Pathfinder International’s mission is “to ensure that people everywhere have the right and opportunity to live a healthy sexual and reproductive life.”
They have a ton of great info on their site, including a Powerpoint by Dr. Shabnam Shanaz in Bangladesh here about the use of Misoprostol and the monitoring of blood loss. It clearly shows the hows and whys of measuring blood loss.
Here is another presentation about Postpartum Hemorrhage. I found this very interesting about the “4 Delays” involved in maternal death. Read more for the Pathfinder Model for addressing these issues and lessons from the field:
The first is a delay on the part of a woman, her family, or a community birth attendant in recognizing that she is in crisis, often because of excessive bleeding.
…The second delay is slowness in deciding and taking steps to seek skilled obstetric care once a crisis is recognized.
…The third is a delay in reaching the facility, due to lack of money or transportation, distance, poor roads, or bad weather.
The fourth delay occurs at the facility, which may be poorly staffed and equipped and unable to treat the woman in a timely fashion. The family may not be able to pay for care or have cultural fears about donating needed blood. Blood shortages play a critical role in the fourth delay, as surgery may be postponed for many hours while a willing matched donor is sought.
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