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. A comparative study of the nonpneumatic antishock garment for the treatment of obstetric hemorrhage in nigeria. Pdf 4 nonpneumatic antishock garment suellen miller. In timorleste, a low technology first aid device is saving womens lives. Research article open access combined analysis of the. 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. Nonpneumatic antishock garment nasg training video. A costeffectiveness analysis in egypt and nigeria tori sutherland1, janelle downing2, suellen miller3, david m. It has been commercialized as the zoex noninflatable antishock garment zoex, ashland, or, usa. The other type of antishock garment is a nonpneumatic version.
Background obstetric hemorrhage is the leading cause of maternal mortality. The nonpneumatic antishock garment nasg is a neoprene suit that is wrapped tightly around the lower abdomen and. 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. When in shock, the brain, heart and lungs are deprived of oxygen because blood. Nasgindia is a partnership to ensure affordable and sustainable access. 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. Fathalla5, mohammed mouradyoussif6, oladosu ojengbede7, david nsima8, james g. This nonpneumatic antishock garment nasg is made of neoprene and is tightly applied to the patient using velcro straps.
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. The nonpneumatic antishock garment is a simple neoprene and velcro device that looks like the bottom half of a wetsuit cut into segments. This study was aimed to assess the utilization of nonpneumatic antishock garment and. Nonpneumatic antishock garment for improving maternal.
The nonpneumatic antishock garment nasg is a firstaid device to stabilize women in hypovolemic shock secondary to obstetric hemorrhage. Can the nonpneumatic antishock garment nasg reduce. Zambia and zimbabwe nasg the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Nonpneumatic antishock garment information and supply. The nonpneumatic antishock garment nasg is an external pressure suit is used to stabilize a woman experiencing bleeding after delivery of a baby. Be sure to check your local protocols regarding use of pasg in your area. Postpartum hemorrhage pph is the leading cause of maternal mortality and severe maternal morbidity. Antishock garment in postpartum haemorrhage sciencedirect. This article discusses how the garments work and how they are applied. Via global health is committed to reducing maternal mortality rates, and guarantees the lowest incountry prices for the lifewrap nonpneumatic antishock garment. The nonpneumatic antishock garment nasg is a firstaid device that reverses hypovolaemic shock and decreases obstetric haemorrhage. Dawn joyce, jennifer clark and suellen miller of the safe motherhood programs, womens global health imperative, university of california san francisco, usa.
The nonpneumatic antishock garment nasg is a lowtechnology device that offers a potential solution to counteract the effect of these delays. Use of the nonpneumatic antishock garment nasg for lifethreatening obstetric hemorrhage. This simple device helps women survive delays in getting to a hospital and getting the treatment that. Pdf costeffectiveness of the nonpneumatic antishock. The use of pneumatic antishock garments pasg is controversial and local protocols regarding their use vary. A comparative study of the nonpneumatic antishock garment for the treatment of obstetric hemorrhage in egypt. Listing a study does not mean it has been evaluated by. Nonpneumatic antishock garment information and supply center for india. The nonpneumatic antishock garment nasg firstaid device has been demonstrated to be highly costeffective when applied at the referral hospital rh level. The prehospital use of pneumatic antishock garments.
Prior studies on the effectiveness of the nasg have suffered from small sample sizes and insufficient statistical power. Use of the nonpneumatic antishock garment nasg to reduce blood loss and time to recovery from shock for women with obstetric. Barriers and facilitators to scaling up the nonpneumatic. Combined analysis of the nonpneumatic antishock garment.
Product functionality the nasg is a lightweight neoprene garment that is made up of five segments that close tightly with velcro. 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. View enhanced pdf access article on wiley online library html view download pdf for offline viewing. Obstetric hemorrhage is the leading cause of maternal mortality, particularly in lowresource settings where women face significant delays in accessing definitive treatment. This study examines whether the nonpneumatic antishock garment nasg reduces blood loss and mortality from uterine atony. The nasg, made of neoprene and velcro, compresses the lower body with nine articulated segments closed tightly around the legs, pelvis, and abdomen.
Quick facts sthe nasg is a segmented, lightweight neoprene garment designed for application to the lower extremities and midsection of the body. This study was aimed to assess the utilization of nonpneumatic. 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. Use of the nonpneumatic antishock garment nasg for. Costeffectiveness of the nonpneumatic antishock garment. Evidence from a cluster randomized controlled trial. Purchase lifewrap nonpneumatic antishock garment nasg. I first tried to add the page as lifewrap rather than nonpneumatic antishock garment but that was removed. 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 can be used to treat shock, resuscitate, stabilize and prevent further bleeding in women with obstetric hemorrhage. Few studies have shown that application of nonpneumatic antishock garment nasg could improve maternal survival. Nonpneumatic antishock garment how is nonpneumatic. Following a quick training session, frontline health providers are able to successfully apply the. This article is the first to report the effect of the nasg for pph. The sample was taken from delivering women at four re.
Who recommendation on the use of nonpneumatic antishock. The nonpneumatic antishock garment nasg is a firstaid device used to stabilize women who are suffering from obstetric hemorrhage and shock. Experience of combined use of a bakri uterine balloon and. Following a quick training session, frontline health providers are able to successfully apply the garment to the bleeding patient. It is made of neoprene and velcro tm and looks like the lower half of a wetsuit, cut into segments. Someone suggests using the pneumatic antishock garment pasg. They are a lightweight neoprene garment that is made up of six segments that close tightly with velcro. Costeffectiveness of the nonpneumatic antishock garment nasg. 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. The pneumatic antishock garment, or pasg, was developed in the 1970s and used to transport wounded soldiers during the vietnam war, hence its other name, medical antishock trousers, or mast. Positive effects of the nonpneumatic antishock garment.
The nonpneumatic antishock garment nasg this compression garment is made from neoprene, a stretchable material that recoils and applies pressure through the skin. Nonpneumatic antishock garment nasg is a firstaid device that reverses hypovolemic shock and decreases obstetric haemorrhage. Our analysis comprised five quasiexperimental nonrandomized studies of the nasg as treatment for hypovol. 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. Use of an improvised pneumatic antishock garment and a nonpneumatic antishock garment to control pelvic blood flow international journal of emergency medicine, 2010. Women with postpartum haemorrhage pph in developing countries often present in critical condition when treatment might be insufficient to save lives. Miller s, ojengbede o, turan jm, morhasonbello io, martin hb, nsima d. A large, hard sphere presses down onto the uterus and helps to stop hemorrhage and reverse shock in women. The nonpneumatic antishock garment nasg, a firstaid lowerbody compression device, may decrease adverse outcomes from obstetric hemorrhage. Nonpneumatic antishock garment how is nonpneumatic antishock garment abbreviated. A tightly fitted neoprene nonpneumatic antishock garment nasg has been shown to decrease blood loss and improve survival rates from postpartum hemorrhage. It feels like a tight diving wetsuit to wear, and consists of five segments that compress the legs segments 1, 2 and 3, the pelvis. Pneumatic antishock garments pasg decrease pelvic blood flow and hemorrhage.
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. Pneumatic antishock garment definition of pneumatic. Maternal mortality in the world still very high and postpartum hemorrhage is the leading cause of maternal mortality worldwide. Evidence from a cluster randomized controlled trial in zambia and zimbabwe. 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. Use of an improvised pneumatic antishock garment and a. Media in category non pneumatic antishock garment this category contains only the following file.
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