New hope
Community-based misoprostol use to prevent postpartum haemorrhage
Bibliographic Data
| ID | 11490809 |
|---|---|
| Authors | Ndola Prata (0000-0002-5913-0737, University of California, Berkeley), Paige Passano (University of California, San Francisco), Suzanne O Bell (0000-0002-7650-5940, University of California, San Francisco), S BELL, T Rowen, Tami S Rowen (University of California, San Francisco), Malcolm Potts (University of California, San Francisco) |
| Year | 2013 |
| Volume | 28 |
| Issue | 4 |
| Pages | 339-346 |
| Publication date | 2013-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czs068 |
| PMID | 22879523 |
| OpenAlex | W2133836464 |
| Language | EN |
| Citations received | 5 |
| References cited | 37 |
The wide gap in maternal mortality ratios worldwide indicates major inequities in the levels of risk women face during pregnancy. Two priority strategies have emerged among safe motherhood advocates: increasing the quality of emergency obstetric care facilities and deploying skilled birth attendants. The training of traditional birth attendants, a strategy employed in the 1970s and 1980s, is no longer considered a best practice. However, inadequate access to emergency obstetric care and skilled birth attendants means women living in remote areas continue to die in large numbers from preventable maternal causes. This paper outlines an intervention to address the leading direct cause of maternal mortality, postpartum haemorrhage. The potential for saving maternal lives might increase if community-based birth attendants, women themselves, or other community members could be trained to use misoprostol to prevent postpartum haemorrhage. The growing body of evidence regarding the safety and efficacy of misoprostol for this indication raises the question: if achievement of the fifth Millennium Development Goal is truly a priority, why can policy makers and women's health advocates not see that misoprostol distribution at the community level might have life-saving benefits that outweigh risks?
Abortion · Birth attendant · Childbirth · Economic growth · Environmental health · Health care · Health services · Intervention (counseling) · Maternal death · Maternal health · Maternity care · Misoprostol · Obstetrics · Population · Postpartum haemorrhage · Pregnancy · Global Maternal and Child Health · Maternal and fetal healthcare · Maternal and Perinatal Health Interventions · Medicine · Nursing
Maternal mortality for 181 countries, 1980–2008
Going to scale with professional skilled care
Maternal mortality
Training traditional birth attendants in clean delivery does not prevent postpartum infection
Competing Knowledge Claims in the Provision of Antenatal Care
Community case management in Nicaragua
The Safe Motherhood Initiative
| Unique citing works | 5 |
|---|---|
| Citations per year | 0,45 |
| Citation span | 2015 - 2024 (10) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 5 |