1. Delivery practices of traditional birth attendants in Dhaka slums, Bangladesh.
- Author
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Fronczak, N., Arifeen, S. E., Moran, A. C., Caulfield, L. E., and Baqui, A. H.
- Subjects
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MIDWIVES , *DELIVERY (Obstetrics) , *SLUMS , *MATERNAL health services , *MIDWIFERY , *HYGIENE , *PUERPERAL disorders , *TRADITIONAL medicine , *PUERPERIUM , *LABOR complications (Obstetrics) , *MATERNAL mortality , *INFANT mortality , *RURAL population , *LONGITUDINAL method - Abstract
This paper describes associations among delivery-location, training of birth attendants, birthing practices, and early postpartum morbidity in women in slum areas of Dhaka, Bangladesh. During November 1993-May 1995, data on delivery-location, training of birth attendants, birthing practices, delivery-related complications, and postpartum morbidity were collected through interviews with 1,506 women, 489 home-based birth attendants, and audits in 20 facilities where the women from this study gave birth. Associations among maternal characteristics, birth practices, delivery-location, and early postpartum morbidity were specifically explored. Self-reported postpartum morbidity was associated with maternal characteristics, delivery-related complications, and some birthing practices. Dais with more experience were more likely to use potentially-harmful birthing practices which increased the risk of postpartum morbidity among women with births at home. Postpartum morbidity did not differ by birth-location. Safe motherhood programmes must develop effective strategies to discourage potentially-harmful home-based delivery practices demonstrated to contribute to morbidity. [ABSTRACT FROM AUTHOR]
- Published
- 2007