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Letters Traditional birth attendants

Author’s reply to Gill and colleagues

BMJ 2011; 343 doi: (Published 19 July 2011) Cite this as: BMJ 2011;343:d4477
  1. Kelsey A Harrison, emeritus professor of obstetrics and gynaecology, University of Port Harcourt, Nigeria1
  1. 1Tuusula, Finland
  1. kelseyharrison50{at}

It has been known since the 1970s that training of traditional birth attendants when supported by effective healthcare delivery can help with some neonatal problems.1 Cochrane reviews, regarded as the best evidence available, support this.

However, the main thrust of my article related to the high rates of maternal mortality and obstetric fistulas in sub-Saharan Africa.2 …

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