An intervention involving traditional birth attendants and perinatal and maternal mortality in Pakistan.
This is a cluster-randomized trial, assessing the effect of trained traditional birth attendants on perinatal and maternal mortality rate. The training of traditional birth attendants lasted three days and involved the use of picture cards containing advice on antepartum, intrapartum and postpartum care, how to conduct a clean delivery, use of the disposable delivery kit when to refer women for emergency obstetrical care and care of the newborn.
The results of this trial indicates that training traditional birth attendants and integrating them into an improved health care system are achievable and effective in reducing perinatal mortality. This model could result in large improvements in perinatal and maternal health in developing countries.