Miller S, Turan J M, Dau K, Fathalla M, Mourad M, Sutherland T, Hamza S, Lester F, Gibson E B, Gipson R, Nada K, Hensleigh P
Women's Global Health Imperative, University of California, San Francisco, CA, USA.
Glob Public Health. 2007;2(2):110-24. doi: 10.1080/17441690601012536.
Obstetric haemorrhage is one of the leading causes of maternal mortality. In many low-resource settings, delays in transport to referral facilities and in obtaining lifesaving treatment, contribute to maternal deaths. The non-pneumatic anti-shock garment (NASG) is a low-technology pressure device that decreases blood loss, restores vital signs, and has the potential to improve adverse outcomes by helping women survive delays in receiving adequate emergency obstetric care. With brief training, even individuals without medical backgrounds can apply this first-aid device. In this secondary analysis of hospital data from a pre-post intervention study in Egypt (N=364 women with obstetric haemorrhage and shock), 158 received standard care, while 206 received standard care plus the NASG. The NASG significantly reduced blood loss, time to recovery from shock, and, for those with postpartum haemorrhage due to uterine atony who received oxytocin, the NASG had a significant effect on blood loss independent of oxytocin. These results indicate that the NASG may be a valuable innovation for reducing maternal mortality in low-resource settings. Testing at community and household levels will be necessary in order to determine whether the NASG can help women survive the longest delays.
产科出血是孕产妇死亡的主要原因之一。在许多资源匮乏地区，转诊至医疗机构以及获得挽救生命治疗的延迟导致了孕产妇死亡。非充气抗休克服（NASG）是一种低技术压力装置，可减少失血、恢复生命体征，并有可能通过帮助妇女在接受充分的紧急产科护理延迟期间存活下来来改善不良结局。经过简短培训，即使是没有医学背景的人也可以使用这种急救设备。在对埃及一项干预前后研究的医院数据进行的二次分析中（N = 364名产科出血和休克妇女），158人接受了标准护理，而206人接受了标准护理加NASG。NASG显著减少了失血、休克恢复时间，对于因宫缩乏力导致产后出血且接受催产素治疗的患者，NASG对失血有独立于催产素的显著影响。这些结果表明，NASG可能是在资源匮乏地区降低孕产妇死亡率的一项有价值的创新。为了确定NASG是否能帮助妇女在最长延迟期间存活下来，有必要在社区和家庭层面进行测试。
