Survival and negotiation: Narratives of severe (near-miss) neonatal complications of Syrian Women in Lebanon
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Taylor and Francis Ltd.
Abstract
The World Health Organization has elaborated a maternal and neonatal near-miss reporting, audit and feedback system designed to improve the quality of care during and after childbirth. As part of a four-hospital comparative study in the Middle East, this article discusses the experiences of mothers whose newborns suffered from severe complications at birth in the Rafik Hariri University Hospital, the only public hospital in Beirut. Based on in-depth home interviews several weeks after childbirth, it aims to explore the experience of neonatal near-miss events through the mothers’ birth narratives. The central concerns of these vulnerable and marginalised women regarded access to neonatal care, and how to negotiate hospital bureaucracy and debt. It argues that financial and bureaucratic aspects of the near-miss event should be part of the audit system and policy-making, alongside medical issues, in the quest for equitable access to and management of quality perinatal care. © 2017 The Author(s).
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Access, Cost of care, Middle east, Near-miss, Neonatal care, Anthropology, cultural, Cross-sectional studies, Female, Health expenditures, Humans, Infant, Infant health, Infant mortality, Infant, newborn, Intensive care, neonatal, Interviews as topic, Lebanon, Mothers, Negotiating, Obstetric labor complications, Pregnancy, Pregnancy complications, Pregnancy outcome, Socioeconomic factors, Syria, World health organization, Article, Controlled study, Disease severity, Health care access, Health care cost, Health care policy, Health care quality, Health care system, Human, Medical information, Newborn care, Newborn disease, Priority journal, Syrian, Child health, Clinical trial, Cross-sectional study, Cultural anthropology, Economics, Epidemiology, Ethnology, Interpersonal communication, Interview, Labor complication, Mother, Multicenter study, Newborn, Newborn intensive care, Pregnancy complication, Psychology, Socioeconomics, Syrian arab republic