Home birth attendants in low income countries: who are they and what do they do?

BMC Pregnancy and Childbirth
Ana GarcésRobert L Goldenberg

Abstract

Nearly half the world's babies are born at home. We sought to evaluate the training, knowledge, skills, and access to medical equipment and testing for home birth attendants across 7 international sites. Face-to-face interviews were done by trained interviewers to assess level of training, knowledge and practices regarding care during the antenatal, intrapartum and postpartum periods. The survey was administered to a sample of birth attendants conducting home or out-of-facility deliveries in 7 sites in 6 countries (India, Pakistan, Guatemala, Democratic Republic of the Congo, Kenya and Zambia). A total of 1226 home birth attendants were surveyed. Less than half the birth attendants were literate. Eighty percent had one month or less of formal training. Most home birth attendants did not have basic equipment (e.g., blood pressure apparatus, stethoscope, infant bag and mask manual resuscitator). Reporting of births and maternal and neonatal deaths to government agencies was low. Indian auxilliary nurse midwives, who perform some home but mainly clinic births, were far better trained and differed in many characteristics from the birth attendants who only performed deliveries at home. Home birth attendants in low-income countries w...Continue Reading

References

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Citations

Sep 21, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Robert L GoldenbergCraig E Rubens
Sep 2, 2014·Bulletin of the World Health Organization·Sarah SaleemUNKNOWN Global Network Maternal Newborn Health Registry Study Investigators
Nov 19, 2015·Acta Obstetricia Et Gynecologica Scandinavica·Robert L GoldenbergElizabeth M McClure
Jun 6, 2015·Seminars in Fetal & Neonatal Medicine·Marion Koso-ThomasUNKNOWN Global Network for Women's and Children's Health Research Investigators
Aug 16, 2016·Clinics in Perinatology·Robert L GoldenbergElizabeth M McClure
Feb 28, 2017·Acta Paediatrica·Ana L GarcesRobert L Goldenberg
Sep 18, 2015·Asia-Pacific Journal of Public Health·Sarah Sousa, John G Mielke
Jun 28, 2018·Reproductive Health·Robert L GoldenbergSarah Saleem
Mar 26, 2016·Women & Health·Pamela C BandaEvans Muchiri
Aug 16, 2016·BMC Pregnancy and Childbirth·Sherri BucherFabian Esamai
Nov 20, 2016·BJOG : an International Journal of Obstetrics and Gynaecology·S BellizziM Temmerman
Apr 15, 2019·Seminars in Perinatology·Ana GarcesRobert L Goldenberg

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Methods Mentioned

BETA
cesarean section

Software Mentioned

SAS

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