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Int J Gynaecol Obstet. 2009 Nov;107(2):121-5. doi: 10.1016/j.ijgo.2009.06.005. Epub 2009 Jul 22.

A comparative study of the non-pneumatic anti-shock garment for the treatment of obstetric hemorrhage in Nigeria.

Author information

1
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California 94105, USA. suellenmiller@gmail.com

Abstract

OBJECTIVE:

To determine whether the non-pneumatic anti-shock garment (NASG) can improve maternal outcome.

METHODS:

Women were enrolled in a pre-intervention phase (n=83) and an intervention phase (n=86) at a referral facility in Katsina, Nigeria, from November 2006 to November 2007. Entry criteria were obstetric hemorrhage (>or=750 mL) and a clinical sign of shock (systolic blood pressure <100 mm Hg or pulse >100 beats per minute). To determine differences in demographics, condition on study entry, treatment, and outcome, t tests and chi(2) tests were used. Relative risk (RR) and 95% confidence interval (CI) were estimated for the primary outcome, mortality.

RESULTS:

Mean measured blood loss in the intervention phase was 73.5+/-93.9 mL, compared with 340.4+/-248.2 mL pre-intervention (P<0.001). Maternal mortality was lower in the intervention phase than in the pre-intervention phase (7 [8.1%]) vs 21 [25.3%]) (RR 0.32; 95% CI, 0.14-0.72).

CONCLUSION:

The NASG showed potential for reducing blood loss and maternal mortality caused by obstetric hemorrhage-related shock.

PMID:
19628207
DOI:
10.1016/j.ijgo.2009.06.005
[Indexed for MEDLINE]

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