Perspective The Prevention of Postpartum Hemorrhage in the Community

Postpartum hemorrhage is associated with one-quarter of all maternal deaths and severe maternal morbidities in the world [1,2]. Uterine atony is the most common underlying condition leading to postpartum hemorrhage [3] and robust evidence indicates that uterotonics used during the third stage of labor are effective in reducing postpartum bleeding [4–6]. Oxytocin has been shown as the most efficacious uterotonic for this indication and the World Health Organization recommends IM/IV oxytocin (10 IU) as the uterotonic drug of choice [7]. Miso-prostol and other injectable uterotonic