作者
Gary L Darmstadt, Anne CC Lee, Simon Cousens, Lynn Sibley, Zulfiqar A Bhutta, France Donnay, Dave Osrin, Abhay Bang, Vishwajeet Kumar, Steven N Wall, Abdullah Baqui, Joy E Lawn
发表日期
2009/10/1
来源
International Journal of Gynecology & Obstetrics
卷号
107
页码范围
S89-S112
出版商
No longer published by Elsevier
简介
BACKGROUND
For the world's 60million non-facility births, addressing who is currently attending these births and what effect they have on birth outcomes is a key starting point toward improving care during childbirth.
OBJECTIVE
We present a systematic review of evidence for the effect of community-based cadres—community-based skilled birth attendants (SBAs), trained traditional birth attendants (TBAs), and community health workers (CHWs)—in improving perinatal and intrapartum-related outcomes.
RESULTS
The evidence for providing skilled birth attendance in the community is low quality, consisting of primarily before-and-after and quasi-experimental studies, with a pooled 12% reduction in all cause perinatal mortality (PMR) and a 22%–47% reduction in intrapartum-related neonatal mortality (IPR-NMR). Low/moderate quality evidence suggests that TBA training may improve linkages with facilities and …
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GL Darmstadt, ACC Lee, S Cousens, L Sibley… - International Journal of Gynecology & Obstetrics, 2009