Format

Send to

Choose Destination
See comment in PubMed Commons below
Int J Gynaecol Obstet. 2010 Mar;108(3):282-8. doi: 10.1016/j.ijgo.2009.11.006. Epub 2010 Jan 19.

Expanding uterotonic protection following childbirth through community-based distribution of misoprostol: operations research study in Nepal.

Author information

  • 1Options/Cambodia.

Abstract

OBJECTIVE:

To determine feasibility of community-based distribution of misoprostol for preventing postpartum hemorrhage (PPH) to pregnant woman through community volunteers working under government health services.

METHODS:

Implemented in one district in Nepal. The primary measure of performance was uterotonic protection after childbirth, measured using pre- and postintervention surveys (28 clusters, each with 30 households). Maternal deaths were ascertained through systematic health facility and community-based surveillance; causes of death were assigned based on verbal autopsy.

RESULTS:

Of 840 postintervention survey respondents, 73.2% received misoprostol. The standardized proportion of vaginal deliveries protected by a uterotonic rose from 11.6% to 74.2%. Those experiencing the largest gains were the poor, the illiterate, and those living in remote areas.

CONCLUSION:

Community-based distribution of misoprostol for PPH prevention can be successfully implemented under government health services in a low-resource, geographically challenging setting, resulting in much increased population-level protection against PPH, with particularly large gains among the disadvantaged.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk