Evidence map›Paper›PMID 38093261›Full record

ArticleConflict and health2023

Maternal health outcomes in the context of fragility: a retrospective study from Lebanon.

Hani Dimassi, Mohamad Alameddine, Nadine Sabra, Nour El Arnaout, Ranime Harb, Randa Hamadeh, Faysal El Kak, Abed Shanaa, Marta Orozco Mossi, Shadi Saleh and 1 more

Abstract read
In one paragraph

Article in Conflict and health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Hani DimassiSchool of Pharmacy, Lebanese American University, Beirut, Lebanon.
Mohamad AlameddineCollege of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
Nadine SabraGlobal Health Institute, American University of Beirut, Beirut, Lebanon.
Nour El ArnaoutGlobal Health Institute, American University of Beirut, Beirut, Lebanon.
Ranime HarbSchool of Pharmacy, Lebanese American University, Beirut, Lebanon.
Randa HamadehMinistry of Public Health (MOPH), Beirut, Lebanon.
Faysal El KakFaculty of Health Sciences, American University of Beirut (AUB), Beirut, Lebanon.
Abed ShanaaUnited Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), Beirut, Lebanon.
Marta Orozco MossiAflatoun International, Valencian Community, Spain.
Shadi SalehGlobal Health Institute, American University of Beirut, Beirut, Lebanon.
Natally AlArabGlobal Health Institute, American University of Beirut, Beirut, Lebanon. natally.alarab@gmail.com.

Funding

International Development Research Centre 109221
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe Lebanese healthcare system faces multiple challenges including limited capacities, shortage of skilled professionals, and inadequate supplies, in addition to hosting a significant number of refugees. While subsidized services are available for pregnant women, representing the majority of the refugee population in Lebanon, suboptimal access to antenatal care (ANC) and increased maternal mortality rates are still observed, especially among socioeconomically disadvantaged populations. This study aimed to review the maternal health outcomes of disadvantaged Lebanese and refugee pregnant women seeking ANC services at primary healthcare centers (PHCs) in Lebanon.

methodsA retrospective chart review was conducted at twenty PHCs in Lebanon, including Ministry of Public Health (MOPH) and United Nations Relief and Works Agency for Palestine refugees (UNRWA) facilities. Data was collected from medical charts of pregnant women who visited the centers between August 2018 and August 2020. Statistical analysis was performed to explore outcomes such as the number of ANC visits, delivery type, and onset of delivery, using bivariate and multivariable logistic regression models.

resultsIn the study, 3977 medical charts were analyzed. A multivariate logistic regression analysis, revealed that suboptimal ANC visits were more common in the Beqaa region and among women with current abortion or C-section. Syrians had reduced odds of C-sections, and Beqaa, Mount Lebanon, and South Lebanon regions had reduced odds of abortion. Suboptimal ANC visits and history of C-section increased the odds of C-section and abortion in the current pregnancy. As for preterm onset, the study showed an increased likelihood for it to occur when being Palestinian, having current C-section delivery, experiencing previous preterm onset, and enduring complications at the time of delivery.

conclusionThis study suggests the need for low-cost interventions aiming at enhancing access to ANC services, especially among pregnant women in fragile settings.

Indexed as

Antenatal careDisadvantaged pregnant womenFragilityLebanonMaternal healthPrimary healthcareRefugees

Identifiers

PMID38093261
PMCPMC10720064

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.