Pilot Results by Country
Kenya | Nigeria | South Africa | Tanzania | Total | |
---|---|---|---|---|---|
Vaginal births,a,b no. | 2,446 | 2,613 | 2,856 | 1,669 | 9,584 |
PPH cases,b no. | 301 | 375 | 512 | 81 | 1,269 |
Rate of PPH cases (%) | 301/2,446 (12.3) | 375/2,613 (14.4) | 512/2,856 (17.9) | 81/1,669 (4.9) | 1,269/9,584 (13.2) |
Adherence of MOTIVE,b no. (%) | 187 (62.1) | 215 (57.3) | 55 (10.7) | 65 (80.2) | 522 (41.1) |
Massage | 213 (70.8) | 337 (89.9) | 278 (54.3) | 77 (95.1) | 905 (71.3) |
Oxytocin | 232 (77.1) | 336 (89.6) | 312 (60.9) | 81 (100) | 961 (75.7) |
Tranexamic acid | 218 (72.4) | 293 (78.1) | 224 (43.8)c | 71 (87.7) | 806 (63.5) |
IV fluids | 228 (75.7) | 342 (91.2) | 304 (59.4) | 78 (96.3) | 952 (75.0) |
Examination | 213 (70.8) | 254 (67.7) | 64 (12.5) | 69 (85.2) | 600 (47.3) |
Availability of drugs,d % | |||||
Oxytocin | 100 | 100 | 100 | 100 | 100 |
Tranexamic acid | 100 | 98.4 | 94.4 | 99.6 | 98.1 |
Abbreviations: IV, intravenous; MOTIVE; massage of uterus, oxytocic drugs administration, tranexamic acid administration, intravenous fluids administration, examination for identifying and managing the source of bleeding, and escalation to more advanced care, if bleeding continues despite treatment; PPH, postpartum hemorrhage.
↵a Only births with source-verified blood loss data.
↵b From individual woman’s case report form.
↵c There may have been underreporting of tranexamic acid due to confusion about naming; tranexamic acid is known as Cyclokapron in South Africa.
↵d From monthly facility-based case report forms.