Evidence map›Paper›PMID 30981470›Full record

ReviewSeminars in perinatology2019

Traditional birth attendants and birth outcomes in low-middle income countries: A review.

Ana Garces, Elizabeth M McClure, Leopoldo Espinoza, Sarah Saleem, Lester Figueroa, Sherri Bucher, Robert L Goldenberg

Open access · bronzeAbstract readReview
In one paragraph

Review in Seminars in perinatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Ana GarcesInstituto de Nutrición de Centro América y Panamá, Guatemala City, Guatemala. Electronic address: agarces@incap.int.
Elizabeth M McClureRTI International, Durham, NC, USA.
Leopoldo EspinozaInstituto de Nutrición de Centro América y Panamá, Guatemala City, Guatemala.
Sarah SaleemDepartment of Community Health Sciences, Aga Khan University, Kararchi, Pakistan.
Lester FigueroaInstituto de Nutrición de Centro América y Panamá, Guatemala City, Guatemala.
Sherri BucherSchool of Medicine, University of Indiana, Indianapolis, IN, USA.
Robert L GoldenbergDepartment of Obstetrics and Gynecology, Columbia University, New York, NY, USA.
Institute of Nutrition of Central America and Panama · GTAga Khan University · PKColumbia University · USIndiana University – Purdue University Indianapolis · USRTI International · US

Funding

Global Network for Women's and Children's Health Research Data Coordinating CenterU24HD092094 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI Elizabeth M McClure · 2017 to 2026
$17.8M
Nutrition-specific interventions to improve long-term maternal-child health outcomesUG1HD076474 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Edwin Jose Asturias, NANCY F KREBS · 2018 to 2026
$5.4M
The Global Network and Preconception Maternal NutritionU10HD076474 · NICHD · UNIVERSITY OF COLORADO DENVER · PI HAMBIDGE, K MICHAEL, KREBS, NANCY F · 2013 to 2017
$5.1M
NICHD NIH HHS U10 HD076474NICHD NIH HHS U24 HD092094NICHD NIH HHS UG1 HD076474
6 · The paper itself

Abstract

Traditional birth attendants (TBAs) provided delivery care throughout the world prior to the development of organized systems of medical care. In 2016, an estimated 22% of pregnant women delivered with a TBA, mostly in rural or remote areas that lacked formal health services. Still active in many regions of LMICs, they provide care, including support and advice, to women during pregnancy and childbirth. Even though they generally have no formal training and are not recognized as medical practitioners, TBAs enjoy a high societal standing and many families seek them as health care providers. They are generally older women who have acquired their skills acting as apprentices of other TBAs or are self-taught. WHO and other international organizations have focused maternal mortality reduction efforts on the availability of skilled birth attendance, which excludes TBAs as providers of care. However, as countries move towards SBA, policy makers need to make the best use of TBAs while simultaneously planning for their replacement with skilled attendants. They often serve as a bridge between the community and the formal health system; once women are inside an institution, TBAs could potentially act as doulas, providing company and making women feel more comfortable in an unknown environment. In this paper, we will review who TBAs are, how many births they attend worldwide worldwide, where they provide delivery care, and finally, their relationships with the formal health care system and the communities they serve.

Indexed as

Rural HealthAdultDelivery, ObstetricDeveloping CountriesFamily CharacteristicsFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHome ChildbirthHumansMidwiferyPregnancyRural PopulationMaternal and neonatal mortalitySkilled birth attendanceTraditional Birth Attendant

Identifiers

PMID30981470
PMCPMC6591059
OpenAlexW2925081735

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.