Table of Contents
ISRN Obstetrics and Gynecology
Volume 2011 (2011), Article ID 179349, 6 pages
http://dx.doi.org/10.5402/2011/179349
Clinical Study

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

1Department of Obstetrics and Gynaecology, Faculty of Medicine, Assiut University Women’s Health Center, P.O. Box 30, Assiut, Egypt
2Department of Obstetrics and Gynaecology, El Galaa Maternity Teaching Hospital, Cairo, Egypt
3Department of Obstetrics, Gynaecology and Reproductive Sciences, University of California, San Francisco, CA, USA

Received 30 April 2011; Accepted 22 June 2011

Academic Editor: A. Martin-Hidalgo

Copyright © 2011 Mohamed M. F. Fathalla et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The study aims to determine if the nonpneumatic antishock garment (NASG), a first aid compression device, decreases severe adverse outcomes from nonatonic obstetric haemorrhage. Women with nonatonic aetiologies (434), blood loss > 1000 mL, and signs of shock were eligible. Women received standard care during the preintervention phase (226) and standard care plus application of the garment in the NASG phase (208). Blood loss and extreme adverse outcomes (EAO-mortality and severe morbidity) were measured. Women who used the NASG had more estimated blood loss on admission. Mean measured blood loss was 370 mL in the preintervention phase and 258 mL in the NASG phase ( ๐‘ƒ < 0 . 0 0 0 1 ). EAO decreased with use of the garment (2.9% versus 4.4%, (OR 0.65, 95% CI 0.24–1.76)). In conclusion, using the NASG improved maternal outcomes despite the worse condition on study entry. These findings should be tested in larger studies.