Traditional birth attendants and birth outcomes in low-middle income countries: A review

Ana Garces, Elizabeth M. McClure, Leopoldo Espinoza, Sarah Saleem, Lester Figueroa, Sherri Bucher, Robert L. Goldenberg

Research output: Contribution to journalReview article

Abstract

Traditional birth attendants (TBAs) provided delivery care throughout the world prior to the development of organized systems of medical care. In 2016, an estimated 22% of pregnant women delivered with a TBA, mostly in rural or remote areas that lacked formal health services. Still active in many regions of LMICs, they provide care, including support and advice, to women during pregnancy and childbirth. Even though they generally have no formal training and are not recognized as medical practitioners, TBAs enjoy a high societal standing and many families seek them as health care providers. They are generally older women who have acquired their skills acting as apprentices of other TBAs or are self-taught. WHO and other international organizations have focused maternal mortality reduction efforts on the availability of skilled birth attendance, which excludes TBAs as providers of care. However, as countries move towards SBA, policy makers need to make the best use of TBAs while simultaneously planning for their replacement with skilled attendants. They often serve as a bridge between the community and the formal health system; once women are inside an institution, TBAs could potentially act as doulas, providing company and making women feel more comfortable in an unknown environment. In this paper, we will review who TBAs are, how many births they attend worldwide worldwide, where they provide delivery care, and finally, their relationships with the formal health care system and the communities they serve.

Original languageEnglish (US)
JournalSeminars in Perinatology
DOIs
StatePublished - Jan 1 2019

Fingerprint

Midwifery
Parturition
Doulas
Community Health Planning
Maternal Mortality
Administrative Personnel
Health Personnel
Health Services
Pregnant Women
Organizations
Delivery of Health Care
Pregnancy

Keywords

  • Maternal and neonatal mortality
  • Skilled birth attendance
  • Traditional Birth Attendant

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Traditional birth attendants and birth outcomes in low-middle income countries : A review. / Garces, Ana; McClure, Elizabeth M.; Espinoza, Leopoldo; Saleem, Sarah; Figueroa, Lester; Bucher, Sherri; Goldenberg, Robert L.

In: Seminars in Perinatology, 01.01.2019.

Research output: Contribution to journalReview article

Garces, Ana ; McClure, Elizabeth M. ; Espinoza, Leopoldo ; Saleem, Sarah ; Figueroa, Lester ; Bucher, Sherri ; Goldenberg, Robert L. / Traditional birth attendants and birth outcomes in low-middle income countries : A review. In: Seminars in Perinatology. 2019.
@article{348def83e3e443b182dddd77f358a7f6,
title = "Traditional birth attendants and birth outcomes in low-middle income countries: A review",
abstract = "Traditional birth attendants (TBAs) provided delivery care throughout the world prior to the development of organized systems of medical care. In 2016, an estimated 22{\%} of pregnant women delivered with a TBA, mostly in rural or remote areas that lacked formal health services. Still active in many regions of LMICs, they provide care, including support and advice, to women during pregnancy and childbirth. Even though they generally have no formal training and are not recognized as medical practitioners, TBAs enjoy a high societal standing and many families seek them as health care providers. They are generally older women who have acquired their skills acting as apprentices of other TBAs or are self-taught. WHO and other international organizations have focused maternal mortality reduction efforts on the availability of skilled birth attendance, which excludes TBAs as providers of care. However, as countries move towards SBA, policy makers need to make the best use of TBAs while simultaneously planning for their replacement with skilled attendants. They often serve as a bridge between the community and the formal health system; once women are inside an institution, TBAs could potentially act as doulas, providing company and making women feel more comfortable in an unknown environment. In this paper, we will review who TBAs are, how many births they attend worldwide worldwide, where they provide delivery care, and finally, their relationships with the formal health care system and the communities they serve.",
keywords = "Maternal and neonatal mortality, Skilled birth attendance, Traditional Birth Attendant",
author = "Ana Garces and McClure, {Elizabeth M.} and Leopoldo Espinoza and Sarah Saleem and Lester Figueroa and Sherri Bucher and Goldenberg, {Robert L.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1053/j.semperi.2019.03.013",
language = "English (US)",
journal = "Seminars in Perinatology",
issn = "0146-0005",
publisher = "W.B. Saunders Ltd",

}

TY - JOUR

T1 - Traditional birth attendants and birth outcomes in low-middle income countries

T2 - A review

AU - Garces, Ana

AU - McClure, Elizabeth M.

AU - Espinoza, Leopoldo

AU - Saleem, Sarah

AU - Figueroa, Lester

AU - Bucher, Sherri

AU - Goldenberg, Robert L.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Traditional birth attendants (TBAs) provided delivery care throughout the world prior to the development of organized systems of medical care. In 2016, an estimated 22% of pregnant women delivered with a TBA, mostly in rural or remote areas that lacked formal health services. Still active in many regions of LMICs, they provide care, including support and advice, to women during pregnancy and childbirth. Even though they generally have no formal training and are not recognized as medical practitioners, TBAs enjoy a high societal standing and many families seek them as health care providers. They are generally older women who have acquired their skills acting as apprentices of other TBAs or are self-taught. WHO and other international organizations have focused maternal mortality reduction efforts on the availability of skilled birth attendance, which excludes TBAs as providers of care. However, as countries move towards SBA, policy makers need to make the best use of TBAs while simultaneously planning for their replacement with skilled attendants. They often serve as a bridge between the community and the formal health system; once women are inside an institution, TBAs could potentially act as doulas, providing company and making women feel more comfortable in an unknown environment. In this paper, we will review who TBAs are, how many births they attend worldwide worldwide, where they provide delivery care, and finally, their relationships with the formal health care system and the communities they serve.

AB - Traditional birth attendants (TBAs) provided delivery care throughout the world prior to the development of organized systems of medical care. In 2016, an estimated 22% of pregnant women delivered with a TBA, mostly in rural or remote areas that lacked formal health services. Still active in many regions of LMICs, they provide care, including support and advice, to women during pregnancy and childbirth. Even though they generally have no formal training and are not recognized as medical practitioners, TBAs enjoy a high societal standing and many families seek them as health care providers. They are generally older women who have acquired their skills acting as apprentices of other TBAs or are self-taught. WHO and other international organizations have focused maternal mortality reduction efforts on the availability of skilled birth attendance, which excludes TBAs as providers of care. However, as countries move towards SBA, policy makers need to make the best use of TBAs while simultaneously planning for their replacement with skilled attendants. They often serve as a bridge between the community and the formal health system; once women are inside an institution, TBAs could potentially act as doulas, providing company and making women feel more comfortable in an unknown environment. In this paper, we will review who TBAs are, how many births they attend worldwide worldwide, where they provide delivery care, and finally, their relationships with the formal health care system and the communities they serve.

KW - Maternal and neonatal mortality

KW - Skilled birth attendance

KW - Traditional Birth Attendant

UR - http://www.scopus.com/inward/record.url?scp=85064265557&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85064265557&partnerID=8YFLogxK

U2 - 10.1053/j.semperi.2019.03.013

DO - 10.1053/j.semperi.2019.03.013

M3 - Review article

C2 - 30981470

AN - SCOPUS:85064265557

JO - Seminars in Perinatology

JF - Seminars in Perinatology

SN - 0146-0005

ER -