| Controlling postpartum hemorrhage after home births in Tanzania. | |
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MedLine Citation:
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PMID: 15919088 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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N Prata; G Mbaruku; M Campbell; M Potts; F Vahidnia |
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Publication Detail:
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Type: Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Volume: 90 ISSN: 0020-7292 ISO Abbreviation: Int J Gynaecol Obstet Publication Date: 2005 Jul |
Date Detail:
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Created Date: 2005-07-04 Completed Date: 2005-12-29 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0210174 Medline TA: Int J Gynaecol Obstet Country: Ireland |
Other Details:
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Languages: eng Pagination: 51-5 Citation Subset: IM |
Affiliation:
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Bixby Population Program, School of Public Health, University of California, Berkeley, 1213 Tolman Hall, Berkeley, CA 94720-1690, USA. ndola@berkeley.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Rectal Adolescent Adult Female Home Childbirth* Humans Infant, Newborn Male Medically Underserved Area Misoprostol / administration & dosage* Oxytocics / administration & dosage* Postpartum Hemorrhage / prevention & control* Pregnancy Referral and Consultation / statistics & numerical data Tanzania Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Oxytocics; 59122-46-2/Misoprostol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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