This randomized controlled community-based trial will assess the effectiveness of administration of 800 mcg sublingual misoprostol with standard of care vs. placebo with standard of care for postpartum hemorrhage treatment at the community level, primarily home births attended by primary health care unit (PHU) staff in Etay El Barood and Kafr El Dawar districts (El Beheira governorate), Egypt. Standard of care per national guidelines in this setting is referral to a higher level health facility.
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Change in hemoglobin measurement of >2 g/dL pre- to -post-delivery.
Timeframe: Before delivery (at onset of labor), after delivery (2 to 4 days after delivery)