CUGH-Pulitzer 4th Annual Video Competition

Postpartum hemorrhage (PPH) is the largest cause of maternal mortality globally. The majority of these deaths occur in low resource settings, where infrastructure and health staff are limited, rendering it imperative to consider PPH treatment options that do not require administration by a skilled provider or a cold chain. One such option is misoprostol, a prostaglandin E1 analog, that has shown to be effective in treating PPH. However, there is little data on the use of misoprostol for this indication at the community level, where it is likely to be most beneficial. A recent research project conducted in Chitral district in Khyber Pakhtunkhwa province, Pakistan, provided traditional birth attendants (TBAs) with misoprostol to prevent and treat PPH. The video highlights the use of misoprostol by TBAs in this challenging environment, and discusses the thoughts of health care providers on access to obstetric services in Chitral, as well as the potential benefits of this approach.

Video Credits: Gynuity Health Projects; Aga Khan Health Service, Pakistan; Sibtain Shabbir (Red Rabbit Productions)

Honorable Mention: Postpartum Hemorrhage Management in Home Delivery Settings in Chitral, Pakistan