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A comparative study of the non‐pneumatic anti‐shock garment for the treatment of obstetric hemorrhage in Nigeria
Author(s) -
Miller Suellen,
Ojengbede Oladosu,
Turan Janet M.,
MorhasonBello Imran O.,
Martin Hilarie B.,
Nsima David
Publication year - 2009
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2009.06.005
Subject(s) - medicine , confidence interval , shock (circulatory) , blood pressure , relative risk , referral , obstetrics , demographics , anesthesia , demography , nursing , sociology
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 (≥ 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 χ 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.