Delivery practices of traditional birth attendants in Dhaka Slums, Bangladesh

N. Fronczak, S. E. Arifeen, A. C. Moran, L. E. Caulfield, A. H. Baqui

Research output: Contribution to journalArticlepeer-review


This paper describes associations among delivery-location, training of birth attendants, birthing practices, and early postpartum morbidity in women in slum areas of Dhaka, Bangladesh. During November 1993-May 1995, data on delivery-location, training of birth attendants, birthing practices, delivery-related complications, and postpartum morbidity were collected through interviews with 1,506 women, 489 home-based birth attendants, and audits in 20 facilities where the women from this study gave birth. Associations among maternal characteristics, birth practices, delivery-location, and early postpartum morbidity were specifically explored. Self-reported postpartum morbidity was associated with maternal characteristics, delivery-related complications, and some birthing practices. Dais with more experience were more likely to use potentially-harmful birthing practices which increased the risk of postpartum morbidity among women with births at home. Postpartum morbidity did not differ by birth-location. Safe motherhood programmes must develop effective strategies to discourage potentially-harmful home-based delivery practices demonstrated to contribute to morbidity.

Original languageEnglish (US)
Pages (from-to)479-487
Number of pages9
JournalJournal of Health, Population and Nutrition
Issue number4
StatePublished - Dec 2007


  • Bangladesh
  • Birth practices
  • Community studies
  • Delivery
  • Maternal health
  • Postpartum morbidity
  • Prospective studies
  • Traditional birth attendants

ASJC Scopus subject areas

  • Food Science
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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