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Table 1 Outline of the National Initiative to Fight against Postpartum Hemorrhage

From: Scaling up interventions: findings and lessons learned from an external evaluation of Niger’s National Initiative to reduce postpartum hemorrhage

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