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Advance distribution of misoprostol for the prevention of postpartum hemorrhage in South Sudan

Journal Article
(Published July, 2014)
Smith, Jeffrey M. (Author),
Currie, Sheena (Author),
Luka, Edward Eremugo (Author),
Orero, Solomon (Author),
Mungia, Jaime (Author),
McKaig, Catherine (Author),
Dimiti, Alexander (Author),
Dwivedi, Vikas (Author),
Ochieng, Isabella (Author),
Dalaka, Maryrose (Author),
Rumunu, John (Author)
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To determine if high uterotonic coverage can be achieved in South Sudan through a facility- and community-focused postpartum hemorrhage (PPH) prevention program, 533 home births and 394 facility-based births were reported with misoprostol distributed in advance to 787 (84.9%) pregnant women, of whom 652 (82.8%) received the drug during home visits. Among the women who delivered at home, 527 (98.9%) reported taking misoprostol. A uterotonic for PPH prevention was provided at 342 (86.8%) facility-based deliveries. Total uterotonic coverage was 93.7%. No adverse events were reported. High coverage of uterotonic use in a low-resource and postconflict settings with few skilled birth attendants through combined AMTSL at facilities and home visits was key to achieving high coverage of misoprostol use.

Citation: 
Smith JM, Dimiti A, Dwivedi V, Ochieng I, Dalaka M, Currie S, et al. Advance distribution of misoprostol for the prevention of postpartum hemorrhage in South Sudan. Int J Gynaecol Obstet. July 9, 2014. doi: 10.1016/j.ijgo.2014.05.016