Use of non-pneumatic anti shock garment in hemorrhagic shock

Bangal, Vidyadhar B.; Gavhane, Satyajit P.; Raut, Sonal; Thorat, Ujwala

doi:10.18203/2320-1770.ijrcog20190295

Cited by 3 publications

(7 citation statements)

References 20 publications

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“…Escobar M F et al in 2017 found that while 52% patients were primi, remaining 48% were multipara and grandmultipara [9]. One more study by Bangal VB et al in 2019 observed that 84% patients were multipara and grandmultipara [10].…”

Section: Discussionmentioning

confidence: 99%

“…[8] Another study by Escobar M F et al in 2017 studied that major etiology was uterine atony (96%), retained products /placenta (15%), vaginal tears(6%), placenta praevia (5%). (9) A study by Bangal VB et al in 2019 observed that atonic PPH occurred in 77.7% of patients while remaining had traumatic PPH [10].…”

Section: Original Research Articlementioning

confidence: 98%

“…Another study by Escobar M F et al in 2017 found that 69% patients delivered vaginally while 13 % had induced delivery [9]. Bangal VB et al in 2019 noted that by the time NASG was applied 56% patients delivered [10].…”

Section: Original Research Articlementioning

confidence: 99%

“…Another study by Sutherland T. et al in 2013 demonstrated that use of NASG decreased the unit of blood transfusion by 75 % in Egypt and 4% in Nigeria; uterotonic units were again decreased to 9% in Egypt and 25% in Nigeria; hysterectomy was significantly lowered by 59% in Egypt whereas very few hysterectomies were performed in Nigeria [11] In a study by Kodla C S et al in 2015, data on post PPH interventions was as follows-23.33% devascularisation, 25.56% hysterectomy,87.78% massive transfusion, 3.74% internal artery ligation,7.82% uterine artery embolisation [8]. Another study by Escobar M F et al in 2017 found that 70% patients received an intrauterine tamponade with Bakri balloon,10% underwent B lynch surgery, 2.59% were taken for hysterectomy while 40.6% had blood transfusion [9].Bangal VB et al in 2019 noted that in 92% patients where NASG was applied along with medical management shock index rapidly improved to 0.5-0.9 [10].…”

Section: Original Research Articlementioning

confidence: 99%

“…According to a study on PPH by Kodla C S et al in 2015, morbidity was seen in 78.26% cases while 21.73% had mortality with conventional management [8]. Bangal VB et al in 2019 reported that 4% patients expired even after NASG application [10]. Another study by Sharma et al in 2016 noted that annual average of maternal deaths due PPH were one and two respectively in the districts of Gaya and Purniya.…”

Section: Original Research Articlementioning

confidence: 99%

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Application of Non Pneumatic Anti- Shock Garment (NASG) in 100 patients of postpartum haemorrhage: analysis of causes, management and outcome in a tertiary centre of south Rajasthan

Kulshreshtha¹,

Jain²

2019

Obs Gyne Reivew J Obstet Gynecol

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Objectives: The present study was performed to assess the role of NASG (non pneumatic anti shock garment) in the management of postpartum haemorrhage. Material and Methods: The present study is a retrospective study carried out in the department of Obstetrics & Gynaecology of a tertiary care institute of southern Rajasthan during the period of six years from July 2009 to June 2015. 100 patients of postpartum haemorrhage (PPH) with gestational age ≥28 weeks were included in the study. All the patients delivered at our institute and BMI ~18.5-24.9 kg/m 2 so that NASG was meticulously applied. Results: 100 patients of PPH were included in present study and NASG were applied to them. Age of the patients ranged from 18 to 45 years with the mean age of 25.99 years. 13% of the patients were grand multipara while 20% patients were primi and remaining 63% were multipara. The most common cause of PPH was atonic uterus (77%), of which commonest etiology was maternal anaemia (37.6%). Next common cause was trauma of genital tract (19%) out of which vaginal injuries were the most common (47.36%). Other rare causes were tissue factor (3%) and coagulopathies (1%).67% of the study participants had normal delivery while 29% patients had caesarian sections and remaining(4%) had instrumental delivery. After NASG application, 53% patients responded to medical management, 32% were managed surgically and rests 15% were stabilized by manoeuvres. 57% patients stayed for three days in the hospital while 29% stayed for five days. Only 3% patients had a hospital stay of ≥ six days. Conclusion: The present study concluded that majority of patients suffering from PPH were multigravidas in the reproductive age group of 21-30 years. The major cause of PPH was uterine atony followed by genital tract injuries. Use of NASG in these patients significantly reduced any major surgical intervention. Most of these patients were successfully managed by uterotonics, blood components and supportive care. Even a substantial decrease in theduration of stay in hospital and ICU stay was noted.

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Section: Discussionmentioning

confidence: 99%

Section: Original Research Articlementioning

confidence: 98%

Section: Original Research Articlementioning

confidence: 99%

Section: Original Research Articlementioning

confidence: 99%

Section: Original Research Articlementioning

confidence: 99%

See 3 more Smart Citations

Application of Non Pneumatic Anti- Shock Garment (NASG) in 100 patients of postpartum haemorrhage: analysis of causes, management and outcome in a tertiary centre of south Rajasthan

Kulshreshtha¹,

Jain²

2019

Obs Gyne Reivew J Obstet Gynecol

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Utilization of Nonpneumatic Antishock Garment and Associated Factors among Obstetric Care Providers in Public Hospitals of Sidama Region, Hawassa, Ethiopia, 2022

Bekele¹,

Fikre

Alelign

et al. 2023

Journal of Pregnancy

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Background. Nonpneumatic antishock garment is one of the newly emerging technology advances that reduce blood loss which is caused by obstetric hemorrhage and help women survive during delays to get definitive care. Over 80% of maternal mortality due to hemorrhagic shock may have been prevented if a nonpneumatic antishock garment had been utilized by an obstetric care provider. However, to the current knowledge, the utilization of nonpneumatic antishock garments is low and even no single study was conducted in the study area. Hence, we found that it is necessary to assess the magnitude and factors affecting the utilization of antishock garments among obstetric care providers in public hospitals of the Sidama region, Ethiopia, 2022. Methods. A facility-based cross-sectional study design was employed among 403 obstetric care providers from June 15 to July 15, 2022. A two-stage sampling technique was applied; the data was collected by 5 trained BSc midwives using pretested and structured self-administered questionnaires. Data was entered into EpiData Manager version 4.6 and exported to Statistical Package for Social Sciences (SPSS) version 26 software. Bivariate and multivariable logistic regression analyses were used. Results. A total of 394 (97.8%) health professionals participated in this study. Overall, 30.71% (95% CI: 26.4%, 35%) of the obstetric care providers had utilized nonpneumatic antishock garments for the management of postpartum hemorrhage. Training on the antishock garment ( AOR = 4.183 , 95% CI: 2.167, 8.075, p < 0.00 ), tertiary hospital ( AOR = 0.355 , 95% CI: 0.132, 0.952, p < 0.04 ), having protocol in the facility ( AOR = 2.758 , 95% CI: 1.269, 5.996), availability of NASG in the facility ( AOR = 4.6 , 95% CI: 1.603, 13.24), good knowledge ( AOR = 2.506 , 95% CI: 1.26, 4.984), and positive attitude ( AOR = 2.381 , 95% CI: 1.189, 4.766) were significantly associated factors. Conclusion and Recommendation. We found that less than one-third of the study participants have used the antishock garment in the management of postpartum hemorrhage in the current study. In addition to enhancing in-service and ongoing professional development training, it is preferable to insure the availability and accessibility of antishock in the facilities in order to close the knowledge and attitude gap among obstetric care providers.

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Nonpneumatic anti-shock garment utilization for obstetric hemorrhage management and its predictors among obstetric care providers in Ethiopia: a systematic review and meta-analysis

Lake,

Ayele,

Yilak

et al. 2024

BMC Health Serv Res

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Introduction Non-pneumatic Anti-Shock Garment (NASG) is a lightweight, reusable first aid compression device that squeezes blood from the lower extremities and centralizes blood circulation to vital organs of the body. Postpartum hemorrhage followed by severe preeclampsia/eclampsia is the leading primary cause of maternal death (A reduction in extreme maternal adverse outcomes and faster recovery from shock are more likely to occur with earlier NASG intervention. The median blood loss reduced by half when the NASG was used for obstetric hemorrhage management, which was associated with significantly reduced maternal mortality among the most severe cases. Objective To estimate the pooled prevalence of NASG utilization and its predictors in Ethiopia. Methods Appropriate and comprehensive searches of PubMed, MEDLINE, EMBASE, Google Scholar, HINARI, and Scopus were performed. The electronic literature search was last performed on November 18/2023. All observational study designs were eligible for this SRMA. All cross sectional studies reporting the prevalence/proportion of NASG utilization for obstetric hemorrhage management among obstetric care providers and associated factors were included in this SRMA. Primary studies lacking the outcome of interest were excluded from the SRMA. The extracted Microsoft Excel spreadsheet data were imported into STATA software version 17 (STATA Corporation, Texas, USA) for analysis. A random-effects model was used to estimate the pooled prevalence of NASG utilization among obstetric care providers in Ethiopia. The Cochrane Q-test and I2 statistics were computed to assess the heterogeneity among the studies included in the SRMA. Result A total of 1623 articles were found by using our search strategies and seven studies comprising 2335 participants were ultimately included in the SRMA. The pooled prevalence of NASG utilization for obstetric hemorrhage in Ethiopia was 43.34% (95% CI: 35.25, 51.42%). The findings of this subgroup analysis by sample size showed that the pooled prevalence of NASG utilization for obstetric hemorrhage was greater in studies with sample sizes of less than the mean sample size (48.6%; 95% CI: 32.34, 64.86%). Receiving training (AOR = 3.88, 95% CI: 2.08–5.37), having good knowledge (AOR = 1.99, 95% CI: 1.28–3.16), positive attitude (AOR = 2.16, 95% CI: 1.62–2.75) and having available NASGs in the facility (AOR = 4.89, 95%CI: 2.88–8.32) were significantly associated with the use of NASGs for obstetric hemorrhage management. Conclusion The level of NASG utilization for obstetric hemorrhage in Ethiopia is low. Receiving training, good knowledge, positive attitudes and availability of NASG were significantly associated with the utilization of NASG. Therefore, policy makers and other stakeholders should emphasize enhancing the knowledge and attitudes of obstetric care providers through continuous support and training. At the same time, they should work strictly in providing devices for all the health facilities.

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Use of non-pneumatic anti shock garment in hemorrhagic shock

Cited by 3 publications

References 20 publications

Application of Non Pneumatic Anti- Shock Garment (NASG) in 100 patients of postpartum haemorrhage: analysis of causes, management and outcome in a tertiary centre of south Rajasthan

Application of Non Pneumatic Anti- Shock Garment (NASG) in 100 patients of postpartum haemorrhage: analysis of causes, management and outcome in a tertiary centre of south Rajasthan

Utilization of Nonpneumatic Antishock Garment and Associated Factors among Obstetric Care Providers in Public Hospitals of Sidama Region, Hawassa, Ethiopia, 2022

Nonpneumatic anti-shock garment utilization for obstetric hemorrhage management and its predictors among obstetric care providers in Ethiopia: a systematic review and meta-analysis

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