Maternal Exhaustion as an Obstetric Complication: Implications of TBA Training

1995 ◽  
Vol 15 (4) ◽  
pp. 395-404 ◽  
Author(s):  
Kathleen O'Rourke
Keyword(s):  
Cultural Beliefs ◽  
Traditional Birth Attendants ◽  
Obstetric Complication ◽  
Community Hospitals ◽  
Birth Attendants ◽  
Common Diagnosis ◽  
Prolonged Labor ◽  
Birthing Practices

Maternal exhaustion is a common diagnosis for Guatemalan women referred to community hospitals by traditional birth attendants (TBAs). Maternal exhaustion is associated with prolonged labor, bearing down for > 2 hours, and oxytocin administration by TBAs. The strongest association is with prolonged bearing down which is a practice commonly encouraged by Guatemalan TBAs. Training TBAs in instructing the mother not to bear down until she has an urge to push and not to administer oxytocin to their patients had little impact in curtailing these practices. This lack of effect may be due to cultural beliefs about appropriate birthing practices and their importance for the women in the community.

scholarly journals Birthing Practices of Traditional Birth Attendants in South Asia in the Context of Training Programmes

2010 ◽  
Vol 12 (2) ◽  
pp. 93-121 ◽  
Author(s):  
Sheela Saravanan ◽  
Gavin Turrell ◽  
Helen Johnson ◽  
Jennifer Fraser
Keyword(s):  
South Asia ◽  
Traditional Birth Attendants ◽  
Birth Attendants ◽  
Training Programmes ◽  
Birthing Practices

scholarly journals Enhancing Knowledge of Traditional Birth Attendants for the Identification of Selected Labor Emergencies

2021 ◽  
Vol 4 (3) ◽  
pp. 1-14
Author(s):  
C.O. Sowunmi ◽  
A.O. Olajide ◽  
O. Olorunfemi ◽  
O.M. Iwaola ◽  
O.F. Adeyemo
Keyword(s):  
Pregnant Women ◽  
Traditional Birth Attendants ◽  
Post Intervention ◽  
Obstructed Labor ◽  
Birth Attendants ◽  
Significant Difference ◽  
Collection Data ◽  
Prolonged Labor ◽  
Cord Prolapse ◽  
Level Of Significance

Objectives: In Nigeria, the number of professional midwives available for care of pregnant women and their babies is inadequate; hence, most pregnant women are attended to by Traditional Birth Attendants (TBAs). Studies show that TBAs have poor knowledge of how to identify obstetrics complications. Aim: To determine the effectiveness of a training program on enhancing the knowledge of TBAs in the identification of some selected labor emergencies. Materials and Methods: An experimental research design was conducted with probability sampling to select sample size (n = 111 TBAs). A modified, structured questionnaire from TBAs knowledge on identification of labor emergencies (TBAs-TPKI) was used for data collection. Data collected were analyzed using Statistical Packages for the Social Science (SPSS) software. Descriptive statistics were used to provide answers to the six research questions of the study while inferential statistics of paired t-test was used to test the hypothesis of the study at 0.05 level of significance. Results: The results show that the mean score on knowledge identification on prolonged labor increased from 4.88±2.54 to 11.56±1.48; obstructed labor from 4.18±2.18 to 5.73±1.26, cord presentation from 2.44 ±1.27 to 5.78 ± 0.74, cord prolapse from 2.79±1.45 to 6.60±0.84, placenta abruptio from3.83±1.99 to 9.08±1.16 and postpartum hemorrhage from 3.48±1.82 to 8.26±1.05. The overall mean score of TBAs on knowledge of identification increased from 21.59 ± 11.26 to 51.19 ± 6.54 post-intervention. There was a significant difference between pre- and post-intervention mean scores of knowledge of TBAs on the identification of all the selected labor emergencies (t = 32.208, p = 0.00). Conclusions: The Ministry of Health in each state should organize regular training for TBAs to target early identification of obstetrics emergencies in order to reduce maternal mortality in Nigeria.

scholarly journals “KAMBOH”: A QUALITATIVE STUDY OF POSTPARTUM CARE IN KUTAI ETHNIC TRIBE, EAST KALIMANTAN, INDONESIA

2019 ◽  
Vol 19 (1) ◽  
pp. 25-30
Author(s):  
Annisa Nurrachmawati ◽  
Anna Marie Wattie ◽  
Mohammad Hakimi ◽  
Adi Utarini
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
Postpartum Period ◽  
Cultural Beliefs ◽  
Traditional Birth Attendants ◽  
Whole Body ◽  
Postpartum Women ◽  
Birth Attendants ◽  
East Kalimantan ◽  
Local Practices

Postpartum is recognized as a critical period in many cultures, when societies view mothers as vulnerable. A longitudinal qualitative study of pregnant women in the rural area of Kutai Kartanegara, East Kalimantan, Indonesia was conducted to explore cultural beliefs and practices during the postpartum period. Ethnography approach was performed and the data on the postpartum period are presented. Intensity sampling was used to select informants from Muara Kaman Ulu and Ilir villages, Muara Kaman Sub district, Kutai Kartanegara and in-depth interviews were conducted with 17 Kutai postpartum women, two midwives, and two traditional birth attendants. Data analyses were conducted using the thematic analysis method. The main health problem occurring in the postpartum period is called “kamboh”. It is a whole body ache with many symptoms, mainly fever, becoming skinny, with burning sensation that suddenly appears on the legs, itchiness and shivering. In order to prevent it women should undergo dietary and physical activity restrictions for 40 days. Certain foods were perceived as the possible causes of the itchy condition, delayed wound healing and hemorrhage. Following the traditional taboo, going outside the house and working hard were restricted. Close families and traditional birth attendants play important roles to ensure compliance of postpartum women to these restrictions. Understanding of cultural beliefs during the postpartum period is critical to support women. Therefore, health promotion interventions with particular attention to diet and physical activity should be designed by taking into account the local practices.

scholarly journals What Mother, Midwives, and Traditional Birth Helper Said About Early Initiation of Breastfeeding in Buginese-Bajo Culture

2021 ◽  
Vol 7 ◽  
pp. 237796082110402
Author(s):  
Azniah Syam ◽  
Khadizah H. Abdul-Mumin ◽  
Imelda Iskandar
Keyword(s):  
Cultural Beliefs ◽  
Early Initiation ◽  
Traditional Birth Attendants ◽  
Behavior Changes ◽  
Birth Attendants ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
The Government ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

Introduction The aim of this study is to investigate how mothers, families, midwives, and traditional birth attendants in the Buginese-Bajo culture understanding breastfeeding and early initiation of breastfeeding (EIBF). Also to assess what support mothers receive from families, midwives, and traditional birth attendants during pregnancy, birth, and EIBF. Methods This qualitative study included 21 subjects (11 pregnant women, three midwives, and seven traditional birth attendants). Recorded interviews with the three groups of participants were transcribed verbatim and analyzed separately, using latent content analysis. The study started in December 2014 and ended in July 2015. Results Some mothers understood the meaning of EIBF, but engaged in it for different reasons. The midwives interpreted the principle of EIBF differently from a duration perspective. Traditional birth attendants explained it as a way to strengthen the relationship between mothers, and babies; they believed that prolonging breastfeeding until 2 years would change babies into caring children. According to them, this skin-to-skin contact has been practice for a century by traditional birth helpers. The philosophy of breastfeeding, according to the Buginese-Bajo, is creating “ peru” relationships for mothers and babies each other for their whole lives. Conclusion These findings show a connection between established science and cultural beliefs. The concept of peru is the central philosophy to be achieved in EIBF. Breast-feeding's psychological value is known and passed from generation to generation; this essential fact needs to be preserved as local capital for changing breastfeeding behavior. The government should pay more attention to this opportunity to increase awareness and promote breastfeeding behavior changes.

scholarly journals Comparison between indigenous and Western postnatal care practices in Mopani District, Limpopo Province, South Africa

Curationis ◽  
2015 ◽  
Vol 38 (1) ◽  
Author(s):  
Roinah N. Ngunyulu ◽  
Fhumulani M. Mulaudzi ◽  
Mmapheko D. Peu
Keyword(s):  
Postnatal Care ◽  
Cultural Beliefs ◽  
Newborn Infants ◽  
High Standard ◽  
Traditional Birth Attendants ◽  
Limpopo Province ◽  
Research Approach ◽  
Birth Attendants ◽  
Postnatal Women ◽  
Care Practices

Background: Postnatal care begins immediately after the expulsion of the placenta and continues for six to eight weeks post-delivery. High standard of care is required during the postnatal period because mothers and babies are at risk and vulnerable to complications related to postpartum haemorrhage and infections. Midwives and traditional birth attendants are responsible for the provision of postnatal care in different settings, such as clinics and hospitals, and homes.Methods: A qualitative, exploratory, descriptive and contextual research approach was followed in this study. Unstructured interviews were conducted with the traditional birth attendants. An integrated literature review was conducted to identify the Western postnatalcare practices. Tesch’s process was followed during data analysis.Findings: The following main categories were identified: similarities between indigenous and Western postnatal care practices, and differences between indigenous and Western postnatal care practices. Based on these findings, training of midwives and traditional birth attendants was recommended in order to empower them with knowledge and skills regarding the indigenous and Western postnatal care practices.Conclusions: It is evident that some indigenous postnatal care practices have adverse effects on the health of postnatal women and their newborn infants, but these are unknown to the traditional birth attendants. The employment of indigenous postnatal care practices by the traditional birth attendants is also influenced by their cultural beliefs, norms, values and attitudes. Therefore, there is an urgent need to train midwives and traditional birth attendants regarding the indigenous and Western postnatal care to improve the health of postnatal women and their babies.

Sign in / Sign up

Export Citation Format

Share Document