Nonatonic Obstetric Haemorrhage: Effectiveness of the Nonpneumatic Antishock Garment in Egypt
2011

Effectiveness of the Nonpneumatic Antishock Garment in Egypt

Sample size: 434 publication 10 minutes Evidence: moderate

Author Information

Author(s): Fathalla Mohamed M. F., Youssif Mohammed Mourad, Meyer Carinne, Camlin Carol, Turan Janet, Morris Jessica, Butrick Elizabeth, Miller Suellen

Primary Institution: Assiut University Women's Health Center

Hypothesis

Does the nonpneumatic antishock garment (NASG) decrease severe adverse outcomes from nonatonic obstetric haemorrhage?

Conclusion

Using the NASG improved maternal outcomes despite the worse condition on study entry.

Supporting Evidence

  • Women who used the NASG had more estimated blood loss on admission.
  • Mean measured blood loss was significantly lower in the NASG phase.
  • Extreme adverse outcomes decreased with use of the garment.

Takeaway

The NASG is a special garment that helps women who are bleeding a lot during childbirth feel better and stay safe until they can get more help.

Methodology

Women with nonatonic aetiologies, blood loss > 1000 mL, and signs of shock were treated with standard care or standard care plus NASG, and outcomes were measured.

Potential Biases

Subjective selection of eligible cases by physicians may introduce bias.

Limitations

The study design was nonrandomized, which may introduce selection bias, and the sample size was too small to draw definitive conclusions.

Participant Demographics

Women with nonatonic haemorrhage aetiologies, average age around 29 years.

Statistical Information

P-Value

P < 0.0001

Confidence Interval

95% CI 0.24–1.76

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.5402/2011/179349

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