A community health worker in a rural setting is conducting a home delivery. The woman delivers the baby and then the placenta. The health worker has misoprostol available. According to WHO recommendations for prevention of PPH in community settings where injectable uterotonics are not available, what is the correct dose and route of misoprostol for prophylaxis?
- A 400 mcg sublingual
- B 600 mcg oral ✓
- C 800 mcg rectal
- D 1000 mcg sublingual
Correct answer: B. 600 mcg oral
Explanation
WHO recommends misoprostol 600 mcg orally for prevention of PPH in community settings where oxytocin is not available. This dose and route have been shown to be effective and safe for prophylaxis. Sublingual and rectal routes are used for treatment rather than prophylaxis. The 600 mcg oral dose is the standard for community-based prevention trials and programs in low-resource settings.
Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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