scholarly journals Preventing Maternal Mortality during Childbirth: The Scourge of Delivery with Unskilled Birth Attendants

Childbirth ◽  
2020 ◽  
Author(s):  
Omosivie Maduka ◽  
Rosemary Ogu
Keyword(s):  
Maternal Mortality ◽  
Birth Attendants

scholarly journals Prevention of maternal mortality by training the birth attendants of church-based maternity homes in Akwa-Ibom State

2006 ◽  
Vol 22 (2) ◽  
Author(s):  
Edem J Udoma ◽  
Samuel M Itina ◽  
Asuquo D Ekanem ◽  
Margaret M Mboho
Keyword(s):  
Maternal Mortality ◽  
Birth Attendants

An Intervention Involving Traditional Birth Attendants and Perinatal and Maternal Mortality in Pakistan

2005 ◽  
Vol 352 (20) ◽  
pp. 2091-2099 ◽  
Author(s):  
Abdul Hakeem Jokhio ◽  
Heather R. Winter ◽  
Kar Keung Cheng
Keyword(s):  
Maternal Mortality ◽  
Traditional Birth Attendants ◽  
Birth Attendants

scholarly journals Implementing Skilled Midwifery Services in Dhaka City Urban Area: Experience from Community Based Safe Motherhood Project, Bangladesh

1970 ◽  
Vol 29 (1) ◽  
pp. 10-15
Author(s):  
S Tasnim ◽  
A Rahman ◽  
F Rahman ◽  
N Kabir ◽  
F Islam ◽  
...  
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Maternal Mortality ◽  
Institutional Delivery ◽  
Obstetric Care ◽  
Dhaka City ◽  
Care Providers ◽  
Birth Attendants ◽  
Care Services ◽  
And Control

In Bangladesh majority of deliveries are attended by unskilled traditional birth attendants and maternal mortality is still quite high. Global evidence suggests that most critical intervention for reduction of maternal mortality is to ensure skilled attendance at birth. The objective of this study was to explore the effect of strengthening obstetric care services through implementation of skilled Midwives at selected urban centres in terms of utilization of antenatal and delivery care in the community. A quasi experimental community trial was conducted during January 2000 to June 2003. Ten health centers were selected from the maternity care centers of urban primary health care project in Dhaka city, matched into comparable pair and assigned randomly as intervention and control centers. The intervention consisted of deployment of 10 skilled midwives in pair to provide obstetric care services in five intervention centre and the community. Essential drugs and logistics were supplied to both intervention and control centers for optimizing the function. A total of 6077 mothers having less than one year child were interviewed. There was significant improvement from baseline in the utilization of antenatal care services (6.1 vs. 2.1%, p<0.001), availing antenatal visits 5 times or more (13.4% vs. 8.1%, p<0.001), consultation with skilled health care providers for pregnancy complication (9.3% vs. 5.7 %, p<0.001), institutional delivery (7.3% vs. 4.1%, p<0.001) and delivery by skilled birth attendant (9.4% vs. 5.8%, p<0.001) between intervention and control area respectively. The intervention of deployment of skilled midwives improved utilization of ANC, increased institutional delivery and delivery by skilled birth attendants. The program can be scaled up to see its impact on maternal health. Key words: skilled midwife; emergency obstetric care; urban health care; antenatal care DOI: 10.3329/jbsp.v29i1.7165J Bangladesh Coll Phys Surg 2011; 29:10-15

scholarly journals A qualitative study of conceptions and attitudes regarding maternal mortality among traditional birth attendants in rural Guatemala

2004 ◽  
Vol 111 (12) ◽  
pp. 1372-1377 ◽  
Author(s):  
Mattias Roost ◽  
Sara Johnsdotter ◽  
Jerker Liljestrand ◽  
Birgitta Essen
Keyword(s):  
Qualitative Study ◽  
Maternal Mortality ◽  
Traditional Birth Attendants ◽  
Birth Attendants

Using Mobile Technology to Address the ‘Three Delays' to Reduce Maternal Mortality in Zanzibar

2016 ◽  
pp. 1140-1154 ◽  
Author(s):  
Rachel Hoy Deussom ◽  
Marc Mitchell ◽  
Julia Dae Ruben
Keyword(s):  
Maternal Mortality ◽  
Mobile Technology ◽  
Low Income ◽  
Low Income Countries ◽  
Danger Signs ◽  
Birth Attendants ◽  
Adequate Care ◽  
Three Delays ◽  
Clinical Algorithms ◽  
Health Facility Staff

The hallmark article by Thaddeus and Maine (1994) presented a framework to reducing maternal mortality by addressing the delays: (1) deciding to seek care; (2) reaching care; and (3) receiving adequate care. This project developed a phone-based system used by traditional birth attendants to address the three delays in two districts in rural Zanzibar. Mobile phones provided: clinical algorithms to screen pregnant mothers for danger signs; phone numbers and mobile banking to arrange and pay for transportation; and contacts for health facility staff to alert them of referrals. 938 mothers participated in the “mHealth for Safer Deliveries” project. The intervention achieved a 71.0% facility delivery rate in the project zone, compared to the regional average of 32.0% (NBS and ICF Macro, 2011). This project demonstrated the effectiveness of mobile technology in addressing childbirth's three delays and its potential to impact maternal mortality in low-income countries.

O738 EFFECTIVENESS OF STRATEGIES INCORPORATING TRAINING AND SUPPORT OF TRADITIONAL BIRTH ATTENDANTS ON PERINATAL AND MATERNAL MORTALITY: META-ANALYSIS

2012 ◽  
Vol 119 ◽  
pp. S520-S520
Author(s):  
A. Wilson ◽  
I.D. Gallos ◽  
N. Plana ◽  
D. Lissauer ◽  
K.S. Khan ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Meta Analysis ◽  
Traditional Birth Attendants ◽  
Birth Attendants ◽  
Training And Support

Traditional Birth Attendants and the Problem of Maternal Mortality in Indonesia

2014 ◽  
Vol 87 (4) ◽  
pp. 693-713
Author(s):  
Anke Niehof
Keyword(s):  
Maternal Mortality ◽  
Traditional Birth Attendants ◽  
Birth Attendants

scholarly journals Perilaku Ibu dalam Memilih Tenaga Penolong Persalinan di Wilayah Kerja Puskesmas Tembilahan Hulu Tahun 2016

2016 ◽  
Vol 3 (3) ◽  
pp. 155
Author(s):  
Alhidayati Alhidayati ◽  
Asmuliyanti Asmuliyanti
Keyword(s):  
Maternal Mortality ◽  
Health Center ◽  
Health Personnel ◽  
Qualitative Method ◽  
Community Health Center ◽  
Health Centers ◽  
Depth Information ◽  
Target Coverage ◽  
Birth Attendants ◽  
Access To Health

Background: Maternal Mortality Rate (MMR) is an indicator of health development in Indonesia. Some effort have been done to decrease maternal mortality ie to increase range labor by health personnel. The target coverage of labor by health personnel in Tembilahan Hulu Public health center has yet to reach the target of 80%. its coverage was only 45%. The number of maternal mortality in Tembilahan Hulu Health center in 2016 was 1 cases and the number of infant maternal mortality was 5 cases.Objective: The purpose of this study was to determine the mother’s behavior in selecting birth attendants in health center in the region of the upstream Tembilahan Hulu.Method: This research used qualitative method to gain the in depth information on how to Mother’s Behavior In Selecting Birth Attendants In Health Centers Working Area Tembilahan Hulu 2016. The data are analysed by using content analysis, which is comparing the result from the research with the theories in the literature.Result and Discussion: There were 13 informants in this research. This study’s result showed that the decision for birth attendants were closely related to knowledge, attitude, socio-cultural, access to health center, and support from family. Advise to relevant agencies, namely health centers Tembilahan Hulu order to further increase coverage deliveries by health care and in personels villages to which access is far from health facilities to build Birth Waiting Homes (BWH).Conclusion: The Decision for birth attendants were closely related to knowledge, attitude, socio cultural, acces to health center and support from family.Keywords: birth attendant, community health center, pregnant women behavior

scholarly journals Accuracy of the Community Maternal Danger Score Algorithm for Predicting Pregnant Women Requiring Skilled Birth Attendants and at High-risk for Mortality

2021 ◽  
Author(s):  
Rajan Bola ◽  
Fanan Ujoh ◽  
Ugochinyere Vivian Ukah ◽  
Ronald Lett
Keyword(s):  
Literature Review ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Low Cost ◽  
Maternal Mortality Ratio ◽  
Multivariate Logistic Regression Analysis ◽  
Receiver Operating Curve ◽  
Skilled Birth Attendants ◽  
Maternal Risk ◽  
Birth Attendants

Abstract BackgroundHigh rates of maternal mortality in low-and-middle-income countries (LMICs) are associated with the lack of skilled birth attendants (SBAs) at delivery. Risk analysis tools may be useful to identify pregnant women who are at risk of mortality in LMICs. We sought to develop a low-cost maternal risk tool, the Community Maternal Danger Score (CMDS), to identify pregnant women who need an SBA at delivery.MethodsTo design the CMDS algorithm, an initial literature review was conducted to identify predictors of the need for an SBA. Medical records of women who delivered at the Federal Medical Centre in Makurdi, Nigeria (2019-2020) were examined for predictors identified from the literature review. Outcomes associated with the need for an SBA were recorded: caesarean section, postpartum hemorrhage, eclampsia, and sepsis. A maternal mortality ratio (MMR) was determined. Multivariate logistic regression analysis and area under the receiver operating curve (AUC) were used to assess the predictive ability of the CMDS algorithm.ResultsSeven factors from the literature predicted the need for an SBA: age (under 20 years of age or 35 and older), parity (nulliparity or grand-multiparity), BMI (underweight or overweight), fetal size (less than 35cm or 40cm and over), adverse obstetrical history, signs of pre-eclampsia, and co-existing medical conditions. These factors were recorded in 589 women of whom 67% required an SBA (n=396) and 1% died (n=7). The MMR was 1,189 per 100,000 (95%CI: 478-2,449). Signs of pre-eclampsia, obstetrical history, and co-existing conditions were highly associated with the need for an SBA. Age was found to interact with parity, suggesting that the CMDS requires adjustment for younger multigravida and older primigravida women. The CMDS algorithm had an AUC of 0.73 (95%CI: 0.69-0.77) for predicting whether women required an SBA, and an AUC of 0.85 (95%CI: 0.67-1.00) for in-hospital mortality.ConclusionsThe CMDS is a low-cost, evidence-based tool that uses 7 risk factors assessed on 589 women from Makurdi. Non-specialist health workers can use the CMDS to standardize patient assessment and encourage pregnant women to seek an SBA in preparation for delivery, thus improving care in countries with high rates of maternal mortality.

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