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Where There Are (Few) Skilled Birth Attendants

Recent efforts to reduce maternal mortality in developing countries have focused primarily on two long-term aims: training and deploying skilled birth attendants and upgrading emergency obstetric care facilities. Given the future population-level benefits, strengthening of health systems makes excel...

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Autores principales: Prata, Ndola, Passano, Paige, Rowen, Tami, Bell, Suzanne, Walsh, Julia, Potts, Malcolm
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Centre for Diarrhoeal Disease Research, Bangladesh 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3126980/
https://www.ncbi.nlm.nih.gov/pubmed/21608417
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author Prata, Ndola
Passano, Paige
Rowen, Tami
Bell, Suzanne
Walsh, Julia
Potts, Malcolm
author_facet Prata, Ndola
Passano, Paige
Rowen, Tami
Bell, Suzanne
Walsh, Julia
Potts, Malcolm
author_sort Prata, Ndola
collection PubMed
description Recent efforts to reduce maternal mortality in developing countries have focused primarily on two long-term aims: training and deploying skilled birth attendants and upgrading emergency obstetric care facilities. Given the future population-level benefits, strengthening of health systems makes excellent strategic sense but it does not address the immediate safe-delivery needs of the estimated 45 million women who are likely to deliver at home, without a skilled birth attendant. There are currently 28 countries from four major regions in which fewer than half of all births are attended by skilled birth attendants. Sixty-nine percent of maternal deaths in these four regions can be attributed to these 28 countries, despite the fact that these countries only constitute 34% of the total population in these regions. Trends documenting the change in the proportion of births accompanied by a skilled attendant in these 28 countries over the last 15-20 years offer no indication that adequate change is imminent. To rapidly reduce maternal mortality in regions where births in the home without skilled birth attendants are common, governments and community-based organizations could implement a cost-effective, complementary strategy involving health workers who are likely to be present when births in the home take place. Training community-based birth attendants in primary and secondary prevention technologies (e.g. misoprostol, family planning, measurement of blood loss, and postpartum care) will increase the chance that women in the lowest economic quintiles will also benefit from global safe motherhood efforts.
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spelling pubmed-31269802011-08-16 Where There Are (Few) Skilled Birth Attendants Prata, Ndola Passano, Paige Rowen, Tami Bell, Suzanne Walsh, Julia Potts, Malcolm J Health Popul Nutr Commentary Recent efforts to reduce maternal mortality in developing countries have focused primarily on two long-term aims: training and deploying skilled birth attendants and upgrading emergency obstetric care facilities. Given the future population-level benefits, strengthening of health systems makes excellent strategic sense but it does not address the immediate safe-delivery needs of the estimated 45 million women who are likely to deliver at home, without a skilled birth attendant. There are currently 28 countries from four major regions in which fewer than half of all births are attended by skilled birth attendants. Sixty-nine percent of maternal deaths in these four regions can be attributed to these 28 countries, despite the fact that these countries only constitute 34% of the total population in these regions. Trends documenting the change in the proportion of births accompanied by a skilled attendant in these 28 countries over the last 15-20 years offer no indication that adequate change is imminent. To rapidly reduce maternal mortality in regions where births in the home without skilled birth attendants are common, governments and community-based organizations could implement a cost-effective, complementary strategy involving health workers who are likely to be present when births in the home take place. Training community-based birth attendants in primary and secondary prevention technologies (e.g. misoprostol, family planning, measurement of blood loss, and postpartum care) will increase the chance that women in the lowest economic quintiles will also benefit from global safe motherhood efforts. International Centre for Diarrhoeal Disease Research, Bangladesh 2011-04 /pmc/articles/PMC3126980/ /pubmed/21608417 Text en © INTERNATIONAL CENTRE FOR DIARRHOEAL DISEASE RESEARCH, BANGLADESH http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Commentary
Prata, Ndola
Passano, Paige
Rowen, Tami
Bell, Suzanne
Walsh, Julia
Potts, Malcolm
Where There Are (Few) Skilled Birth Attendants
title Where There Are (Few) Skilled Birth Attendants
title_full Where There Are (Few) Skilled Birth Attendants
title_fullStr Where There Are (Few) Skilled Birth Attendants
title_full_unstemmed Where There Are (Few) Skilled Birth Attendants
title_short Where There Are (Few) Skilled Birth Attendants
title_sort where there are (few) skilled birth attendants
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3126980/
https://www.ncbi.nlm.nih.gov/pubmed/21608417
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