Treatment of excessive bleeding after childbirth in Northern Nigeria

Moyosola Bamidele, JSI/Targeted States High Impact Project
Dele Abegunde, JSI/Targeted States High Impact Project
Nosa Orobaton, JSI/Targeted States High Impact Project
Beal Katherine, John Snow, Inc.
Toyin Akomolafe, JSI/Targeted States High Impact Project
Masduk Abdulkarim, JSI/Targeted States High Impact Project

Postpartum hemorrhage (PPH) is responsible for around 25% of maternal mortality worldwide, reaching as high as 60% in some countries. Morbidity and mortality due to PPH are largely preventable through skilled care during childbirth. However, delays in identifying hemorrhage, transport to point of care, and in receiving the recommended treatment all contribute to high rates of maternal mortality and morbidity due to PPH. This paper study the coverage of misoprostol in preventing excessive bleeding after childbirth in Northern Nigeria using lot quality assurance sampling. Data from three waves of LQAS studies which were conducted to monitor progress and impact of TSHIP’s programs were used for this exploration. It was evidenced from the study that through TSHIP’s interventions, the use of misoprostol to prevent excessive bleeding after childbirth increased significantly in Sokoto state across the three study waves while there was significant improvement in 2015 over 2013 coverage in Bauchi state