A comparative study of the non-pneumatic anti-shock garment for the treatment of obstetric hemorrhage in Nigeria.
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 (>or=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 chi(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).


CONCLUSIONS
The NASG showed potential for reducing blood loss and maternal mortality caused by obstetric hemorrhage-related shock.
Miller
Suellen
S
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California 94105, USA. suellenmiller@gmail.com
Ojengbede
Oladosu
O
Turan
Janet M
JM
Morhason-Bello
Imran O
IO
Martin
Hilarie B
HB
Nsima
David
D
D000328:Adult; D004867:Equipment Design; D005260:Female; D005392:First Aid / Q000295:instrumentation; D005676:Gravity Suits; D006801:Humans; D008428:Maternal Mortality; D009549:Nigeria; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D012306:Risk; D012771:Shock, Hemorrhagic / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome; D055815:Young Adult