An Intervention Involving Traditional Birth Attendants and Perinatal and Maternal Mortality in Pakistan
This cluster-randomized trial in rural Pakistan compared perinatal and maternal outcomes in control districts with the outcomes in districts in which traditional birth attendants were trained and were issued disposable delivery kits and in which obstetrical teams provided outreach clinics for antena...
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| Veröffentlicht in: | The New England journal of medicine 2005-05, Vol.352 (20), p.2091-2099 |
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| container_title | The New England journal of medicine |
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| creator | Jokhio, Abdul Hakeem Winter, Heather R Cheng, Kar Keung |
| description | This cluster-randomized trial in rural Pakistan compared perinatal and maternal outcomes in control districts with the outcomes in districts in which traditional birth attendants were trained and were issued disposable delivery kits and in which obstetrical teams provided outreach clinics for antenatal care. Perinatal mortality was reduced significantly in the intervention districts.
This trial in rural Pakistan compared perinatal and maternal outcomes in control districts with the outcomes in districts in which traditional birth attendants were trained and integrated into an improved health care system. Perinatal mortality was reduced significantly in the intervention districts.
There are an estimated 4 million neonatal deaths and 500,000 maternal deaths worldwide each year.
1
,
2
The vast majority of these deaths occur in developing countries, where 43 percent of births are attended by traditional birth attendants, the proportion generally being higher in rural areas. Training traditional birth attendants was a central component of the Safe Motherhood Initiative launched by the World Health Organization, the United Nations Children's Fund (also known as UNICEF), the United Nations Population Fund, the World Bank, and other organizations, but the lack of evidence from randomized, controlled trials to inform decision making has prohibited widespread . . . |
| doi_str_mv | 10.1056/NEJMsa042830 |
| format | Article |
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This trial in rural Pakistan compared perinatal and maternal outcomes in control districts with the outcomes in districts in which traditional birth attendants were trained and integrated into an improved health care system. Perinatal mortality was reduced significantly in the intervention districts.
There are an estimated 4 million neonatal deaths and 500,000 maternal deaths worldwide each year.
1
,
2
The vast majority of these deaths occur in developing countries, where 43 percent of births are attended by traditional birth attendants, the proportion generally being higher in rural areas. Training traditional birth attendants was a central component of the Safe Motherhood Initiative launched by the World Health Organization, the United Nations Children's Fund (also known as UNICEF), the United Nations Population Fund, the World Bank, and other organizations, but the lack of evidence from randomized, controlled trials to inform decision making has prohibited widespread . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMsa042830</identifier><identifier>PMID: 15901862</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston, MA: Massachusetts Medical Society</publisher><subject>Adult ; Biological and medical sciences ; Births ; Delivery, Obstetric - education ; Female ; General aspects ; Health care ; Humans ; Infant Mortality ; Infant, Newborn ; Maternal Health Services ; Maternal Mortality ; Medical sciences ; Midwifery - education ; Neonatal care ; Pakistan - epidemiology ; Postpartum period ; Pregnancy ; Pregnancy Outcome - epidemiology ; Rural Health Services ; Womens health</subject><ispartof>The New England journal of medicine, 2005-05, Vol.352 (20), p.2091-2099</ispartof><rights>Copyright © 2005 Massachusetts Medical Society. All rights reserved.</rights><rights>2005 INIST-CNRS</rights><rights>Copyright 2005 Massachusetts Medical Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-fe1aef3b83d1790d987db7013d8f3bccef1cb142363a63fbdbd2ab6b95dabc9a3</citedby><cites>FETCH-LOGICAL-c504t-fe1aef3b83d1790d987db7013d8f3bccef1cb142363a63fbdbd2ab6b95dabc9a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMsa042830$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJMsa042830$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16779484$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15901862$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jokhio, Abdul Hakeem</creatorcontrib><creatorcontrib>Winter, Heather R</creatorcontrib><creatorcontrib>Cheng, Kar Keung</creatorcontrib><title>An Intervention Involving Traditional Birth Attendants and Perinatal and Maternal Mortality in Pakistan</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>This cluster-randomized trial in rural Pakistan compared perinatal and maternal outcomes in control districts with the outcomes in districts in which traditional birth attendants were trained and were issued disposable delivery kits and in which obstetrical teams provided outreach clinics for antenatal care. Perinatal mortality was reduced significantly in the intervention districts.
This trial in rural Pakistan compared perinatal and maternal outcomes in control districts with the outcomes in districts in which traditional birth attendants were trained and integrated into an improved health care system. Perinatal mortality was reduced significantly in the intervention districts.
There are an estimated 4 million neonatal deaths and 500,000 maternal deaths worldwide each year.
1
,
2
The vast majority of these deaths occur in developing countries, where 43 percent of births are attended by traditional birth attendants, the proportion generally being higher in rural areas. Training traditional birth attendants was a central component of the Safe Motherhood Initiative launched by the World Health Organization, the United Nations Children's Fund (also known as UNICEF), the United Nations Population Fund, the World Bank, and other organizations, but the lack of evidence from randomized, controlled trials to inform decision making has prohibited widespread . . .</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Births</subject><subject>Delivery, Obstetric - education</subject><subject>Female</subject><subject>General aspects</subject><subject>Health care</subject><subject>Humans</subject><subject>Infant Mortality</subject><subject>Infant, Newborn</subject><subject>Maternal Health Services</subject><subject>Maternal Mortality</subject><subject>Medical sciences</subject><subject>Midwifery - education</subject><subject>Neonatal care</subject><subject>Pakistan - epidemiology</subject><subject>Postpartum period</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Rural Health Services</subject><subject>Womens health</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpt0M9P2zAUB3BrAq1dt9vOKEJsJ7LZsePEx1LBYKIbh-4cPf8IuCROsd1K_Pc4aiUQmi9P7_mjZ-uL0FeCfxBc8p9_Ln8vA2BW1BR_QFNSUpozhvkRmmJc1DmrBJ2gTyGscTqEiY9oQkqBSc2LKbqfu-zGReN3xkU7jM1u6HbW3WcrD9qOM-iyC-vjQzaP0TgNLoYMnM7ujLcOYroeuyWkLaNdDj7NbHzOrMvu4NGGCO4zOm6hC-bLoc7Qv6vL1eI6v_3762Yxv81ViVnMW0PAtFTWVJNKYC3qSssKE6rrNFXKtERJwgrKKXDaSi11AZJLUWqQSgCdoe_7vRs_PG1NiE1vgzJdB84M29DwqmaYsirB03dwPWzH_4emKKigmKcyQ-d7pPwQgjdts_G2B__cENyM6Tdv00_85LBzK3ujX_Eh7gS-HQAEBV3rwSkbXh2vKsFqltzZ3vV9aJxZ9_9_7wWOtJmf</recordid><startdate>20050519</startdate><enddate>20050519</enddate><creator>Jokhio, Abdul Hakeem</creator><creator>Winter, Heather R</creator><creator>Cheng, Kar Keung</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20050519</creationdate><title>An Intervention Involving Traditional Birth Attendants and Perinatal and Maternal Mortality in Pakistan</title><author>Jokhio, Abdul Hakeem ; Winter, Heather R ; Cheng, Kar Keung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-fe1aef3b83d1790d987db7013d8f3bccef1cb142363a63fbdbd2ab6b95dabc9a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Births</topic><topic>Delivery, Obstetric - education</topic><topic>Female</topic><topic>General aspects</topic><topic>Health care</topic><topic>Humans</topic><topic>Infant Mortality</topic><topic>Infant, Newborn</topic><topic>Maternal Health Services</topic><topic>Maternal Mortality</topic><topic>Medical sciences</topic><topic>Midwifery - education</topic><topic>Neonatal care</topic><topic>Pakistan - epidemiology</topic><topic>Postpartum period</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Rural Health Services</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jokhio, Abdul Hakeem</creatorcontrib><creatorcontrib>Winter, Heather R</creatorcontrib><creatorcontrib>Cheng, Kar Keung</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jokhio, Abdul Hakeem</au><au>Winter, Heather R</au><au>Cheng, Kar Keung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An Intervention Involving Traditional Birth Attendants and Perinatal and Maternal Mortality in Pakistan</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2005-05-19</date><risdate>2005</risdate><volume>352</volume><issue>20</issue><spage>2091</spage><epage>2099</epage><pages>2091-2099</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>This cluster-randomized trial in rural Pakistan compared perinatal and maternal outcomes in control districts with the outcomes in districts in which traditional birth attendants were trained and were issued disposable delivery kits and in which obstetrical teams provided outreach clinics for antenatal care. Perinatal mortality was reduced significantly in the intervention districts.
This trial in rural Pakistan compared perinatal and maternal outcomes in control districts with the outcomes in districts in which traditional birth attendants were trained and integrated into an improved health care system. Perinatal mortality was reduced significantly in the intervention districts.
There are an estimated 4 million neonatal deaths and 500,000 maternal deaths worldwide each year.
1
,
2
The vast majority of these deaths occur in developing countries, where 43 percent of births are attended by traditional birth attendants, the proportion generally being higher in rural areas. Training traditional birth attendants was a central component of the Safe Motherhood Initiative launched by the World Health Organization, the United Nations Children's Fund (also known as UNICEF), the United Nations Population Fund, the World Bank, and other organizations, but the lack of evidence from randomized, controlled trials to inform decision making has prohibited widespread . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>15901862</pmid><doi>10.1056/NEJMsa042830</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 2005-05, Vol.352 (20), p.2091-2099 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; New England Journal of Medicine |
| subjects | Adult Biological and medical sciences Births Delivery, Obstetric - education Female General aspects Health care Humans Infant Mortality Infant, Newborn Maternal Health Services Maternal Mortality Medical sciences Midwifery - education Neonatal care Pakistan - epidemiology Postpartum period Pregnancy Pregnancy Outcome - epidemiology Rural Health Services Womens health |
| title | An Intervention Involving Traditional Birth Attendants and Perinatal and Maternal Mortality in Pakistan |
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