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Advance distribution of misoprostol for prevention of postpartum hemorrhage (PPH) at home births in two districts of Liberia.

Authors
  • Smith, Jeffrey Michael
  • Baawo, Saye Dahn
  • Subah, Marion
  • Sirtor-Gbassie, Varwo
  • Howe, Cuallau Jabbeh
  • Ishola, Gbenga
  • Tehoungue, Bentoe Z
  • Dwivedi, Vikas
Type
Published Article
Journal
BMC Pregnancy and Childbirth
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Jan 01, 2014
Volume
14
Pages
189–189
Identifiers
DOI: 10.1186/1471-2393-14-189
PMID: 24894566
Source
Medline
License
Unknown

Abstract

The program was moderately effective at achieving high uterotonic coverage of all births. Coverage of home births was low despite the use of two channels of advance distribution of misoprostol. Although ANC reached a greater proportion of women in late pregnancy than home visits, 46.3% of expected deliveries did not receive education or advance distribution of misoprostol. A revised community-based strategy is needed to increase advance distribution rates and misoprostol coverage rates for home births. Misoprostol for PPH prevention appears acceptable to women in Liberia. Correct timing of misoprostol self-administration needs improved emphasis during counseling and education.

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