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Correspondence
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Volume 353:1417-1418 September 29, 2005 Number 13
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An Intervention Involving Traditional Birth Attendants in Pakistan

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 by Jokhio, A. H.
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To the Editor: The findings reported by Jokhio et al. (May 19 issue)1 are encouraging in that the intervention involving traditional birth attendants significantly reduced perinatal mortality. Disappointingly, however, it had no significant effect on maternal mortality. Some data suggest that traditional birth attendants may be counterproductive in reducing maternal mortality.2 In the developing world, 440 of 100,000 births result in maternal death, as compared with 12 of 100,000 in the developed world.3 To achieve any significant reduction in maternal mortality in the developing world, it may be necessary to phase out the involvement of traditional birth attendants and move . . . [Full Text of this Article]




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