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

Journal Article
(Published April, 2014)
Smith, Jeffrey M. (Author),
Subah, Marion (Author),
Sirtor-Gbassie, Varwo (Author),
Ishola, Gbenga (Author),
Dwivedi, Vikas (Author),
Dahn Baawo, Saye (Author),
Howe, Cuallau Jabbeh (Author),
Tehoungue, Bentoe Z (Author)
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Article explores program effectiveness at achieving high uterotonic coverage of all births. Coverage of home births was low with ANC reaching greater % women in late pregnancy than home visits. 46.3% of expected deliveries did not receive education or advance distribution of misoprostol. Revised community-based strategy needed to increase advance distribution misoprostol coverage for home births since 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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Smith JM, Baawo SD, Subah M, Sirtor-Gbassie V, Howe CJ, Ishola G, et al. Advance distribution of misoprostol for prevention of postpartum hemorrhage (PPH) at home births in two districts of Liberia. FY14 BMC Pregnancy Childbirth. 2014;14(1):189