Effect on postpartum hemorrhage of prophylactic oxytocin (10 IU) by injection by community health officers in Ghana: a community-based, cluster-randomized trial.

Autor: Cynthia K Stanton, Samuel Newton, Luke C Mullany, Patience Cofie, Charlotte Tawiah Agyemang, Edward Adiibokah, Seeba Amenga-Etego, Niamh Darcy, Sadaf Khan, Deborah Armbruster, John Gyapong, Seth Owusu-Agyei
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: PLoS Medicine, Vol 10, Iss 10, p e1001524 (2013)
Druh dokumentu: article
ISSN: 1549-1277
1549-1676
DOI: 10.1371/journal.pmed.1001524
Popis: BACKGROUND: Oxytocin (10 IU) is the drug of choice for prevention of postpartum hemorrhage (PPH). Its use has generally been restricted to medically trained staff in health facilities. We assessed the effectiveness, safety, and feasibility of PPH prevention using oxytocin injected by peripheral health care providers without midwifery skills at home births. METHODS AND FINDINGS: This community-based, cluster-randomized trial was conducted in four rural districts in Ghana. We randomly allocated 54 community health officers (stratified on district and catchment area distance to a health facility: ≥10 km versus
Databáze: Directory of Open Access Journals