Featured Review: What factors influence the provision of care by skilled birth attendants in low- and middle-income countries?

New Cochrane evidence synthesis highlights the many factors that influence the care provided by skilled birth attendantsIn low- and middle-income countries, many mothers still die during childbirth. Women are encouraged to give birth in health facilities rather than at home so they can receive care from skilled birth attendants. A skilled birth attendant is a health worker such as a midwife, doctor, or nurse who is trained to manage a normal pregnancy and childbirth, and refer the mother and newborn when complications arise.A team of Cochrane authors based in Norway, South Africa,and Uganda worked withCochrane Effective Practice and Organization of Care to identify factors that can influence skilled birth attendant ’s ability to provide quality maternity care. 31 qualitative studies conducted in Africa, Asia, and Latin America were included that explored the views, experiences, andbehaviours of skilled birth attendants. Participants were skilled birth attendants including doctors, midwives, nurses, auxiliary nurses and their managers. The search covered studies published before November 2016This Cochrane evidence synthesis found that many factors influence the care that skilled birth attendants can provide to mothers during childbirth. Factors include access to training and supervision; staff numbers and workloads; salaries and living conditions; and access to well-equipped,well-organisedhealthcare facilities with water, electricity, and transport. Other factors that may pl...
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