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Childbirth practices in Nepal:A review of models for reducing adverse outcomes

Kiran Regmi, MD, MSc, MA, PhD, Center for Popolation and Development, Harvard Universty, 9 Bow Street, Cambridge, MA 02138, 917 459 6381, kregmi@hsph.harvard.edu

One of the greatest health challenges faced by a developing nation like Nepal is the high death rate associated with childbirth, ranking it among the highest in the world. This article re-examines the birthing process in Nepal in its cultural context in order to look for alternative models of birthing which might provide greater access to suitable care, and to reduce adverse outcomes for women and children. The dichotomy between “traditional birthing” and modern medical obstetric care contributes to women's alienation from seeking care. This dichotomy prevents technical and cultural exchanges between traditional birthing attendants and medical staff. We propose alternative models for care which harmonize traditional and modern clinical approaches and enfranchise women with safer and more acceptable outcomes.

Learning Objectives:

Keywords: Community Health Centers, Family Involvement

Presenting author's disclosure statement:

Not Answered

Innovations in Maternity Health Services/Policy and Financing Poster

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA