PPH prevention components: | |
• Advance provision of misoprostol (600 mcg, oral) to all women at their ANC visit for use immediately after delivery during home births • Administration of misoprostol within one minute postpartum to all women delivering at health facilities, if oxytocin is unavailable | |
PPH treatment bundle: | |
Step 1: After PPH diagnosis, provision of misoprostol (800 mcg, sublingual) -- then, if bleeding continues for 25 min, Step 2: Insertion of uterine balloon tamponade (UBT) -- then, if bleeding continues for 6–12 min, Step 3: Placement of non-pneumatic anti-shock garment (NASG) and transfer to higher level care | |
In cases of shock or uncontrolled bleeding, all three treatment interventions are to be used simultaneously |