Sharma N, Bali P
Indian Pediatr. 1989 Jul;26(7):649-53.
The study was carried out in a slum cum resettlement colony (Area-I) and four villages (Area-II) of Delhi. Management of the newborn by the 25 functioning Traditional Birth Attendants (TBA's) who conducted 83.64% deliveries in Area-I and 16.22% in Area-II was studied. Majority of TBA's did not have the concept of washing hands before conducting per vaginum (P/V) examinations or deliveries. Most of the TBA's, i.e., 21 out of 25 used a razor blade to cut the umbilical cord of which 9 used a fresh blade. No TBA left the cord untied. Vigorous patting in upright and also after holding the baby upside down was the commonest (68%) method of neonatal resuscitation. All TBA's massaged and bathed the baby everyday. Majority of the TBA's (18 out of 25) referred the baby to a health agency for immunization though they did not know the exact schedule.
该研究在德里的一个贫民窟兼安置区(一区)和四个村庄(二区)开展。对25名从业的传统助产士(TBA)管理新生儿的情况进行了研究,她们在一区接生了83.64%的婴儿,在二区接生了16.22%的婴儿。大多数传统助产士在进行阴道检查或接生之前没有洗手的概念。大多数传统助产士,即25人中有21人使用剃须刀片切断脐带,其中9人使用新刀片。没有传统助产士不结扎脐带。新生儿复苏最常见的方法(68%)是在婴儿直立时大力拍打,以及将婴儿倒提后拍打。所有传统助产士每天都会给婴儿按摩和洗澡。大多数传统助产士(25人中有18人)会将婴儿转诊至卫生机构进行免疫接种,尽管她们并不清楚具体的接种时间表。