Why Many Pregnant Women Choose Traditional Birth Attendants and Churches Over Hospitals – Gynaecologists Explain

Gynaecologists have raised concerns over a growing trend where many pregnant women prefer to give birth in the care of Traditional Birth Attendants (TBAs) and religious settings, such as churches, rather than in hospitals. This decision, though common in several regions, has sparked a debate within the medical community.

Reasons for the Shift to TBAs and Churches One of the primary reasons highlighted by experts is the perception of affordability and trust. TBAs and religious leaders often offer a more affordable option compared to hospital deliveries, which can be costly for many expectant mothers. Additionally, some women believe that these settings provide a more personal and spiritual experience during childbirth.

In rural and underserved areas, TBAs have long been trusted figures in the community. They are often seen as compassionate and culturally aligned with the women they serve. Churches, too, provide a sense of spiritual comfort, leading some women to feel more secure in their decision to deliver there.

The Medical Risks Involved While TBAs and churches may offer comfort and affordability, gynaecologists warn of the potential dangers. Many TBAs lack formal medical training and are not equipped to handle complications during childbirth, such as excessive bleeding, breech births, or fetal distress. The absence of emergency medical equipment in churches and traditional settings could result in preventable maternal and infant deaths.

Medical professionals stress the importance of hospital deliveries, where trained personnel can provide the necessary care and respond quickly to emergencies. Proper prenatal care, which is often limited in non-hospital settings, is also critical for detecting potential risks early in the pregnancy.

Bridging the Gap Health experts are calling for better education and outreach to address the concerns of pregnant women who opt for non-hospital deliveries. They emphasize the need to bridge the gap between modern medical care and the trust that women place in TBAs and religious institutions. Some suggest collaboration between hospitals and TBAs to ensure that women receive proper care while honoring their cultural and spiritual preferences.

while the choice to deliver with TBAs or in churches may be deeply personal, gynaecologists urge women to prioritize their safety and that of their babies. Ensuring access to trained healthcare professionals during childbirth remains vital in reducing maternal and infant mortality rates.