Table 2.
Obstetric care provided by traditional birth attendants from Laikipia and Samburu counties, Kenya (n=171)
| Variable | Overall (n=171)n (%) | Laikipia (n-121)n (%) | Samburu (n=50)n (%) | p value |
|---|---|---|---|---|
| ANTENATAL CARE | ||||
| Normally has antenatal contact with women before delivery | 156 (91.2) | 111 (91.7) | 45 (90.0) | 0.72 |
| Ever advised a woman to attend a health facility for antenatal check-up | 164 (95.9) | 115 (95.0) | 49 (98.0) | 0.38 |
| DELIVERY CARE | ||||
| Washed hands before assisting with delivery (last time recall) | 159 (93.0) | 109 (90.1) | 50 (100) | 0.019+ |
| Wore hand protection while assisting with delivery (last time recall) | 72 (42.1) | 39 (32.2) | 33 (66.0) | <0.001+++ |
| Washed hands before cutting cord (last time recall) | 137 (80.1) | 89 (73.6) | 48 (96.0) | 0.001++ |
| Ever put hands inside vagina during labour | 11 (6.4) | 3 (2.5) | 8 (16.0) | 0.001++ |
| Normally pulls on umbilical cord to remove placenta after delivery | 6 (3.5) | 3 (2.5) | 3 (6.0) | 0.26 |
| How soon after delivery cord is cut | ||||
| Immediately | 168 (98.2) | 119 (98.3) | 49 (98.0) | 0.88 |
| Before placenta is delivered | 2 (1.2) | 1 (0.8) | 1 (2.0) | |
| After placenta is delivered | 1 (0.6) | 1 (0.8) | 0 (0.0) | |
| Tool normally used for cutting cord | ||||
| New/unused razor blade | 153 (89.5) | 105 (86.8) | 48 (96.0) | 0.08 |
| Other (e.g. used razor, knife & scissors) | 18 (10.5) | 16 (13.2) | 2 (4.0) | |
| Usually anoints the cord stump | 72 (42.1) | 54 (44.6) | 18 (36.0) | 0.30 |
| POSTNATAL CARE | ||||
| Recommends baby be put to the breast immediately after birth | 159 (93.0) | 113 (93.4) | 46 (92.0) | 0.75 |
| Normally advises exclusive breastfeeding | 165 (97.1) | 116 (96.7) | 49 (98.0) | 0.64 |
| Recommends baby be given supplemental feeds in first few weeks of life | 32 (18.7) | 25 (20.7) | 7 (14.0) | 0.31 |
| EXPERIENCE WITH OBSTERIC COMPLICATIONS | ||||
| Has previously seen post-partum haemorrhage (PPH) | 162 (94.7) | 114 (94.2) | 48 (96.0) | 0.64 |
| Has previously seen obstructed labour | 162 (94.7) | 112 (92.6) | 50 (100) | 0.048+ |
| Time TBAs would wait before referring woman with obstructed labour (among those who would refer; n=167) | ||||
| <24 hours | 36 (21.6) | 27 (23.1) | 9 (18) | 0.16 |
| 24-47 hours | 69 (41.3) | 51 (43.6) | 18 (36) | |
| ≥48 hours | 62 (37.1) | 39 (33.3) | 23 (46) | |
| Has previously seen maternal sepsis | 160 (93.6) | 110 (90.9) | 50 (100) | 0.028+ |
| Has previously seen birth asphyxia | 141 (82.5) | 97 (80.2) | 44 (88.0) | 0.22 |
+
= <0.05
++
= <0.01
+++
= <0.001