Characteristics and utilization of midwives in a selected rural area of East Pakistan

Summary The purpose of this study was to obtain information about the utilization of midwives (dais) by village women and to learn more about the characteristics and practices of those dais. Two interview schedules were prepared. The first was used to interview 632 village women to determine who performed or assisted with their last two deliveries. The second was used to obtain information from 21 dais. The results of the first phase may be summarized as follows: (a) 38 per cent of the women were delivered by relatives; (b) 33 per cent of the women delivered their own children; (c) 14 per cent were delivered by neighbors; (d) 6 per cent were delivered by dais; (e) 2 percent were delivered in hospitals; and (f) the remaining 7 per cent were accounted for by several minor categories. The results of the interviews with dais are summarized as follows: (a) they are mainly widows and older women; (b) they have no formal training; (c) they work for friends, neighbors, and relatives and receive a sari as compensation; (d) they cannot handle complicated deliveries; (e) they deliver 3-4 children a year; (f) their sterilizing procedures depend upon soap, water, and folk beliefs; (g) most think midwifery is a worthwhile service; (h) about one-half have a general understanding of the reproduction process; (i) most do not know how to prevent conception; and (j) about half think that it is a good idea to participate actively in a family planning program.