Routine care of normal deliveries as applied in Syrian maternity wards

routine practices during normal childbirth have not been studied in Syria. Our study was designed to describe the routines of normal childbirth as practiced in maternity wards in Syrian hospitals and to assess whether these routines are in accordance with the best evidence-based practices. a nationally representative sample of 57 hospitals was visited: 33 were government hospitals and 24 were private hospitals. The personnel in charge were interviewed using a specially designed questionnaire that covered both management and technical points. only 2 of the 57 hospitals had a written policy concerning childbirth, although 29 had a written breast-feeding policy. All except two hospitals reported the capability of doing a cesarean section at any time. Results on hospital routines are presented in the light of the available best-evidence guidelines. the study highlights the urgent necessity to formulate a national policy for care in normal birth. This policy needs to be designed bearing in mind the best evidence available and the nature of the national setting

Incidence and determinants of low birth weight in Syrian government hospitals

The incidence and determinants of low birth weight were studied in a stratified sample of 10,585 deliveries at 18 Syrian government hospitals. For each low-birth-weight baby born, two normal-birth-weight babies were recruited as a comparison group. A questionnaire was given to mothers and clinical examinations were performed on the neonates. The incidence of low birth weight was 6.6%. It varied according to geographic region and hospital. The study confirmed that low birth weight could be the result of prematurity. Factors amenable to intervention, such as birth interval, maternal nutrition, maternal weight and smoking, appeared to have a role in low birth weight