Document Detail

Referrals by traditional birth attendants in northeast Brazil.
MedLine Citation:
PMID:  4003649     Owner:  NLM     Status:  MEDLINE    
Between October 1980 and July 1981, 1,878 women were attended by traditional birth attendants (TBAs) at four obstetric units in rural areas surrounding the city of Fortaleza in Northeast Brazil. Of these women, 232 (12.4 per cent) were referred to a hospital in Fortaleza for delivery. The most important indicators for referral to hospital were: presence of an antenatal problem, complication of labor, or malpresentation. Based on record review, 65 referred women with none of these conditions were classified as low risk and 42 women not referred were classified as high risk (at least one such condition present). Of 1,878 deliveries, 32 (17 per 1,000) terminated as fetal deaths, and 12 infants died before discharge from hospital or obstetric unit (six per 1,000). The death rate was much higher for the high-risk cases (156 per 1,000 referrals, 95 for nonreferrals). Although some women may have been inappropriately referred while others who should have been were not referred, the system of referral has allowed TBAs to attend uncomplicated deliveries and to refer women with complications.
B Janowitz; S Wallace; G Araujo; L Araujo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of public health     Volume:  75     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  1985 Jul 
Date Detail:
Created Date:  1985-07-24     Completed Date:  1985-07-24     Revised Date:  2008-11-20    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  745-8     Citation Subset:  AIM; IM; J    
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MeSH Terms
Apgar Score
Educational Status
Epidemiologic Methods
Fetal Death / epidemiology
Fetal Distress / epidemiology
Infant Mortality
Infant, Newborn
Obstetric Labor Complications / epidemiology*
Outcome and Process Assessment (Health Care)
Referral and Consultation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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