Evidence map›Paper›PMID 39495764›Full record

ArticlePLOS global public health2024

An assessment of the content of antenatal care provided by obstetricians in Lebanon: A cross-sectional study.

Tanya El Khoury, Marie-Claire Rebeiz, Berthe Abi Zeid, Sara Mansour, George Yared, Faysal El Kak, Chaza Akik, Stephen J McCall

Abstract read
In one paragraph

Article in PLOS global public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Tanya El KhouryFaculty of Health Sciences, Center for Research on Population and Health, American University of Beirut, Beirut, Lebanon.ORCID https://orcid.org/0000-0001-7557-5982
Marie-Claire RebeizFaculty of Health Sciences, Center for Research on Population and Health, American University of Beirut, Beirut, Lebanon.
Berthe Abi ZeidFaculty of Health Sciences, Center for Research on Population and Health, American University of Beirut, Beirut, Lebanon.
Sara MansourFaculty of Health Sciences, Center for Research on Population and Health, American University of Beirut, Beirut, Lebanon.
George YaredDepartment of Obstetrics & Gynecology, Lebanese American University, Beirut, Lebanon.
Faysal El KakFaculty of Health Sciences, Department of Health Promotion and Community Health, American University of Beirut, Beirut, Lebanon.
Chaza AkikFaculty of Health Sciences, Center for Research on Population and Health, American University of Beirut, Beirut, Lebanon.ORCID https://orcid.org/0000-0002-0654-8750
Stephen J McCallFaculty of Health Sciences, Center for Research on Population and Health, American University of Beirut, Beirut, Lebanon.ORCID https://orcid.org/0000-0003-0078-7010

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Quality and timely antenatal care is a vital component of pregnancy care for the well-being of mothers and babies. The aim of this study of to assess self-reported obstetricians' adherence to national and international antenatal care guidelines in Lebanon. This cross-sectional study approached all obstetricians registered with the Lebanese Society of Obstetrics and Gynecology and the Lebanese Order of Physicians to participate in an online and telephone-based survey. The study tool included all of the items from the World Health Organization and national guidelines for antenatal care. Obstetricians' self-reported adherence was assessed across five modules including dietary interventions, dietary supplements, antenatal care assessment, fetal growth assessment, and antenatal care preventive measures. A total of 134 obstetricians completed the survey. Overall, adherence was high for most antenatal care guidelines except for providing nutrition services to undernourished pregnant women, screening for intimate partner violence, and providing tetanus vaccines. The number of recommended antenatal care visits (≥8 vs. <8 visits) was higher among obstetricians in Mount Lebanon or Beirut compared to other areas in Lebanon (72.7%vs.48.6%; p-value <0.01). Provision of tetanus or diphtheria, tetanus, and pertussis (DTP) vaccination was lower for obstetricians who provide care for women who pay out-of-pocket compared to obstetricians who provide care to women who use other payment methods (25.3%vs.45.7%; p-value = 0.024). Group B streptococcus screening test and the provision of at least five ultrasounds were higher among obstetricians who provide care in private clinics or clinics in private hospitals compared to clinics in public hospitals or primary healthcare centers (88.8%vs.66.7%; p-value = 0.023) and (83.6%vs.55.6%; p-value = 0.011), respectively. Reinforcing the adherence to all antenatal care guidelines by continuous monitoring of health facilities is crucial for best practice. Subsidies for essential services may be required for those who are unable to afford components of antenatal care.

Identifiers

PMID39495764
PMCPMC11534237

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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 OpenQuestion graph.