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- Title
The worldwide burden of postpartum haemorrhage: Policy development where inaction is lethal.
- Authors
Potts, Malcolm; Hemmerling, Anke
- Abstract
Most maternal deaths occur to women who are not attended by trained health professionals. Postpartum hemorrhage is the single most common cause of maternal death. The delivery of large haemochorial placenta in our species predisposes to heavy bleeding and can be dealt with only by using effective uterotonics. The 1987 Safe Motherhood Initiative has failed to reduce maternal mortality significantly, and shortages of trained personnel will not be remedied in the foreseeable future. Bold new policies are imperative and need to be derived from an appropriate evidence base. It is suggested that these should include the low-cost shock garments in primary health facilities and making misoprostol easily accessible in both the public and private sector.
- Subjects
HEMORRHAGE prevention; PUERPERAL disorders; MATERNAL mortality; MEDICAL personnel; HEALTH policy
- Publication
International Journal of Gynecology & Obstetrics, 2006, Vol 95, pS116
- ISSN
0020-7292
- Publication type
Article
- DOI
10.1016/S0020-7292(06)60003-9