Training traditional birth attendants in clean delivery does not prevent postpartum infection

Goodburn, E

doi:10.1093/heapol/15.4.394

Cited by 85 publications

(56 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While we cannot exclude the "Hawthorne effect", this finding is contrary to what has been established by other researchers who argue that training TBAs does not make a difference in their referral practices or their management of women during labour. 16 Findings from this study, however, show that not all referred mothers/and their families comply with referral advice given by TBAs. The commonest reasons for non-compliance was related to transport -high cost of transport, bad roads and long distances to health facilities.…”

Section: Discussionmentioning

confidence: 57%

Recognition of High Risk Pregnancies and Referral Practices among Traditional Birth Attendants in Mkuranga District, Coast Region, Tanzania

Hussein

Mpembeni

2005

African Journal of Reproductive Health

View full text Add to dashboard Cite

A cross-sectional study was carried out in Mkuranga District of Tanzania with the aim of comparing the ability of trained and untrained traditional birth attendants (TBAs) in identifying women with danger signs for developing complications during pregnancy and childbirth as well as their referral practices. Study findings revealed that majority of the TBAs (86.5%) had not received any training. Trained TBAs were more knowledgeable on danger signs during pregnancy and childbirth and were more likely to refer women with complications to a health facility, compared to untrained TBAs. The authors recommend that in resource constrained countries like Tanzania and especially in remote rural areas, TBAs should be trained on early identification of mothers with obstetrical complications and on their prompt referral to health facilities that can provide emergency obstetric care. RÉSUMÉReconnaissance des grossesses à haut risque et les pratiques d'orientation des malades vers les sagesfemmes traditionnelles dans le District de Mkuranga, Coast Région, Tanzanie. Une étude transversale a été menée dans le District de Mkuranga en Tanzanie en vue de comparer le capacité des sages-femmes traditionnelles (SFT) qui ont reçu une formation et celles qui ne l'ont pas reçu, afin de reconnaîte les femmes qui sont en danger de développer des complications pendant la grossesse et l'accouchement aussi bien que leur pratique d'orientation des malades. Les résultats ont montré que la majorité des sages-femmes traditionnelles (SFT) (86,5%) n'ont reçu aucune formation. Les SFTs qui ont reçu une formation étaient plus renseignées sur les indices de danger pendant la grossesse et l'accouchement et elles avaient plus la possibilité d'orienter les femmes qui ont des complications vers un service de santé comparés aux femmes qui n'ont pas reçu de formation. Les auteurs préconisent que dans les pays qui n'ont pas de resources tel la Tanzanie et surtout dans les régions rurales, les SFTs devraient être formées sur la façon d'identifier tôt les mères qui ont des complications obstétriques ainsi que sur la façon d'orienter les malades vers les services de santé qui pourraient assurer des soins obstétriques d'urgence. (Rev Afr Santé Reprod 2005; 9[1]: 113-122)

show abstract

Section: Discussionmentioning

confidence: 57%

Recognition of High Risk Pregnancies and Referral Practices among Traditional Birth Attendants in Mkuranga District, Coast Region, Tanzania

Hussein

Mpembeni

2005

African Journal of Reproductive Health

View full text Add to dashboard Cite

show abstract

“…The above argument is underscored by Goodburn et al (2001); by pointing out hygienic delivery practices did not prevent postpartum infection in community. Training TBAs to wash their hands was not an effective strategy to prevent maternal postpartum infection.…”

Section: Impact Of Training Of Tbasmentioning

confidence: 99%

Impact of Training traditional birth attendants on maternal mortality and morbidity in Sub-Saharan African countries

Kayombo¹

2013

Tanzania J Hlth Res

View full text Add to dashboard Cite

This paper presents discussion on impact of training traditional birth attendants (TBAs) on overall improvement of reproductive health care with focus on reducing the high rate of maternal and new-born mortality in rural settings in sub-Saharan Africa. The importance of TBAs for years has been denied by professional western trained health practitioners and other scientists until during the late 1980s, when World Health Organization through Safe motherhood 1987 found TBAs have a significant role in reducing maternal and newborn mortality. Trained TBAs in sub-Sahara Africa can have positive impact on reducing maternal and new-born mortality if the programme is well implemented with systematic follow-up after training. This could be done through joint meeting between health workers and TBAs as feed and learning experience from problem encountered in process of providing child delivery services. TBAs can help to break socio-cultural barriers on intervention on reproductive health programmes. However projects targeting TBAs should not be of hit and run; but gradually familiarize with the target group, build trust, transparency, and tolerance, willing to learn and creating a better relationship with them. In this paper, some case studies are described on how trained TBAs can be fully utilized in reducing maternal and new-born mortality rate in rural areas. What is needed is to identify TBAs, map their distribution and train them on basic primary healthcare related to child deliveries and complications which need to be referred to conventional health facilities immediately.

show abstract

“…17 In another observation conducted in Bangladesh, it was noted that occurrence of foul smelling vaginal discharge remained high (31% up to 2 weeks and 7.1% up to 6 weeks of delivery) in women whose delivery was conducted by untrained personnel at home. 18 Persistent vaginal discharge might be due to prevailing infection either in mild or in severe form. The infectious agents of course are being transmitted from the hands of non-trained personnel including Dais, neighbours or in-laws.…”

Section: Discussionmentioning

confidence: 99%

Aerobic Bacterial Pattern in Puerperal Sepsis

Ahmed

Hossain

Shamsuzzaman

et al. 2016

Bangladesh J Med Microbiol

View full text Add to dashboard Cite

show abstract

Training traditional birth attendants in clean delivery does not prevent postpartum infection

Cited by 85 publications

References 9 publications

Recognition of High Risk Pregnancies and Referral Practices among Traditional Birth Attendants in Mkuranga District, Coast Region, Tanzania

Recognition of High Risk Pregnancies and Referral Practices among Traditional Birth Attendants in Mkuranga District, Coast Region, Tanzania

Impact of Training traditional birth attendants on maternal mortality and morbidity in Sub-Saharan African countries

Aerobic Bacterial Pattern in Puerperal Sepsis

Contact Info

Product

Resources

About