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Learning from low- and middle-income countries
Published in Nigel Crisp, Turning the World Upside Down Again, 2022
Traditional birth attendants are frequently involved in care for pregnant women in many countries. They have skills very different from Mozambique's highly technically trained midlevel workers and are unable to provide the level of care recommended by WHO and others. However, they can bring experience, wisdom and care as part of a well-managed and balanced team. In a striking reversal of previous official policy on the continent, the African Union declared a Decade of Traditional Medicine in 2001 and has since adopted a policy for developing its use and integrating it into both policy and practice.
Preparation Before Labor
Published in Vincenzo Berghella, Obstetric Evidence Based Guidelines, 2022
Daniele Di Mascio, Leen Al-Hafez
A woman's satisfaction with her birth experience is mainly related to the personal expectations, the amount of support she receives, the quality of the relationship between her and the birth attendant, and her involvement in labor management [4].
Neonatal Care
Published in Miriam Orcutt, Clare Shortall, Sarah Walpole, Aula Abbara, Sylvia Garry, Rita Issa, Alimuddin Zumla, Ibrahim Abubakar, Handbook of Refugee Health, 2021
Sylvia Garry, Andrew Chapman, Elizabeth Ledger
The management of early onset labour is covered in Chapter 14.4. Several interventions will improve the health outcomes for the LBW or premature infant:Infection in the antenatal period should be treated, including asymptomatic bacteriuria and sexually transmitted infections (STIs).Antenatal steroids can be given to reduce respiratory distress.6The newborn should be closely monitored in utero and timely delivery is required if there is neonatal distress.Skilled birth attendant presence and delivery at a healthcare facility.
Community-based new born care practice and its associated factors among women who give birth at home in Ethiopia: cross-sectional study
Published in Current Medical Research and Opinion, 2022
Medhanit W/senbet, Wondwosen Molla, Ruth Tilahun, Yabibal Gebeyehu, Meiraf Daniel Meshesha, Jarsso Tadesse Hirbu, Habtamu Endashaw Hareru, Wagaye Alemu, Temesgen Muche, Aneleay Cherinet Eritero, Seid Shumye, Nebiyu Mengistu, Solomon Yimer, Derebe Madoro, Zerihun Figa, Dawit Getachew Assefa, Eden Daganchew Zeleke, Daniel Sisay, Aregahegn Wudneh, Moges Tadesse
Furthermore, mothers who give birth by a traditional birth attendants were 3.9 times more likely had good ENC practice compared to those who give birth by a health extension worker birth attendant [AOR (95%CI) 3.962 (3.329–7.171)]. This is similar to the study done in Amaro Woreda, Ethiopia40. This finding does not agree with the study conducted in Oromia Regional State, Ethiopia41. This might be due to traditional birth attendant much more egger to show and inform each procedure for mothers and their relatives while health extension workers might be focus only breast-feeding practices and, TBAs have more experience and acceptance by the community. This might be mothers to capture the information and apply essential newborn care practices accordingly as they are informed easily.
Ectopia Cordis: 6-Year Survival without Surgical Correction
Published in Fetal and Pediatric Pathology, 2021
A 6-year-old male child came to a primary health care center (Health and Family Welfare Center-HFWC) in a rural community of Bangladesh. The baby was born at home by a traditional birth attendant without delivery complications. He was born with complete protrusion of heart through the anterior chest wall (Figure 1a,b). The child was taken to a nearby clinic immediately after birth and the primary care physician recommended referral to a tertiary hospital for better management. The hospital expense was beyond the parent’s affordability. Among five, the child was fourth in a monogamous consanguineous marriage. None of his siblings had a similar abnormality. The overall condition of the child was that there was no bleeding or discharge from the site, no cyanosis, no other abnormalities or deformities, and there was no history of maternal chronic disease. Moreover, no maternal history of ingestion of unprescribed medicinal drugs, use of illicit pills, cigarette smoking or alcohol abuse and no history of continual unwell health was found.
Age differentials in pregnancy-related deaths in selected African countries
Published in Journal of Obstetrics and Gynaecology, 2021
The study findings further revealed that pregnancy-related deaths were higher in rural areas than urban regions of the selected countries. This finding may be due to the interaction of sociocultural, economic factors linked to health care services and logistics. For instance, evidence shows that several women in rural areas in Africa patronise traditional birth attendants (TBAs) because they are often less expensive compared with modern practitioners. However, many of the traditional birth attendants are unskilled and, when they are trained, they lack adequate skills and equipment to cope in emergency situations. Commenting on preference for TBAs by rural dwellers, Imogie et al. (2002) observed that the rural dwellers preferred to use the services of TBAs, compared with their urban counterparts. Reasons for the preference included TBAs’ availability, accessibility and cheap services and rural dwellers’ faith in the efficacy of their services.