Feasibility and acceptability of clean birth kits containing misoprostol for self-administration to prevent postpartum hemorrhage in rural Papua New Guinea

Vallely, LM; Homiehombo, P; Walep, E; Moses, M; Tom, M; Kelly-Hanku, A; Vallely, A; Nataraye, E; Ninnes, C; Mola, GD; Morgan, C; Kaldor, JM; Wand, H; Whittaker, A; Homer, CSE

Feasibility and acceptability of clean birth kits containing misoprostol for self-administration to prevent postpartum hemorrhage in rural Papua New Guinea

Vallely, LM Homiehombo, P Walep, E Moses, M Tom, M Kelly-Hanku, A Vallely, A Nataraye, E Ninnes, C Mola, GD Morgan, C Kaldor, JM Wand, H Whittaker, A Homer, CSE

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Publication Type:: Journal Article
Citation:: International Journal of Gynecology and Obstetrics, 2016, 133 (3), pp. 301 - 306
Issue Date:: 2016-06-01

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Field	Value	Language
dc.contributor.author	Vallely, LM	en_US
dc.contributor.author	Homiehombo, P	en_US
dc.contributor.author	Walep, E	en_US
dc.contributor.author	Moses, M	en_US
dc.contributor.author	Tom, M	en_US
dc.contributor.author	Kelly-Hanku, A	en_US
dc.contributor.author	Vallely, A	en_US
dc.contributor.author	Nataraye, E	en_US
dc.contributor.author	Ninnes, C	en_US
dc.contributor.author	Mola, GD	en_US
dc.contributor.author	Morgan, C	en_US
dc.contributor.author	Kaldor, JM	en_US
dc.contributor.author	Wand, H	en_US
dc.contributor.author	Whittaker, A	en_US
dc.contributor.author	Homer, CSE https://orcid.org/0000-0002-7454-3011	en_US
dc.date.available	2020-05-25T19:05:28Z
dc.date.issued	2016-06-01	en_US
dc.identifier.citation	International Journal of Gynecology and Obstetrics, 2016, 133 (3), pp. 301 - 306	en_US
dc.identifier.issn	0020-7292	en_US
dc.identifier.uri	http://hdl.handle.net/10453/43282
dc.description.abstract	© 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. Objective To determine the feasibility and acceptability of providing clean birth kits (CBKs) containing misoprostol for self-administration in a rural setting in Papua New Guinea. Methods A prospective intervention study was conducted between April 8, 2013, and October 24, 2014. Eligible participants were women in the third trimester of pregnancy who attended a prenatal clinic in Unggai Bena. Participants received individual instruction and were then given a CBK containing 600 μg misoprostol tablets for self-administration following an unsupervised birth if they could demonstrate their understanding of correct use of items in the CBK. Data regarding the use and acceptability of the CBK and misoprostol were collected during postpartum follow-up. Results Among 200 participants, 106 (53.0%) had an unsupervised birth, and 99 (93.4%) of these women used the CBK. All would use the CBK again and would recommend it to others. Among these 99 women, misoprostol was self-administered by 98 (99.0%), all of whom would take the drug again and would recommend it to others. Conclusion The findings strengthen the case for community-based use of misoprostol to prevent postpartum hemorrhage in remote communities. Large-scale interventions should be planned to further evaluate impact and acceptability.	en_US
dc.relation.ispartof	International Journal of Gynecology and Obstetrics	en_US
dc.relation.isbasedon	10.1016/j.ijgo.2015.10.018	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Postpartum Hemorrhage	en_US
dc.subject.mesh	Oxytocics	en_US
dc.subject.mesh	Misoprostol	en_US
dc.subject.mesh	Self Administration	en_US
dc.subject.mesh	Home Childbirth	en_US
dc.subject.mesh	Prospective Studies	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Rural Population	en_US
dc.subject.mesh	Papua New Guinea	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Practice Guidelines as Topic	en_US
dc.subject.mesh	Young Adult	en_US
dc.title	Feasibility and acceptability of clean birth kits containing misoprostol for self-administration to prevent postpartum hemorrhage in rural Papua New Guinea	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	133	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	open_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	133	en_US

Abstract:

© 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. Objective To determine the feasibility and acceptability of providing clean birth kits (CBKs) containing misoprostol for self-administration in a rural setting in Papua New Guinea. Methods A prospective intervention study was conducted between April 8, 2013, and October 24, 2014. Eligible participants were women in the third trimester of pregnancy who attended a prenatal clinic in Unggai Bena. Participants received individual instruction and were then given a CBK containing 600 μg misoprostol tablets for self-administration following an unsupervised birth if they could demonstrate their understanding of correct use of items in the CBK. Data regarding the use and acceptability of the CBK and misoprostol were collected during postpartum follow-up. Results Among 200 participants, 106 (53.0%) had an unsupervised birth, and 99 (93.4%) of these women used the CBK. All would use the CBK again and would recommend it to others. Among these 99 women, misoprostol was self-administered by 98 (99.0%), all of whom would take the drug again and would recommend it to others. Conclusion The findings strengthen the case for community-based use of misoprostol to prevent postpartum hemorrhage in remote communities. Large-scale interventions should be planned to further evaluate impact and acceptability.

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http://hdl.handle.net/10453/43282