This integrative review has synthesized the available body of information about completed programs using mis- oprostol for prevention of PPH at home birth. The quan- tity and comparable quality of available data are limited, and the non-peer-reviewed sources of the majority of these data restrict the rigor of the statistical approaches used for data analysis. However, even given these limitations, findings from this review should promote understanding about the outcomes of various misoprostol program approaches and begin to address outstanding concerns by describing the outcomes of program outreach.