{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T15:59:51Z","timestamp":1790092791091,"version":"4.0.1"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2010,1,6]],"date-time":"2010-01-06T00:00:00Z","timestamp":1262736000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2010,1,6]],"date-time":"2010-01-06T00:00:00Z","timestamp":1262736000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2010,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To test the safety, acceptability, feasibility, and effectiveness of community\u2010based education and distribution of misoprostol for prevention of postpartum hemorrhage at home birth in Afghanistan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A nonrandomized experimental control design in rural Afghanistan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 3187 women participated: 2039 in the intervention group and 1148 in the control group. Of the 1421 women in the intervention group who took misoprostol, 100% correctly took it after birth, including 20 women with twin pregnancies. Adverse effect rates were unexpectedly lower in the intervention group than in the comparison group. Among women in the intervention group, 92% said they would use misoprostol in their next pregnancy. In the intervention area where community\u2010based distribution of misoprostol was introduced, near\u2010universal uterotonic coverage (92%) was achieved compared with 25% coverage in the control areas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In Afghanistan, community\u2010based education and distribution of misoprostol is safe, acceptable, feasible, and effective. This strategy should be considered for other countries where access to skilled attendance is limited.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijgo.2009.12.003","type":"journal-article","created":{"date-parts":[[2010,1,7]],"date-time":"2010-01-07T04:16:33Z","timestamp":1262837793000},"page":"276-281","source":"Crossref","is-referenced-by-count":67,"title":["Prevention of postpartum hemorrhage at home birth in Afghanistan"],"prefix":"10.1002","volume":"108","author":[{"given":"Harshadkumar","family":"Sanghvi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasratullah","family":"Ansari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ndola J.V.","family":"Prata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Gibson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aftab T.","family":"Ehsan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey M.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,1,6]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68397-9"},{"key":"e_1_2_6_3_2","volume-title":"Countdown to 2015 MNCH: Maternal, Newborn and Child Survival","author":"World Health Organization","year":"2008"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)09409-9"},{"key":"e_1_2_6_5_2","volume-title":"Proportion of Births Attended by a Skilled Attendant: 2007 Updates","author":"World Health Organization","year":"2007"},{"key":"e_1_2_6_6_2","first-page":"CD000007","article-title":"Active versus expectant management in the third stage of labour","volume":"3","author":"Prendiville W.J.","year":"2000","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_7_2","first-page":"14","volume-title":"WHO Recommendations for the Prevention of Postpartum Haemorrhage","author":"World Health Organization","year":"2007"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1999.tb08266.x"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.02.012"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(98)70212-1"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb10259.x"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)05835-4"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.331.7519.723"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69522-6"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200101043440107"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71044-8"},{"key":"e_1_2_6_17_2","first-page":"xi","volume-title":"Afghanistan Health Survey 2006: Estimates of Priority Health Indicators for Rural Afghanistan","author":"Ministry of Public Health","year":"2006"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2005.03.007"}],"container-title":["International Journal of Gynecology &amp; 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