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Newborn Babies' Survival in Developing Countries Increased by Training Birth Attendants: Study
The study was conducted in six countries. Researchers from the University of North Carolina at Chapel Hill School of Medicine took part in the study in the Democratic Republic of Congo, in partnership with the Kinshasa School of Public Health.
"The successful application of this intervention has the potential to prevent the deaths of hundreds of thousands of babies worldwide each year," said Carl Bose, M.D., a professor in UNC''s Department of Pediatrics and a co-author of the study, which is published in the Feb. 18, 2010 issue of the New England Journal of Medicine. Waldemar A. Carlo, M.D., of the University of Alabama at Birmingham, is lead author.
"This is a simple intervention and this study demonstrates that it can be effectively taught to traditional birth attendants, who deliver most of the babies born in developing countries such as the DRC," Bose said. "Worldwide each year, approximately seven million babies die in the womb or soon after birth, and 98 percent of these perinatal deaths occur in developing countries."
Four categories of birth attendant were included in the study: physician, nurse/midwife, traditional birth attendant and a category that included family members and unattended deliveries. Traditional birth attendants, typically non-professional, lay midwives, were by far the most common, attending 40 percent of deliveries in the entire study and nearly 75 percent of deliveries in the DRC. Nurse/midwife was the next largest group at 30 percent, followed by family/unattended/other (17 percent) and physician (13 percent).
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