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Table 1 Maternal health indicators in the study hospitals in Egypt, Lebanon, Palestine and Syria as compared to findings from the WHO MCS Study

From: A cross sectional study of maternal ‘near-miss’ cases in major public hospitals in Egypt, Lebanon, Palestine and Syria

Country Data collection period (2012–2013) Live births (LB) Maternal deaths Near-miss cases SMOR per 1000 LBc MNMR per 1000 LBd MNM mortality ratioe MI (%)f
Egypt 12 weeks 2641 3 32 13.3 12.1 11:1 8.6
Lebanon 41 weeksa 1171 0 5 4.3 4.3 5:0 0.0
Palestine 14.5 weeks 1244 0 16 12.9 12.9 16:0 0.0
Syria 12 weeks 4007 3 18 5.2 4.5 6:1 14.3
All   9063 6 71 8.5 7.8 11.8:1 7.8
Overall WHO MCS results (N = 29) b   306,771 486 2538 9.9 8.3 5.2:1 16.1
WHO MCS–Countries with moderate MMR(N = 15) b   134,545 49 824 6.5 6.1 16.8:1 5.6
  1. aDue to the low average annual number of deliveries in RHUH, the team decided to continue data collection for a longer period of time than the other study sites
  2. bSource [21]:
  3. cSMOR - Severe Maternal Outcome Ratio: the number of women with life-threatening conditions (MNM + MD) per 1000 live births (LB). This indicator gives an estimate of the amount of care and resources that would be needed in an area or facility (SMOR = MNM + MD/LB) [1]
  4. dMNMR-MNM Ratio: the number of maternal near-miss cases per 1000 live births (MNMR = MNM/LB). Similarly to the SMOR, this indicator gives an estimation of the amount of care and resources that would be needed in an area or facility [1]
  5. eMaternal near-miss mortality ratio (MNM: 1 MD):the ratio between maternal near-miss cases and maternal deaths. Higher ratios indicate better care [1]
  6. f[Maternal] Mortality Index (MI): the number of maternal deaths divided by the number of women with life-threatening conditions expressed as a percentage (MI = MD/MNM + MD). The higher the index the more women with life-threatening conditions die (low quality of care), whereas the lower the index the fewer the women with life-threatening conditions die (better quality of care) [1]
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