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Publications: viewing all articles about Maternal Health

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Commentary

The role of private providers in maternal health

Agrawal P, Campball O, Prata N

Lancet, 2014

Every day, nearly 800 women die from complications of pregnancy and childbirth. A great many of these deaths are preventable; however, there is no single, straightforward solution. Because identification of every woman who will have a life-threatening complication during pregnancy or childbirth is impossible, saving of women's lives during pregnancy and childbirth needs a systems [...]

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Journal

Training traditional birth attendants on the use of misoprostol and a blood measurement tool to prevent postpartum haemorrhage: lessons learnt from Bangladesh

Bell S, Passano P, Bohl D, Islam A, Prata N

Journal of Health, Population, and Nutrition, 2014

A consensus emerged in the late 1990s among leaders in global maternal health that traditional birth attendants (TBAs) should no longer be trained in delivery skills and should instead be trained as promoters of facility-based care. Many TBAs continue to be trained in places where home deliveries are the norm and the potential impacts of [...]

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Journal

New global guidance supports community and lay health workers in postpartum hemorrhage prevention

Ejembi C, Norick P, Starrs A, Thapa K

International Journal of Gynecology and Obstetrics, 2013

VSI CEO, Pam Norick; Family Care International President, Ann Starrs; and Drs. Clara Ejembi (Ahmadu Bello University, Nigeria) and Kasum Thapa (Jhpiego-Asia Region), published a commentary highlighting new global recommendations and case examples from Nigeria and Nepal that illustrate community engagement and empowerment as critical strategies in successful postpartum hemorrhage (PPH) programming with misoprostol.

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Commentary, Journal

Confronting Maternal Mortality Due to Postpartum Hemorrhage and Unsafe Abortion: A Call for Commitment

Karanja J, Muganyizi P, Rwamushalja E, Sahin-Hodoglugil N, Holm E

African Journal of Reproductive Health, 2013

In this commentary co-authored by VSI and the Regional Experts' Summit Group, 35 ob/gyns and public health experts from 12 countries in Africa call for political commitment to expanding access to misoprostol for its many uses in maternal health.

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Operations Research Projects

Preventing Postpartum Hemorrhage at the Community Level: A Compendium of Operations Research

Prata N, Holston M

2013

VSI in collaboration with local and international partner organizations conducted operations research (OR) across seven countries in Africa and Asia to determine the feasibility, acceptability, and program effectiveness of misoprostol use to prevent postpartum hemorrhage (PPH) at the community level. Developed for policy makers, stakeholders and researchers, the compendium includes an overview of the basic components of the OR model, country program summaries, and cross-cutting results and best practices to contribute to the growing evidence base on the community-level use of misoprostol to prevent PPH.

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Journal

Modeling maternal mortality in Bangladesh: the role of misoprostol in postpartum hemorrhage prevention

Prata N, Bell S, Quaiyum M

BMC Pregnancy and Childbirth, 2014

Background: Bangladesh is one of the few countries that may actually achieve the fifth Millennium Development Goal (MDG) in time, despite skilled birth attendance remaining low. The purpose of this paper is to examine the potential role misoprostol can play in the decline of maternal deaths attributed to postpartum hemorrhage (PPH) in Bangladesh.

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Journal

Is attendant at delivery associated with the use of interventions to prevent postpartum hemorrhage at home births? The case of Bangladesh

Prata N, Bell S, Holston M, Quaiyum M

BMC Pregnancy and Childbirth, 2014

Background: Hemorrhage is the leading cause of maternal mortality in Bangladesh, the majority of which is due to postpartum hemorrhage (PPH), blood loss of 500 mL or more. Many deaths due to PPH occur at home where approximately 77% of births take place. This paper aims to determine whether the attendant at home delivery (i.e. [...]

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Journal

Misoprostol for postpartum hemorrhage prevention at home birth: an integrative review of global implementation experience to date

Smith J, Gubin R, Holston M, Fullerton J, Prata N

BMC Pregnancy and Childbirth, 2013

BACKGROUND: Hemorrhage continues to be a leading cause of maternal death in developing countries. The 2012 World Health Organization guidelines for the prevention and management of postpartum hemorrhage (PPH) recommend oral administration of misoprostol by community health workers (CHWs). However, there are several outstanding questions about distribution of misoprostol for PPH prevention at home births.
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Operations Research Projects

Misoprostol Regimens Pocket Reference for Clinicians: Rwanda

2014

A pocket reference for clinicians, this Misoprostol Regimens Pocket Guide from Rwanda details the dosage and route recommendations for the administraiton of misoprostol use in obstetrics and gynecology.

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Operations Research Projects

Contraceptive Pocket Reference for Clinicians: Rwanda

2014

This Contraceptive Pocket Guide from Rwanda details the contraceptive methods that can be used for postpartum and postabortion care services.

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