A young woman arrived at a health clinic in Sierra Leone with heavy bleeding. She was suffering from postpartum hemorrhage (PPH)—or excessive bleeding after birth—the most common cause of death for women after delivery. The midwife at the clinic acted quickly, administering oxytocin, a uterotonic that helps the uterus contract to stop the bleeding. However, the facility was lacking the refrigeration needed to properly store the drug, which was also two years out of date. As a result, the oxytocin had no effect, and the woman died two hours later… read more