Traditional birth attendants and perinatal and neonatal mortalities
1985; Croatian Anthropological Society; Volume: 9; Issue: 1 Linguagem: Inglês
ISSN
1848-9486
Autores Tópico(s)Vaccine Coverage and Hesitancy
Resumo2000 births to 500 mothers were included in a survey on neonatal mortality stillbirths and tetanus in Katangi Region Machakos Area Kenya since 1963. The goal of the study was to determine specific steps to take in training of traditional birth attendants (TBAs) to reduce perinatal loss. The survey conducted in 3 stages took place in a dispensary supported by the Danish volunteer organization Mellemfolkelin Samvirke. Every 7th woman attending the prenatal clinic was interviewed. The 1st questionnaire asked for number of births and survival; the 2nd questionnaire covered specific information about children who had died before age 15; the 3d questionnaire contained about 2 dozen questions to diagnose neonatal tetanus such as asking the mother to mimic the facial expression of the child. Preliminary results indicate that the mortality rate was 61.0/1000 live births and the stillbirth rate was 49.0/1000. Neonatal tetanus was diagnosed in 2/1000 live births a low rate compared to reports from other areas of Africa but 5 times as high as the figure reported from central Kenya in 1964. It is suggested that a TBA training program include antenatal care tetanus immunizations of pregnant women obstetrical care proper care of the umbilical cord and motivation for TBAs to refer high risk women to clinics.
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