Despite Accelerated Recent Progress, Millions of Births Occur Annually Without any Assistance from a Skilled Attendant
It also noted the proportion of women giving birth with a skilled attendant
during the same period more than doubled from 23 percent to 55 percent.
(29) Perhaps most important, a growing body of literature demonstrates that the receipt of antenatal care is associated with a woman's decision to deliver with a skilled attendant
, (35-41) which is associated with improved maternal and newborn health outcomes.
Over the same period, the proportion of women who received at least two antenatal care visits increased from 16% to 53%, the proportion who had a skilled attendant
at delivery increased from 14% to 46%, and the proportion who gave birth in a health facility increased from 13% to 39%.
And as Spangler points out, skilled attendance (which was always meant to be more than a person) has been reduced to mean the presence of a skilled attendant
A skilled attendant
is an accredited health professional such as a midwife, doctor, or nurse who has been educated and trained to proficiency in the skills needed to manage normal (uncomplicated) pregnancies, childbirth, and the immediate postnatal period and in the identification and management/referral of complications in women and newborns .
For improving maternal health, the proportion of births attended by a skilled attendant
is 99 per cent and the antenatal care coverage stands at 100 per cent in the Sultanate.
He added that they have a target to achieve to increase skilled attendant
's deliveries up to 80 percent and to make available family planning facilities at every health unit at village level along with presence of midwives keeping in view the population of the area concerned.
Principle Component Analysis (PCA) was used to construct birth preparedness index by using various components suggested by MNH Program of JHPIEGO (identifying skilled attendant
, identifying health institution for delivery and complication, saving money, arranging transportation, identifying blood donor, arranged essentials (clean clothes, delivery kit), arranged food, and other arrangements).
Though not easily predictable, almost all of these complications can be managed successfully in an appropriate setting with a skilled attendant
Finding a skilled attendant
is, we feel, one of the most important aspects of having a safe homebirth.
He said that Punjab was working on community midwifery component and the department was serious in taking this cadre and supporting this cadre to improve skilled attendant