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首页> 外文期刊>The Internet Journal of Tropical Medicine >Training Workshop for Traditional Birth Attendants at Aliero, Kebbi State, Nigeria; A Community Development Service at Aliero, Kebbi State, Nigeria
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Training Workshop for Traditional Birth Attendants at Aliero, Kebbi State, Nigeria; A Community Development Service at Aliero, Kebbi State, Nigeria

机译：在尼日利亚基比州阿里埃罗的传统分娩人员培训讲习班;尼日利亚基比州Aliero的社区发展服务

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A significant proportion of births in Nigeria still occur in the homes of traditional birth attendants (TBA) 1. Recent studies have revealed many complicated cases of obstructed labour from TBAs. TBAs are popular in developing countries. They lack formal education or medical training and some of their clients end up with obstetric complications, which may lead to severe maternal and perinatal morbidity and mortality. Women in the developing world are forty times more likely to die from pregnancy related complications than women living in the industrial world. More than 90% of maternal deaths occur in low income countries where others factors may contribute to the presence of severe postpartum haemorrhage. Most deliveries in Nigeria still occur in the homes of traditional birth attendants. Increased community awareness, promotion of appropriate technology, effective health care, planning starting from the grassroots levels to tertiary levels establishment of a streamlined and effective referral system will help reduce maternal mortality from obstetric emergencies reducing maternal morbidity and mortality are among the key international development goals. Introduction A significant proportion of births in Nigeria still occur in the homes of traditional birth attendants (TBA)1. Recent studies have revealed many complicated cases of obstructed labour from TBAs. TBAs are popular in developing countries. They lack formal education or medical training and some of their clients end up with obstetric complications, which may lead to severe maternal and perinatal morbidity and mortality. Women in the developing world are forty times more likely to die from pregnancy related complications than women living in the industrial world. More than 90% of maternal deaths occur in low income countries where others factors may contribute to the presence of severe postpartum haemorrhage. Most deliveries in Nigeria still occur in the homes of traditional birth attendants. Increased community awareness, promotion of appropriate technology, effective health care, planning starting from the grassroots levels to tertiary levels establishment of a streamlined and effective referral system will help reduce maternal mortality from obstetric emergencies reducing maternal morbidity and mortality are among the key international development goals.A TBA also known as traditional midwife (TM) is a primary pregnancy childbirth care provider2. TBAs provide the majority of primary maternity care in developing countries and may function within specific communities in developed countries. They usually learn their trade through apprenticeship, although some may be wholly self-taught. They are not certified or licensed. The focus of their work is usually assisting women during childbirth delivery and in the immediate postpartum period.There are an estimated 4 million neonatal deaths and 500,000 maternal deaths worldwide each year3. The vast majority of these deaths occur in developing countries where 43% of births are attended to by TBAs, the proportion generally being higher in rural areas with the most of these deliveries taking place at home4,5. TBAs are present at most home deliveries and training will avoid harmful delivery and postnatal practices. TBAs can be trained to recognize complications in the mother and newborn and make appropriate referrals, A major factor contributing to perinatal mortality arises from poor cord care6,7,8. Improvement in cord care practices will improve pregnancy outcome. Some of the practices of TBAs are harmful and contributes significantly to maternal and perinatal morbidity and mortality if untrained.Rural dwellers prefer to use the services of TBAs as compared to their urban counterparts. Reasons for the preference include TBAs availability, accessibility, cheap services, and rural dwellers faith in the efficacy of their services9. Moreover, the fear of hospital (caesarean section), family with them, nearness to their locality and
机译：在尼日利亚，仍有很大比例的分娩仍在传统的接生员（TBA）的家中进行。1.最近的研究表明，许多复杂的情况使TBA阻碍了分娩。 TBA在发展中国家很受欢迎。他们缺乏正规的教育或医学培训，并且一些客户最终患有产科并发症，这可能导致严重的孕产妇和围产儿发病率和死亡率。与工业化世界中的妇女相比，发展中世界中的妇女死于与妊娠相关的并发症的可能性要高四十倍。超过90％的孕产妇死亡发生在低收入国家，那里其他因素可能导致严重的产后出血。在尼日利亚，大多数分娩仍发生在传统接生员的家中。增强社区意识，推广适当的技术，有效的卫生保健，从基层到三级的规划，建立精简有效的转诊制度，将有助于降低产科紧急情况下的孕产妇死亡率，降低孕产妇发病率和死亡率是关键的国际发展目标之一。引言在尼日利亚，很大一部分的分娩仍在传统的接生员（TBA）1的家庭中发生。最近的研究表明，TBA阻碍了劳动的许多复杂案例。 TBA在发展中国家很受欢迎。他们缺乏正规的教育或医学培训，并且一些客户最终患有产科并发症，这可能导致严重的孕产妇和围产儿发病率和死亡率。与工业化世界中的妇女相比，发展中世界中的妇女死于与妊娠相关的并发症的可能性要高四十倍。超过90％的孕产妇死亡发生在低收入国家，那里其他因素可能导致严重的产后出血。在尼日利亚，大多数分娩仍发生在传统接生员的家中。增强社区意识，推广适当的技术，有效的卫生保健，从基层到三级的规划，建立精简有效的转诊制度，将有助于降低产科紧急情况下的孕产妇死亡率，降低孕产妇发病率和死亡率是关键的国际发展目标之一.TBA也称为传统助产士（TM）是主要的妊娠分娩护理提供者2。 TBA在发展中国家提供大部分的初级孕产保健，并且可能在发达国家的特定社区内运作。他们通常通过学徒学习贸易，尽管有些人可能完全是自学成才。它们未经认证或许可。他们的工作重点通常是在分娩期间和产后即刻为妇女提供帮助。据估计，全世界每年有400万新生儿死亡，500,000孕产妇死亡3。这些死亡中的绝大多数发生在发展中国家，TBA照管了43％的婴儿，在农村地区这一比例通常更高，其中大多数分娩是在家中进行的4,5。大多数家庭分娩都有待定，而且培训将避免有害的分娩和产后习惯。可以对TBA进行培训，以识别母亲和新生儿的并发症并进行适当的转诊。促成围产儿死亡的主要因素是不良的脐带护理6、7、8。脐带护理方法的改善将改善妊娠结局。如果没有接受过培训，TBA的某些做法是有害的，并且极大地增加了孕产妇和围产期的发病率和死亡率。与城市居民相比，农村居民更喜欢使用TBA的服务。优先考虑的原因包括待定的服务可用性，可访问性，廉价的服务以及农村居民对其服务功效的信心9。而且，害怕住院（剖腹产），与他们同住的家人，与他们所在地的距离和

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