Maternal and neonatal mortality, pregnancy and birth problems Pregnancy and Childbirth
Conditions
Interventions
The concern is the real-life effect of supporting authentic traditional midwives and fostering intercultural dialogue through a group of intercultural brokers in four indigenous groups of four municip
Sponsors
University of Guerrero
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Authentic traditional midwives identified by the community 2. All women in the baseline sample clusters who give birth or become pregnant during the trial period 3. All adult family members of the above 4. All families of the baseline sample communities where pregnancies or births occur during the trial period 5. Twenty intercultural brokers certified by the University of Guerrero
Exclusion criteria
Exclusion criteria: Does not meet inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The 2017 follow-up survey will measure the following indicators from the 2015 baseline survey among women who gave birth during the past year: 1. Maternal deaths 2. Neonatal deaths 3. Number of times women seen by midwife during pregnancy 4. Proportion of births at home attended by midwives 5. Frequency of recourse to midwife in case of pregnancy complications 6. Frequency of recourse to midwife in case of complications with newborns 7. Proportion of women intending to have future births at home 8. Infection postpartum 9. Cost of birthing 10. Among women who gave birth in health institutions, questions about their treatment including birth position, availability of translators, presence of family members at birth, presence of midwife at birth, bathing in cold water, treatment of the placenta, retention of amulets and how respectful they considered their treatment to have been | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes will also be measured in the 2017 follow-up survey: 1. From a survey of women who gave birth in previous year: 1.1. Prevalence of violent acts toward pregnant women 1.2. Proportion of births without external assistance 2. From survey of husbands, mothers and mothers-in-law: 2.1. Opinion as to whom the woman should consult first when she learns she is pregnant 2.2. Opinion as to who should attend the woman first if she has complications during pregnancy 2.3. Opinion as to who should decide whether to take the woman to the hospital if there are complications during childbirth 2.4. Perception of neighbours' preferences as to who should provide antenatal care 2.5. Perception of neighbours' preferences as to home vs institutional birth A mid-course evaluation using the technique of Most Significant Change with local stakeholders will inform about additional secondary outcomes regarding maternal health and cultural safety. | — |
Countries
Canada, Colombia, Mexico
Contacts
Public ContactIvan Sarmiento
Outcome results
None listed