Equity Health. 2018;17:91.
Every Woman Every Child. The global strategy for women's, children's and adolescents’ health (2016-2030). 2015.
Wahba M, Amin A. Regional strategic overview regional refugee & Resilience Plan (3RP). 2019-2020. 2019.
Tappis H, Lyles E, Burton A, Doocy S. Maternal health care utilization among Syrian refugees in Lebanon and Jordan. Maternal Child Health J. 2017;21:1798-1807.
Kabakian-Khasholian T, Mourtada R, Bashour H, El-Kak F, Zurayk H. Perspectives of displaced Syrian women and service providers on fertility behavior and available services in West Bekaa, Lebanon. Reprod Health Matters. 2017;25:75-86.
El-Kak F, Kabakian-Khasholian T, Ammar W, Nassar A. A review of maternal mortality trends in Lebanon, 2010-2018. Int J Gynecol Obstet. 2019;148:14-20.
Bashour H, Abdulsalam A, Jabr A, et al. Maternal mortality in Syria: causes, contributing factors and preventability. Trop Med Int Health. 2009;14:1122-1127.
DeJong J, Ghattas H, Bashour H, et al. Reproductive, maternal, neonatal and child health in conflict: a case study on Syria using Countdown indicators. BMJ Global Health. 2017;2:e000302.
Balinska M, Nesbitt R, Ghantous Z, Ciglenecki I, Staderini N. Reproductive health in humanitarian settings in Lebanon and Iraq: results from four cross-sectional studies, 2014-2015. Confl Health. 2019;13:24.
United Nations Population Fund, World Health Organization, United Nations Children’s Fund, World Bank Group, The United Nations Population Division. Trends in Maternal Mortality 2000-2017. 2019.
Cherry Z, Gonzalez P, Delgado R. The Lebanese-Syrian crisis: impact of influx of Syrian refugees to an already weak state. Risk Manage Healthc Policy. 2016;9:165-172.
Government of Lebanon, The United Nations. Lebanon Crisis Response Plan 2015-2016. 2014.
United Nations High Commissioner for Refugees, United Nations Children’s Fund, World Food Program. Vulnerability Assessment of Syrian Refugees in Lebanon. 2017.
United Nations High Commissioner for Refugees, United Nations Children’s Fund, World Food Program. Vulnerability Assessment of Syrian Refugees in Lebanon. 2018.
Neal S, Mahendra S, Bose K, et al. The causes of maternal mortality in adolescents in low and middle income countries: a systematic review of the literature. BMC Pregnancy Childbirth. 2016;16:352.
Fahme S, Sieverding M, Abdulrahim S. Sexual and reproductive health of adolescent Syrian refugee girls in Lebanon: a qualitative study of healthcare provider and educator perspectives. Reprod Health. 2021;18:113.
United Nations Children’s Fund. Maternal, Newborn & Child Survival. 2012.
United Nations High Commissioner for Refugees. Internally Displaced People. 2017.
DeJong J, Ghattas H, Bashour H, Mourtada R, Akik C, Reese-Masterson A. Reproductive, maternal, neonatal and child health in conflict: a case study on Syria using Countdown indicators. BMJ Global Health. 2017;2:e000302.
Central Bureau of Statistics, United Nations Children’s Fund, Pan-Arab Project for Family Health Unit. Monitoring the Situation of Children and Women Findings from the Multiple Indicator Cluster Survey 3 Syrian Arab Republic, preliminary report. 2006.
Materson A, Usta J, Gupta J, Ettinger A. Assessment of reproductive health and violence against women among displaced Syrians in Lebanon. BMC Womens Health. 2014;14:25.
Nair M, Kurinczuk J, Brocklehurst P, Sellers S, Lewis G, Knight M. Factors associated with maternal death from direct pregnancy complications: a UK national case-control study. BJOG. 2015;122:653-662.
Kabakian-Khasholian T, Mourtada R, Bashour H, El Kak F, Zurayk H. Perspectives of displaced Syrian women and service providers on fertility behaviour and available services in West Bekaa, Lebanon. Reproductive Health Matters. 2017;25:75-86.