Skip Navigation LinksHome > June 2009 - Volume 52 - Issue 2 > Challenges in Managing Postpartum Hemorrhage in Resource-poo...
Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e3181a4f737
Obstetric Practice in the Third World

Challenges in Managing Postpartum Hemorrhage in Resource-poor Countries

KAROSHI, MAHANTESH MD, MRCOG*; KEITH, LOUIS MD, PhD, ScD (Hon)

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Abstract

Managing postpartum hemorrhage depends in part on having a prepared mind, a complement of trained coworkers, and full access to modern therapies. The last 2 components are rare in resource-poor areas and their absence may be accentuated by climatic instability and lack of basic transportation. Greater use of the active management of third stage of labor and administration of misoprostol by nontrained birth attendants will provide beneficial reductions in hemorrhage rates in resource-poor areas. Additional improvements depend on increasing public awareness, facilitating existing nongovernmental organizations in their community-related, upgrading training of traditional birth attendants, and providing cell phone communication to workers in remote areas, in addition to providing better access to blood.

© 2009 Lippincott Williams & Wilkins, Inc.

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