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Cost-effectiveness of misoprostol and prenatal iron supplementation as maternal mortality interventions in home births in rural India
- Source :
- International Journal of Gynecology & Obstetrics; Mar2009, Vol. 104 Issue 3, p189-193, 5p
- Publication Year :
- 2009
-
Abstract
- <bold>Objective: </bold>To determine the cost-effectiveness of prenatal iron supplementation and misoprostol use as interventions to prevent maternal mortality in home births in rural India.<bold>Methods: </bold>A cost-effectiveness analysis depicted three hypothetical cohorts of 10,000 pregnant women delivering at home in rural India: one with no intervention, one receiving standard prenatal iron supplements, and 1 receiving 600 microg of misoprostol in the third stage of labor.<bold>Results: </bold>Misoprostol used to prevent postpartum hemorrhage resulted in a 38% (95% CI, 5%-73%) decrease in maternal deaths, while prenatal iron supplementation resulted in a 5% (95% CI, 0%-47%) decrease. Misoprostol cost a median US $1401 (IQR US $1008-$1848) prenatal iron supplementation cost a median US $2241 (IQR No Lives Saved-$3882) per life saved compared with the standard care outcome.<bold>Conclusion: </bold>Misoprostol is a cost-effective maternal mortality intervention for home births. Iron supplementation may be worthwhile to improve women's health, but it is uncertain whether it can prevent mortality after hemorrhage. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIETARY supplements
MATERNAL mortality
CHILDBIRTH at home
HEMORRHAGE prevention
PRENATAL care
THERAPEUTIC use of iron
PREGNANCY
COMPARATIVE studies
COST effectiveness
HEMORRHAGE
IRON
LONGITUDINAL method
RESEARCH methodology
EVALUATION of medical care
MEDICAL cooperation
PUERPERAL disorders
RESEARCH
RURAL health services
RURAL population
EVALUATION research
ECONOMICS
MISOPROSTOL
OXYTOCICS
PREVENTION
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 00207292
- Volume :
- 104
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- International Journal of Gynecology & Obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 36566583
- Full Text :
- https://doi.org/10.1016/j.ijgo.2008.10.011