Sunday, August 16, 2009

do indigenous midwives increase maternal mortality rate?

It's well known that maternal mortality rate is a very-very hard to minimize. There are so many thing can cause maternal mortality rate. anemia that cause bleeding, infections, ecclamsia, hunger,..and all things around.
As the traditional medicare, indigenous midwives has got their training and kit so they can work better than as if without training. But it happen years ago. Now, Indonesia has bidan as if we can asump they will work better because they got the formal studies. It is hopeful that bidan will substitute indigenous midwives's place to help woman in labour.
But, until now there's some mother in their pregnancy still choose indigenous midwives to help them in labour. familiar, close, cheap, culture are between the reasons why.
Now, the amount of labour helped by indigenous midwives is decrease, amount of labour helped by bidan is increase. But why maternal mortality rate still high?
From my thesis titled: "Traditional Medicare Indigenous Midwives: Regulation and Society Need Related with Maternal Mortality Rate in Grobogan Sub-Province" shows that Indigenous midwives work not increase mortality rate. From data I've got, there are big amount of labour helped by bidan doesn't mean mortality rate decrease.
So,...it is a big-big homework for us. include you and me to solve this problems.