Until the 1960s Thailand had maternal mortality levels well above 400 per 100 000 births, the equivalent of those in the United Kingdom in 1900 or the USA in 1939. During the 1960s traditional birth attendants were gradually substituted by certified village midwives, 7191 of whom were newly registered within a 10 year period: mortality came down to between 200 and 250 per 100 000 births. During the 1970s the registration of midwives was stepped up with 18 314 new registrations.
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