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Best Pract Res Clin Obstet Gynaecol. 2008 Dec;22(6):1013-23. doi: 10.1016/j.bpobgyn.2008.08.002. Epub 2008 Oct 10.

Management of post-partum hemorrhage in low-income countries.

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Secretariat of His Highness the Aga Khan, Gouvieux, France.


The provision of safe and effective delivery care for all women in poor countries remains elusive, resulting in a continuing burden of mortality in general and mortality from post-partum haemorrhage in particular. Deployment of a functional health system and effective linkage of the health system to communities are the necessary prerequisites for the provision of the life-saving technical interventions that will make a difference in individual cases. Sadly, two factors militate against progress: the mantra that 'we know what works' (resulting in some serious gaps in evidence for best practice in resource-poor settings) and a lack of large-scale investment in maternity services to counteract the degradation of infrastructure and depletion of human resources evident in many countries.

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