Nonatonic Obstetric Haemorrhage: Effectiveness of the Nonpneumatic Antishock Garment in EgyptReport as inadecuate

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ISRN Obstetrics and GynecologyVolume 2011 2011, Article ID 179349, 6 pages

Clinical Study

Department of Obstetrics and Gynaecology, Faculty of Medicine, Assiut University Women-s Health Center, P.O. Box 30, Assiut, Egypt

Department of Obstetrics and Gynaecology, El Galaa Maternity Teaching Hospital, Cairo, Egypt

Department 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.


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 . 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.

Author: Mohamed M. F. Fathalla, Mohammed Mourad Youssif, Carinne Meyer, Carol Camlin, Janet Turan, Jessica Morris, Elizabeth Butrick



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