Amin R, Khan A H
Institute for Urban Research, Morgan State University, Baltimore, Maryland.
Int J Gynaecol Obstet. 1989 Feb;28(2):119-25. doi: 10.1016/0020-7292(89)90470-0.
This study has analyzed the characteristics, beliefs and practices of midwives in rural Bangladesh. The midwives were mainly above age 30, married or widowed, and illiterate. Most of them learned their midwifery from informal sources such as female relatives or neighbours. Often, during pregnancy, childbirth, and post-partum period, midwives imposed dietary restriction on the mothers. Similarly, devices used in the cutting of the umbilical cord and placenta were not properly sterilized and potentially dangerous substances were applied at the navel after cutting the umbilical cord or placenta. There was a practice of withholding breast-feeding up to 3 days after the birth of a child. However, there were also some beliefs or practices among the midwives that could be regarded as based on scientific understanding such as the practice of cutting the umbilical cord by boiled razor blade or the belief that child death could occur from tetanus caused by the unsterilized device used in the cutting of the umbilical cord.
本研究分析了孟加拉国农村助产士的特点、观念和做法。助产士主要年龄在30岁以上，已婚或丧偶，且不识字。她们大多从女性亲属或邻居等非正式渠道学习助产知识。在孕期、分娩期和产后，助产士经常对母亲实行饮食限制。同样，用于切断脐带和胎盘的器械未进行适当消毒，在切断脐带或胎盘后，在肚脐处涂抹了潜在危险物质。有一种做法是在孩子出生后3天内不给孩子喂奶。然而，助产士中也有一些观念或做法可被视为基于科学认识，比如用煮沸的剃须刀片切断脐带的做法，或者认为使用未消毒的器械切断脐带导致的破伤风可能致使儿童死亡的观念。
