Non pneumatic antishock garment is a unique, life saving first aid device made of neoprene and velcro, which is used for treatment of women with postpartum hemorrhage. The nonpneumatic antishock garment nasg is an external pressure suit is used to stabilize a woman experiencing bleeding after delivery of a baby. Via global health is committed to reducing maternal mortality rates, and guarantees the lowest incountry prices for the lifewrap nonpneumatic antishock garment. A comparative study of the nonpneumatic antishock garment for the treatment of obstetric hemorrhage in egypt.
Dawn joyce, jennifer clark and suellen miller of the safe motherhood programs, womens global health imperative, university of california san francisco, usa. Nasgindia is a partnership to ensure affordable and sustainable access. Nonpneumatic antishock garment information and supply. The nonpneumatic antishock garment nasg is a firstaid device that reverses hypovolaemic shock and decreases obstetric haemorrhage. Evidence from a cluster randomized controlled trial. This study was aimed to assess the utilization of nonpneumatic antishock garment and. The nonpneumatic antishock garment nasg is a firstaid device used to stabilize women who are suffering from obstetric hemorrhage and shock. A tightly fitted neoprene nonpneumatic antishock garment nasg has been shown to decrease blood loss and improve survival rates from postpartum hemorrhage. The nonpneumatic antishock garment is a simple neoprene and velcro device that looks like the bottom half of a wetsuit cut into segments. Use of the nonpneumatic antishock garment nasg to reduce blood loss and time to recovery from shock for women with obstetric. The nasg, made of neoprene and velcrotm, compresses the lower body with nine articulated segments closed tightly around the legs, pelvis, and abdomen. Pneumatic antishock garments pasg decrease pelvic blood flow and hemorrhage. Combined analysis of the nonpneumatic antishock garment. Background obstetric hemorrhage is the leading cause of maternal mortality.
Experience of combined use of a bakri uterine balloon and. The use of pneumatic antishock garments pasg is controversial and local protocols regarding their use vary. Pdf costeffectiveness of the nonpneumatic antishock. Be sure to check your local protocols regarding use of pasg in your area. The sample was taken from delivering women at four re. Costeffectiveness of the nonpneumatic antishock garment. The nasg, made of neoprene and velcro, compresses the lower body with nine articulated segments closed tightly around the legs, pelvis, and abdomen. A costeffectiveness analysis in egypt and nigeria tori sutherland1, janelle downing2, suellen miller3, david m. The nonpneumatic antishock garment nasg is a neoprene suit that is wrapped tightly around the lower abdomen and. The nonpneumatic antishock garment nasg is a firstaid device for obstetric hemorrhage that can be applied for postpartumpost miscarriage and for ectopic pregnancies to buy time for a woman to reach a health care facility for definitive treatment. The nonpneumatic antishock garment nasg, a firstaid lowerbody compression device, may decrease adverse outcomes from obstetric hemorrhage. The nonpneumatic antishock garment nasg is a firstaid device that may assist women to survive delays in transport and therefore receive definitive treatment figure 1.
Our analysis comprised five quasiexperimental nonrandomized studies of the nasg as treatment for hypovol. You are the doctor on scene of a road traffic accident attending a 30 year old man who has sustained blunt trauma to the abdomen. Nonpneumatic antishock garment for obstetrical hemorrhage. This study was aimed to assess the utilization of nonpneumatic. Someone suggests using the pneumatic antishock garment pasg. View enhanced pdf access article on wiley online library html view download pdf for offline viewing.
The other type of antishock garment is a nonpneumatic version. The name lifewrap is simply another name for the garment that is used for the specific aim of reducing maternal mortalities from obstetric hemorrhage and is a name that nonmedical people can use and remember with ease. Nonpneumatic antishock garment nasg is a firstaid device that reverses hypovolemic shock and decreases obstetric haemorrhage. Miller s, ojengbede o, turan jm, morhasonbello io, martin hb, nsima d. Product functionality the nasg is a lightweight neoprene garment that is made up of five segments that close tightly with velcro. This article is the first to report the effect of the nasg for pph. Who recommendation on the use of nonpneumatic antishock.
Nonpneumatic antishock garment for improving maternal. We examined whether the nonpneumatic antishock garment nasg ameliorates the effects of delays in transport to and treatment at hospitals for women with postpartum hemorrhage pph and postabortion hemorrhage pah and investigated the effects of nasg use on timing of delivery of interventions inhospital. Women with postpartum haemorrhage pph in developing countries often present in critical condition when treatment might be insufficient to save lives. They are a lightweight neoprene garment that is made up of six segments that close tightly with velcro. Quick facts sthe nasg is a segmented, lightweight neoprene garment designed for application to the lower extremities and midsection of the body. Nonpneumatic antishock garment how is nonpneumatic. The nonpneumatic antishock garment nasg this compression garment is made from neoprene, a stretchable material that recoils and applies pressure through the skin. Antishock garment in postpartum haemorrhage sciencedirect. Using a cluster randomized design, we investigated whether application of the nonpneumatic antishock garment nasg before transport to referral hospitals rhs from primary health care centers phcs decreased adverse outcomes among women with hypovolemic shock. In timorleste, a low technology first aid device is saving womens lives.
Obstetric hemorrhage is the leading cause of maternal mortality, particularly in lowresource settings where women face significant delays in accessing definitive treatment. It can be used to treat shock, resuscitate, stabilize and prevent further bleeding in women with obstetric hemorrhage. Use of an improvised pneumatic antishock garment and a. Listing a study does not mean it has been evaluated by. The zoex noninflatable antishock garment nasg is a specific type of antishock garment originally developed from nasa antigforce technology which received fda device approval for management of haemorrhagic shock in 1991. It is made of neoprene and velcro tm and looks like the lower half of a wetsuit, cut into segments. Trials of the nasg in egypt and nigeria have demonstrated a 46% decrease in blood loss, 45% decrease in mortality and 81% decrease in severe morbidity in women presenting with obstetric hemorrhage of. I first tried to add the page as lifewrap rather than nonpneumatic antishock garment but that was removed.
Following a quick training session, frontline health providers are able to successfully apply the. It has been commercialized as the zoex noninflatable antishock garment zoex, ashland, or, usa. Nonpneumatic antishock garment information and supply center for india. Postpartum hemorrhage pph is the leading cause of maternal mortality and severe maternal morbidity. It consists of articulated neoprene segments that close tightly with velcro, shunting blood from the lower body to the core organs, elevating blood pressure and increasing preload and cardiac output. Use of an improvised pneumatic antishock garment and a nonpneumatic antishock garment to control pelvic blood flow international journal of emergency medicine, 2010. A comparative study of the nonpneumatic antishock garment for the treatment of obstetric hemorrhage in nigeria. The prehospital use of pneumatic antishock garments. Few studies have shown that application of nonpneumatic antishock garment nasg could improve maternal survival. Use of the nonpneumatic antishock garment nasg for. Following a quick training session, frontline health providers are able to successfully apply the garment to the bleeding patient.
The nonpneumatic antishock garment nasg is a lowtechnology, firstaid compression device which, when added to standard hypovolemic shock protocols, may improve outcomes for women with hypovolemic shock secondary to obstetric hemorrhage in tertiary facilities in lowresource settings. The nonpneumatic antishock garment nasg is a firstaid device to stabilize women in hypovolemic shock secondary to obstetric hemorrhage. When in shock, the brain, heart and lungs are deprived of oxygen because blood. Fathalla5, mohammed mouradyoussif6, oladosu ojengbede7, david nsima8, james g. The nonpneumatic antishock garment nasg firstaid device has been demonstrated to be highly costeffective when applied at the referral hospital rh level. Obstetric hemorrhage is the leading cause of maternal mortality, particularly in low resource settings where delays in obtaining definitive care contribute to high rates of death.
Nonpneumatic antishock garment how is nonpneumatic antishock garment abbreviated. The nonpneumatic antishock garment nasg is a lowtechnology device that offers a potential solution to counteract the effect of these delays. Costeffectiveness of the nonpneumatic antishock garment nasg. Media in category non pneumatic antishock garment this category contains only the following file.
Evidence from a cluster randomized controlled trial in zambia and zimbabwe. This article discusses how the garments work and how they are applied. This nonpneumatic antishock garment nasg is made of neoprene and is tightly applied to the patient using velcro straps. Nonpneumatic antishock garment nasg training video. Can the nonpneumatic antishock garment nasg reduce. Maternal mortality in the world still very high and postpartum hemorrhage is the leading cause of maternal mortality worldwide. Use of the nonpneumatic antishock garment nasg for lifethreatening obstetric hemorrhage. A large, hard sphere presses down onto the uterus and helps to stop hemorrhage and reverse shock in women.
Pdf 4 nonpneumatic antishock garment suellen miller. Prior studies on the effectiveness of the nasg have suffered from small sample sizes and insufficient statistical power. Research article open access combined analysis of the. The nasg applies pressure to the lower body and abdomen, thereby stabilizing vital signs and resolving hypovolemic shock. To compare the outcomes of women with postpartum hemorrhage pph refractory to initial management and in a state of hypoperfusion between management with a non. Barriers and facilitators to scaling up the nonpneumatic. Positive effects of the nonpneumatic antishock garment. This study examines whether the nonpneumatic antishock garment nasg reduces blood loss and mortality from uterine atony.
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