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

Ana Garces, Elizabeth M. McClure, Elwyn Chomba, Archana Patel, Omrana Pasha, Antoinette Tshefu, Fabian Esamai, Shivaprasad Goudar, Adrien Lokangaka, K. M. Hambidge, Linda L. Wright, Marion Koso-Thomas, Carl Bose, Waldemar A. Carlo, Edward A. Liechty, Patricia L. Hibberd, Sherri Bucher, Ryan Whitworth, Robert L. Goldenberg

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Background: 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.Methods: 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).Results: 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.Conclusions: Home birth attendants in low-income countries were often illiterate, could not read numbers and had little formal training. Most had few of the skills or access to tests, medications and equipment that are necessary to reduce maternal, fetal or neonatal mortality.

Original languageEnglish
Article number34
JournalBMC Pregnancy and Childbirth
Volume12
DOIs
StatePublished - May 14 2012

Fingerprint

Parturition
Equipment and Supplies
Interviews
Stethoscopes
Guatemala
Nurse Midwives
Government Agencies
Fetal Mortality
Zambia
Democratic Republic of the Congo
Maternal Death
Prenatal Care
Maternal Mortality
Kenya
Pakistan
Infant Mortality
Masks
Postpartum Period
India
Blood Pressure

Keywords

  • Home births
  • Perinatal mortality
  • Traditional birth attendants

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Garces, A., McClure, E. M., Chomba, E., Patel, A., Pasha, O., Tshefu, A., ... Goldenberg, R. L. (2012). Home birth attendants in low income countries: who are they and what do they do? BMC Pregnancy and Childbirth, 12, [34]. https://doi.org/10.1186/1471-2393-12-34

Home birth attendants in low income countries : who are they and what do they do? / Garces, Ana; McClure, Elizabeth M.; Chomba, Elwyn; Patel, Archana; Pasha, Omrana; Tshefu, Antoinette; Esamai, Fabian; Goudar, Shivaprasad; Lokangaka, Adrien; Hambidge, K. M.; Wright, Linda L.; Koso-Thomas, Marion; Bose, Carl; Carlo, Waldemar A.; Liechty, Edward A.; Hibberd, Patricia L.; Bucher, Sherri; Whitworth, Ryan; Goldenberg, Robert L.

In: BMC Pregnancy and Childbirth, Vol. 12, 34, 14.05.2012.

Research output: Contribution to journalArticle

Garces, A, McClure, EM, Chomba, E, Patel, A, Pasha, O, Tshefu, A, Esamai, F, Goudar, S, Lokangaka, A, Hambidge, KM, Wright, LL, Koso-Thomas, M, Bose, C, Carlo, WA, Liechty, EA, Hibberd, PL, Bucher, S, Whitworth, R & Goldenberg, RL 2012, 'Home birth attendants in low income countries: who are they and what do they do?', BMC Pregnancy and Childbirth, vol. 12, 34. https://doi.org/10.1186/1471-2393-12-34
Garces, Ana ; McClure, Elizabeth M. ; Chomba, Elwyn ; Patel, Archana ; Pasha, Omrana ; Tshefu, Antoinette ; Esamai, Fabian ; Goudar, Shivaprasad ; Lokangaka, Adrien ; Hambidge, K. M. ; Wright, Linda L. ; Koso-Thomas, Marion ; Bose, Carl ; Carlo, Waldemar A. ; Liechty, Edward A. ; Hibberd, Patricia L. ; Bucher, Sherri ; Whitworth, Ryan ; Goldenberg, Robert L. / Home birth attendants in low income countries : who are they and what do they do?. In: BMC Pregnancy and Childbirth. 2012 ; Vol. 12.
@article{f13dd25655e24ddfb231a614419b4ac1,
title = "Home birth attendants in low income countries: who are they and what do they do?",
abstract = "Background: 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.Methods: 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).Results: 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.Conclusions: Home birth attendants in low-income countries were often illiterate, could not read numbers and had little formal training. Most had few of the skills or access to tests, medications and equipment that are necessary to reduce maternal, fetal or neonatal mortality.",
keywords = "Home births, Perinatal mortality, Traditional birth attendants",
author = "Ana Garces and McClure, {Elizabeth M.} and Elwyn Chomba and Archana Patel and Omrana Pasha and Antoinette Tshefu and Fabian Esamai and Shivaprasad Goudar and Adrien Lokangaka and Hambidge, {K. M.} and Wright, {Linda L.} and Marion Koso-Thomas and Carl Bose and Carlo, {Waldemar A.} and Liechty, {Edward A.} and Hibberd, {Patricia L.} and Sherri Bucher and Ryan Whitworth and Goldenberg, {Robert L.}",
year = "2012",
month = "5",
day = "14",
doi = "10.1186/1471-2393-12-34",
language = "English",
volume = "12",
journal = "BMC Pregnancy and Childbirth",
issn = "1471-2393",
publisher = "BioMed Central",

}

TY - JOUR

T1 - Home birth attendants in low income countries

T2 - who are they and what do they do?

AU - Garces, Ana

AU - McClure, Elizabeth M.

AU - Chomba, Elwyn

AU - Patel, Archana

AU - Pasha, Omrana

AU - Tshefu, Antoinette

AU - Esamai, Fabian

AU - Goudar, Shivaprasad

AU - Lokangaka, Adrien

AU - Hambidge, K. M.

AU - Wright, Linda L.

AU - Koso-Thomas, Marion

AU - Bose, Carl

AU - Carlo, Waldemar A.

AU - Liechty, Edward A.

AU - Hibberd, Patricia L.

AU - Bucher, Sherri

AU - Whitworth, Ryan

AU - Goldenberg, Robert L.

PY - 2012/5/14

Y1 - 2012/5/14

N2 - Background: 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.Methods: 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).Results: 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.Conclusions: Home birth attendants in low-income countries were often illiterate, could not read numbers and had little formal training. Most had few of the skills or access to tests, medications and equipment that are necessary to reduce maternal, fetal or neonatal mortality.

AB - Background: 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.Methods: 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).Results: 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.Conclusions: Home birth attendants in low-income countries were often illiterate, could not read numbers and had little formal training. Most had few of the skills or access to tests, medications and equipment that are necessary to reduce maternal, fetal or neonatal mortality.

KW - Home births

KW - Perinatal mortality

KW - Traditional birth attendants

UR - http://www.scopus.com/inward/record.url?scp=84860806374&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84860806374&partnerID=8YFLogxK

U2 - 10.1186/1471-2393-12-34

DO - 10.1186/1471-2393-12-34

M3 - Article

C2 - 22583622

AN - SCOPUS:84860806374

VL - 12

JO - BMC Pregnancy and Childbirth

JF - BMC Pregnancy and Childbirth

SN - 1471-2393

M1 - 34

ER -