N Prata1, G Mbaruku, M Campbell, M Potts, F Vahidnia. 1. Bixby Population Program, School of Public Health, University of California, Berkeley, 1213 Tolman Hall, Berkeley, CA 94720-1690, USA. ndola@berkeley.edu
Abstract
OBJECTIVES: Determine safety of household management of postpartum hemorrhage (PPH) with 1000 microg of rectal misoprostol, and assess possible reduction in referrals and the need for additional interventions. METHODS: Traditional birth attendants (TBAs) in Kigoma, Tanzania were trained to recognize PPH (500 ml of blood loss). Blood loss measurement was standardized by using a local garment, the "kanga". TBAs in the intervention area gave 1000 microg of misoprostol rectally when PPH occurred. Those in the non-intervention area referred the women to the nearest facility. RESULTS: 454 women in the intervention and 395 in the non-intervention areas were eligible. 111 in the intervention area and 73 in the non-intervention had PPH. Fewer than 2% of the PPH women in the intervention area were referred, compared with 19% in the non-intervention. CONCLUSION: Misoprostol is a low cost, easy to use technology that can control PPH even without a medically trained attendant.
OBJECTIVES: Determine safety of household management of postpartum hemorrhage (PPH) with 1000 microg of rectal misoprostol, and assess possible reduction in referrals and the need for additional interventions. METHODS: Traditional birth attendants (TBAs) in Kigoma, Tanzania were trained to recognize PPH (500 ml of blood loss). Blood loss measurement was standardized by using a local garment, the "kanga". TBAs in the intervention area gave 1000 microg of misoprostol rectally when PPH occurred. Those in the non-intervention area referred the women to the nearest facility. RESULTS: 454 women in the intervention and 395 in the non-intervention areas were eligible. 111 in the intervention area and 73 in the non-intervention had PPH. Fewer than 2% of the PPH women in the intervention area were referred, compared with 19% in the non-intervention. CONCLUSION:Misoprostol is a low cost, easy to use technology that can control PPH even without a medically trained attendant.
Authors: Janet Turan; Oladosu Ojengbede; Mohamed Fathalla; Mohammed Mourad-Youssif; Imran O Morhason-Bello; David Nsima; Jessica Morris; Elizabeth Butrick; Hilarie Martin; Carol Camlin; Suellen Miller Journal: J Womens Health (Larchmt) Date: 2010-12-29 Impact factor: 2.681
Authors: Jared Tomlinson; Bryce Haac; Clement Kadyaudzu; Jonathan C Samuel; Emilia L P Campbell; Clara N Lee; Anthony G Charles Journal: Trop Doct Date: 2013-03-14 Impact factor: 0.731