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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A comparative study of the non-pneumatic anti-shock garment for the treatment of obstetric hemorrhage in Nigeria
International Journal of Gynecology and Obstetrics, Volume 107, No. 2, Year 2009
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Description
Objective: To determine whether the non-pneumatic anti-shock garment (NASG) can improve maternal outcome. Methods: Women were enrolled in a pre-intervention phase (n = 83) and an intervention phase (n = 86) at a referral facility in Katsina, Nigeria, from November 2006 to November 2007. Entry criteria were obstetric hemorrhage (≥ 750 mL) and a clinical sign of shock (systolic blood pressure < 100 mm Hg or pulse > 100 beats per minute). To determine differences in demographics, condition on study entry, treatment, and outcome, t tests and χ2 tests were used. Relative risk (RR) and 95% confidence interval (CI) were estimated for the primary outcome, mortality. Results: Mean measured blood loss in the intervention phase was 73.5 ±93.9 mL, compared with 340.4 ± 248.2 mL pre-intervention (P < 0.001). Maternal mortality was lower in the intervention phase than in the pre-intervention phase (7 [8.1%]) vs 21 [25.3%]) (RR 0.32; 95% CI, 0.14-0.72). Conclusion: The NASG showed potential for reducing blood loss and maternal mortality caused by obstetric hemorrhage-related shock. © 2009 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Miller, Suellen P.
United States, San Francisco
University of California, San Francisco
Ojengbede, Oladosu Akanbi
Nigeria, Ibadan
University College Hospital, Ibadan
Turan, Janet M.
United States, San Francisco
University of California, San Francisco
Morhason-Bello, Imran Oludare
Nigeria, Ibadan
University College Hospital, Ibadan
Martin, Hilarie
United States, San Francisco
University of California, San Francisco
Nsima, David
Nigeria
Katsina General Hospital
Statistics
Citations: 49
Authors: 6
Affiliations: 3
Identifiers
Doi:
10.1016/j.ijgo.2009.06.005
ISSN:
00207292
Research Areas
Health System And Policy
Maternal And Child Health
Noncommunicable Diseases
Study Design
Randomised Control Trial
Study Locations
Nigeria
Participants Gender
Female