Department of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; Arba Minch Health and Demographic Surveillance Site, Arba Minch University, Arba Minch, Ethiopia.
Department of Obstetrics and Gynaecology, H. Hartziekenhuis, Mol, Belgium.
Women Birth. 2020 Sep;33(5):e464-e472. doi: 10.1016/j.wombi.2019.09.004. Epub 2019 Nov 4.
In Ethiopia, it is encouraged that labour and delivery care are performed under the observation of skilled/trained midwifery or medical professionals. However, 70% of all births occur outside the healthcare system under the care of unskilled birth attendants, family members, or without any assistance at all.
This study aimed to assess the reasons for choosing homebirth and the role of traditional birth attendants in Arba Minch Health and Demographic Surveillance Site.
A qualitative, exploratory study was carried out between May and June 2017. Twenty-nine semi-structured interviews were conducted with various respondent groups such as traditional birth attendants, pregnant women, skilled birth attendants, and health extension workers. Data were transcribed and for analysis, structured as per the participants' responses, sorted and categorized as per the topic guide, and presented in narrative form.
The study revealed that traditional birth attendants are actively engaged in assisting homebirths in the selected area. It was also found that many women still prefer traditional birth attendants for childbirth assistance. Reasons for choosing homebirth included lack of transport to health care facilities, distance to health care facilities, lack of respectful care at health care facilities, and the friendliness of traditional birth attendants. Lack of formal partnerships between traditional birth attendants and the health system was also observed.
There is a need to incorporate traditional birth attendants as a link between healthcare facilities and pregnant women; thereby, improving respectful care at the healthcare facilities.
在埃塞俄比亚，提倡由熟练/经过培训的助产士或医疗专业人员进行分娩护理。然而，70%的分娩发生在医疗体系之外，由非熟练的接生员、家庭成员或根本没有任何帮助的人照料。
本研究旨在评估在阿尔巴明奇健康和人口监测点选择家庭分娩的原因以及传统助产妇的作用。
这是一项在 2017 年 5 月至 6 月期间进行的定性探索性研究。与传统助产妇、孕妇、熟练助产妇和健康推广人员等不同的受访者群体进行了 29 次半结构化访谈。对数据进行了转录，根据参与者的回答进行了分析，根据主题指南进行了分类和归类，并以叙述的形式呈现。
研究表明，传统助产妇积极参与选定地区的家庭分娩协助。研究还发现，许多妇女仍然选择传统助产妇来协助分娩。选择家庭分娩的原因包括缺乏前往医疗保健设施的交通工具、距离医疗保健设施远、在医疗保健设施中缺乏尊重的护理以及传统助产妇的友好。传统助产妇与卫生系统之间也缺乏正式的伙伴关系。
有必要将传统助产妇纳入医疗保健设施和孕妇之间的联系，从而改善医疗保健设施中的尊重护理。
