ArticleBMC pregnancy and childbirth2012
Helping rural women in Pakistan to prevent postpartum hemorrhage: a quasi experimental study.
Article in BMC pregnancy and childbirth, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Task shifting in active management of the third stage of labor: a systematic review.BMC pregnancy and childbirth · 2018Pooled it
- Barriers or gaps in implementation of misoprostol use for post-abortion care and post-partum hemorrhage prevention in developing countries: a systematic review.Reproductive health · 2017Pooled it
- Influencing factors for prevention of postpartum hemorrhage and early detection of childbearing women at risk in Northern Province of Rwanda: beneficiary and health worker perspectives.BMC pregnancy and childbirth · 2020Article
- "My job is to get pregnant women to the hospital": a qualitative study of the role of traditional birth attendants in the distribution of misoprostol to prevent post-partum haemorrhage in two provinces in Mozambique.Reproductive health · 2018Article
- Mothers employed in paid work and their predictors for home delivery in Pakistan.BMC pregnancy and childbirth · 2018Article
- Misoprostol for the prevention of postpartum hemorrhage during home births in rural Lao PDR: establishing a pilot program for community distribution.International journal of women's health · 2018Article
- An exploration of village-level uterotonic practices in Fenerive-Est, Madagascar.BMC pregnancy and childbirth · 2016Article
- Stakeholder Analysis of Community Distribution of Misoprostol in Lao PDR: A Qualitative Study.PloS one · 2016Article
- Women's health in women's hands: a pilot study assessing the feasibility of providing women with medications to reduce postpartum hemorrhage and sepsis in rural Tanzania.Health care for women international · 2014Article
- Misoprostol for postpartum hemorrhage prevention at home birth: an integrative review of global implementation experience to date.BMC pregnancy and childbirth · 2013Review
- Prevention of postpartum hemorrhage in low-resource settings: current perspectives.International journal of women's health · 2013Review
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAccording to the Pakistan Demographic and Health Survey from 2006-2007, the maternal mortality ratio in rural areas is 319 per 100,000 live births. Postpartum hemorrhage is the leading cause of maternal deaths in Pakistan. The objectives of the study were to document the feasibility of distribution of misoprostol tablets by community-based providers mainly traditional birth attendants and acceptability and use of misoprostol by women who gave birth at home.
methodsA quasi-experimental design, comprising intervention and comparison areas, was used to document the acceptability of providing misoprostol tablets to pregnant women to prevent postpartum hemorrhage in the rural community setting in Pakistan. Data were collected using structured questionnaires administered to women before and after delivery at home and their birth attendants.
resultsOut of 770 women who delivered at home, 678 (88%) ingested misoprostol tablets and 647 (84%) ingested the tablets after the birth of the neonate but prior to the delivery of the placenta. The remaining women took misoprostol tablets after delivery of the placenta. Side effects were experienced by 40% of women and were transitory in nature. Among women who delivered at home, 80% said that they would use misoprostol tablets in the future and 74% were willing to purchase them in the future.
conclusionsSelf-administration of misoprostol in the home setting is feasible. Community-based providers, such as traditional birth attendants and community midwives with proper training and counseling, play an important role in reducing postpartum hemorrhage. Proper counseling and information exchange are helpful for introducing new practices in resource-constrained rural communities. Until such a time that skilled birth attendance is made more universally available in the rural setting, alternative strategies, such as training and using the services of traditional birth attendants to provide safe pregnancy care, must be considered.
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