School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin 2, Ireland.
Women Birth. 2020 Mar;33(2):e111-e116. doi: 10.1016/j.wombi.2019.01.005. Epub 2019 Feb 2.
Discourses around the journey to motherhood in many poorly-resourced countries, particularly in the sub-Saharan African region, with no link to death and danger are limited. The custodians of traditional practices - the traditional birth attendants - are often blamed for the high maternal deaths in this region. Conventional institutional and international thinking about traditional birth attendants is that they are dangerous and therefore should no longer be allowed to practice.
To explore midwives' views of traditional birth attendants' place within formal healthcare settings in Nigeria.
Hermeneutic phenomenological and poststructural feminist approaches were used. Seven midwives volunteered for semi-structured individual face to face interviews.
The responses of the midwives were diverse and conflicting. Some midwives believe that the traditional birth attendants should be banned, arguing that they are responsible for low uptake of hospital-based maternity care by women which in turn leads to an increase in maternal deaths. Contrastingly, other midwives expressed a view that the traditional birth attendants 'cannot be phased out' due to their valid contributions, particularly in the rural areas where access to formal maternity care is limited by intractable structural problems.
Policy makers need to reconsider the role of traditional birth attendants. This should involve not only their integration into formal healthcare to work alongside formally trained maternity care providers, but also fostering a healthcare atmosphere where respect and recognition of each practitioner's skill is paramount.
在资源匮乏的国家，尤其是撒哈拉以南非洲地区，有关成为母亲的历程的讨论很少与死亡和危险联系在一起。传统的接生员——传统的接生员——往往被指责为该地区高产妇死亡率的罪魁祸首。传统接生员在传统的机构和国际思维中被认为是危险的，因此不应该再被允许行医。
探讨尼日利亚助产士对传统接生员在正规医疗保健环境中的地位的看法。
采用解释学现象学和后结构女权主义方法。有 7 名助产士自愿参加了半结构化的个人面对面访谈。
助产士的反应多种多样，相互矛盾。一些助产士认为应该禁止传统接生员行医，他们认为传统接生员导致妇女对医院为基础的产妇保健的接受率低，从而导致产妇死亡率上升。相比之下，其他助产士则认为传统接生员“不能被淘汰”，因为她们的贡献是有效的，特别是在农村地区，由于难以解决的结构性问题，正规的产妇保健服务受到限制。
政策制定者需要重新考虑传统接生员的角色。这不仅包括将他们融入正规医疗保健系统，与经过正规培训的产妇保健提供者一起工作，还包括营造一种尊重和认可每个从业者技能的医疗氛围。
