Traditional birth attendant

Traditional birth attendant (TBA), also known as a traditional midwife, community midwife or lay midwife, is a pregnancy and childbirth care provider. TBAs provide the majority of primary maternity care in many developing countries and may function within specific communities in developed countries.

History

The role of the Traditional birth attendant has been a part of human societies for centuries. The knowledge and skills of childbirth were passed down from generation to generation, often through an apprenticeship model. This practice continues in many cultures around the world, particularly in rural and remote areas.

Role and Responsibilities

Traditional birth attendants play a crucial role in communities where access to healthcare facilities and professional healthcare providers is limited. They provide prenatal care, assist in the delivery of babies, and offer postnatal care to both the mother and the newborn. Their responsibilities may also include providing advice on nutrition, hygiene, and breastfeeding.

Training

Training for traditional birth attendants varies widely. In some cultures, the role is passed down through families, while in others, TBAs may receive formal training from health organizations or government agencies. The World Health Organization (WHO) has developed guidelines for the training of TBAs, which include basic obstetric care, recognition of complications, and referral to higher levels of care when necessary.

Challenges and Controversies

While TBAs play a vital role in many communities, there are ongoing debates about their role in modern healthcare. Some argue that TBAs lack the formal training and resources to manage complications during childbirth, which can lead to high rates of maternal and neonatal mortality. Others argue that TBAs provide essential, culturally appropriate care in communities where other options are not available or acceptable.

See Also

• Midwifery
• Maternal health
• Childbirth
• World Health Organization

References

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