| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 1084917 | Midwifery | 2012 | 6 Pages |
Objectiveto determine the prevalence of specific intrapartum practices in Sindh province, Pakistan.Designa cross-sectional, questionnaire based study.Setting6 health clinics in Mirpurkhas, Sindh province, rural Pakistan.Participants225 mothers and 82 health workers.Measurements and findingsoutcome measures were indicators of safe delivery practices and referral following an obstetric complication. Prevalence of unhygienic and unsafe practices in deliveries attended by Traditional Birth Attendants (TBAs) was common. Deliveries by skilled attendants were significantly safer but with some failures in hygienic practices. 29% of women who had experienced an obstetric complication had not received emergency obstetric care.Conclusions and implications for practicesafe delivery practices and newborn care needs to be improved in rural Pakistan. This may be achieved by training health workers and TBAs in safe delivery practices, using safe delivery kits and with an effective referral system.
►We determine prevalence of safe delivery and newborn practices at community level. ► Prevalence of unhygienic and unsafe practices in deliveries attended by TBAs common. ► Skilled attendant's deliveries were safer with some failures in hygienic practices. ► 29% women experienced obstetric complication not received emergency obstetric care. ► Training health workers, safe delivery kits and effective referral system required.
