This study evaluated the impact of an intervention that aims to halve maternal mortality caused by primary postpartum haemorrhage within 2 years, nationwide in Niger. Findings suggest that primary postpartum haemorrhage morbidity and mortality declined rapidly nationwide. Because each treatment technology that was used has shown some efficacy when used alone, a strategic combination of these treatments can reasonably attain outcomes of this magnitude. Niger's strategy warrants testing in other low-income and perhaps some middle-income settings.
References
Kellie FJ, Wandabwa JN, Mousa HA, Weeks AD: Mechanical and surgical interventions for treating primary postpartum haemorrhage. Cochrane Database Syst Rev 2020; 7
WHO: WHO recommendation on uterine balloon tamponade for the treatment of postpartum haemorrhage.2021.World Health OrganizationGeneva
Althabe F, Therrien MNS, Pingray V, et. al.: Postpartum hemorrhage care bundles to improve adherence to guidelines: a WHO technical consultation. Int J Gynaecol Obstet 2020; 148: pp. 290-299.
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