A comparative study of the non‐pneumatic anti‐shock garment for the treatment of obstetric hemorrhage in Egypt

Abstract

The NASG, in addition to standardized protocols at tertiary facilities for obstetric hemorrhage and shock, resulted in lower measured blood loss and reduced EAO.

Positive Effects of the Non-pneumatic Anti-shock Garment on Delays in Accessing Care for Postpartum and Postabortion Hemorrhage in Egypt and Nigeria

“…Perhaps this is because when a woman is placed in the NASG and experiences a dramatic decrease in bleeding and rapid resuscitation from shock, she may appear to need less urgent attention. 17 This is an issue of serious concern, given that women with long initial delays and in more severe condition at the time of study admission were still at higher risk, even with subsequent NASG use (10% of women in very severe condition in the intervention phase had an EAO despite NASG use). Thus, women treated with the NASG still need rapid resuscitation and definitive treatment.…”

“…16,17 Women with hypovolemic shock secondary to obstetrical hemorrhage from any etiology were eligible for enrollment with an estimated blood loss of !750 mL (!1000 mL in Egypt) and one or more clinical signs of hypovolemic shock (systolic blood pressure [SBP] < 100 mmHg and=or pulse > 100 beats per minute [BPM]). Blood loss before study admission was estimated visually by providers or, in the case of concealed blood loss, estimated based on vital signs, level of consciousness, and urine output.…”

“…In Nigeria, the relative risk (RR) of mortality in the NASG intervention phase, compared to the pre-intervention phase was 0.32 (95% confidence interval [CI] 0.14-0.72), 16 and in Egypt, the RR of EAO with the NASG was 0.36 (95% CI 0.16-0.80). 17 Although it is assumed that the NASG reduces maternal mortality and morbidity by buying time and stabilizing women during delays in transport and receiving appropriate care, the effects of the NASG in the context of different types of treatment delays have not been specifically explored. In addition, it is not known if using the NASG might cause changes in the timing of delivery of interventions in the hospital.…”

Global Women's Health in 2010: Facing the Challenges

“…16,17 The nonpneumatic antishock garment (NASG) can also be used at the community level and has been shown to be effective for decreasing blood loss and stabilizing women with severe hemorrhage. [18][19][20] Because reducing maternal mortality depends on an integrated, multilevel response, MDG 5 is extremely difficult to reach, especially in poor nations with underfunded healthcare systems. The tragedy is that almost all maternal death can be avoided, and with the appropriate approach, political will, and funding, this can be done relatively rapidly.…”

A promising device to save maternal lives associated with obstetric hemorrhage: the non-pneumatic anti-shock garment (NASG)

“…Four studies are quasi-experimental, pre-intervention/intervention design in Egypt [4,5], Nigeria [6], and Zimbabwe [7] and one was a non-randomized concurrent comparative study in India [8]. These studies were conducted at the tertiary level, and compared outcomes of women with hypovolemic shock treated with standardized hemorrhage/shock protocols with similar women treated with the same protocols, plus the NASG.…”