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

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...

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Autores principales: Fathalla, Mohamed M. F., Youssif, Mohammed Mourad, Meyer, Carinne, Camlin, Carol, Turan, Janet, Morris, Jessica, Butrick, Elizabeth, Miller, Suellen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scholarly Research Network 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154575/
https://www.ncbi.nlm.nih.gov/pubmed/21845226
http://dx.doi.org/10.5402/2011/179349
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author Fathalla, Mohamed M. F.
Youssif, Mohammed Mourad
Meyer, Carinne
Camlin, Carol
Turan, Janet
Morris, Jessica
Butrick, Elizabeth
Miller, Suellen
author_facet Fathalla, Mohamed M. F.
Youssif, Mohammed Mourad
Meyer, Carinne
Camlin, Carol
Turan, Janet
Morris, Jessica
Butrick, Elizabeth
Miller, Suellen
author_sort Fathalla, Mohamed M. F.
collection PubMed
description 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 (P < 0.0001). 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.
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spelling pubmed-31545752011-08-15 Nonatonic Obstetric Haemorrhage: Effectiveness of the Nonpneumatic Antishock Garment in Egypt Fathalla, Mohamed M. F. Youssif, Mohammed Mourad Meyer, Carinne Camlin, Carol Turan, Janet Morris, Jessica Butrick, Elizabeth Miller, Suellen ISRN Obstet Gynecol Clinical Study 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 (P < 0.0001). 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. International Scholarly Research Network 2011 2011-08-10 /pmc/articles/PMC3154575/ /pubmed/21845226 http://dx.doi.org/10.5402/2011/179349 Text en Copyright © 2011 Mohamed M. F. Fathalla et al. https://creativecommons.org/licenses/by/3.0/ 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.
spellingShingle Clinical Study
Fathalla, Mohamed M. F.
Youssif, Mohammed Mourad
Meyer, Carinne
Camlin, Carol
Turan, Janet
Morris, Jessica
Butrick, Elizabeth
Miller, Suellen
Nonatonic Obstetric Haemorrhage: Effectiveness of the Nonpneumatic Antishock Garment in Egypt
title Nonatonic Obstetric Haemorrhage: Effectiveness of the Nonpneumatic Antishock Garment in Egypt
title_full Nonatonic Obstetric Haemorrhage: Effectiveness of the Nonpneumatic Antishock Garment in Egypt
title_fullStr Nonatonic Obstetric Haemorrhage: Effectiveness of the Nonpneumatic Antishock Garment in Egypt
title_full_unstemmed Nonatonic Obstetric Haemorrhage: Effectiveness of the Nonpneumatic Antishock Garment in Egypt
title_short Nonatonic Obstetric Haemorrhage: Effectiveness of the Nonpneumatic Antishock Garment in Egypt
title_sort nonatonic obstetric haemorrhage: effectiveness of the nonpneumatic antishock garment in egypt
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154575/
https://www.ncbi.nlm.nih.gov/pubmed/21845226
http://dx.doi.org/10.5402/2011/179349
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