Misoprostol for postpartum hemorrhage prevention at home birth: an integrative review of global implementation experience to date

• Published in: BMC pregnancy and childbirth Vol. 13; no. 1; p. 44
• Main Authors: Smith, Jeffrey Michael, Gubin, Rehana, Holston, Martine M, Fullerton, Judith, Prata, Ndola
• Format: Journal Article
• Language: English
• Published: England BioMed Central 20.02.2013; BioMed Central Ltd
• Subjects: Births; Childbirth & labor; Community Health Workers - education; Developing Countries; Drugs; Education; Female; Guidelines; Health facilities; Home Childbirth - methods; Humans; Maternal & child health; Maternal Mortality; Midwifery - education; Misoprostol - administration & dosage; Misoprostol - adverse effects; Misoprostol - supply & distribution; Mortality; Oxytocics - administration & dosage; Oxytocics - adverse effects; Oxytocics - supply & distribution; Perception; Postpartum Hemorrhage - epidemiology; Postpartum Hemorrhage - prevention & control; Practice Guidelines as Topic; Pregnancy; Prevention; Public health; Reviews; Self Administration; Side effects; Studies; Womens health; World Health Organization; Asia; Afghanistan; Bangladesh; Mozambique; Pakistan; Tanzania; Ghana; Zambia; Kenya; Nigeria; Nepal; Indonesia

Hemorrhage continues to be a leading cause of maternal death in developing countries. The 2012 World Health Organization guidelines for the prevention and management of postpartum hemorrhage (PPH) recommend oral administration of misoprostol by community health workers (CHWs). However, there are sev...