A comparative study of the non-pneumatic anti-shock garment for the treatment of obstetric hemorrhage in Nigeria |
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Authors: | Suellen Miller Oladosu Ojengbede Imran O. Morhason-Bello David Nsima |
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Affiliation: | a Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, USA b Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria c Katsina General Hospital, Katsina, Nigeria |
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Abstract: | ObjectiveTo determine whether the non-pneumatic anti-shock garment (NASG) can improve maternal outcome.MethodsWomen 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 χ2 tests were used. Relative risk (RR) and 95% confidence interval (CI) were estimated for the primary outcome, mortality.ResultsMean 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).ConclusionThe NASG showed potential for reducing blood loss and maternal mortality caused by obstetric hemorrhage-related shock. |
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Keywords: | Anti-shock garment Emergency obstetric care Maternal morbidity Maternal mortality Obstetric hemorrhage |
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