Use of the non-pneumatic anti-shock garment (NASG) to reduce blood loss and time to recovery from shock for women with obstetric haemorrhage in Egypt

Autor:	T. Sutherland, E.B. Gibson, Janet M. Turan, S. Hamza, Kim Q. Dau, M. Mourad, Mohamed M.F. Fathalla, Suellen Miller, K. Nada, Paul A. Hensleigh, R. Gipson, Felicia Lester
Rok vydání:	2007
Předmět:	medicine.medical_specialty Pediatrics Referral Population Vital signs Gravity Suits Hemorrhage Obstetric care Blood loss Pregnancy medicine First Aid Humans education education.field_of_study business.industry Postpartum Hemorrhage Pregnancy Outcome Public Health Environmental and Occupational Health Shock Equipment Design medicine.disease Obstetrics Pregnancy Complications Uterine atony Maternal Mortality Shock (circulatory) Emergency medicine Non-pneumatic anti-shock garment Egypt Female medicine.symptom business
Zdroj:	Global Public Health. 2:110-124
ISSN:	1744-1706 1744-1692
DOI:	10.1080/17441690601012536
Popis:	Obstetric haemorrhage is one of the leading causes of maternal mortality. In many low-resource settings, delays in transport to referral facilities and in obtaining lifesaving treatment, contribute to maternal deaths. The non-pneumatic anti-shock garment (NASG) is a low-technology pressure device that decreases blood loss, restores vital signs, and has the potential to improve adverse outcomes by helping women survive delays in receiving adequate emergency obstetric care. With brief training, even individuals without medical backgrounds can apply this first-aid device. In this secondary analysis of hospital data from a pre-post intervention study in Egypt (N=364 women with obstetric haemorrhage and shock), 158 received standard care, while 206 received standard care plus the NASG. The NASG significantly reduced blood loss, time to recovery from shock, and, for those with postpartum haemorrhage due to uterine atony who received oxytocin, the NASG had a significant effect on blood loss independent of oxytocin. These results indicate that the NASG may be a valuable innovation for reducing maternal mortality in low-resource settings. Testing at community and household levels will be necessary in order to determine whether the NASG can help women survive the longest delays.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::aa7d45fb7b0861d4a2a099c7ed923144 https://doi.org/10.1080/17441690601012536 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.