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Nonatonic Obstetric Haemorrhage: Effectiveness of the Nonpneumatic Antishock Garment in Egypt

机译:非原子性产科出血:埃及非气动抗冲击服装的有效性

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摘要

The study aims to determine if the nonpneumatic antishock garment (NASG), a first aid compression device, decreases severe adverse outcomes from nonatonic obstetric haemorrhage. Women with nonatonic aetiologies (434), blood loss > 1000 mL, and signs of shock were eligible. Women received standard care during the preintervention phase (226) and standard care plus application of the garment in the NASG phase (208). Blood loss and extreme adverse outcomes (EAO-mortality and severe morbidity) were measured. Women who used the NASG had more estimated blood loss on admission. Mean measured blood loss was 370 mL in the preintervention phase and 258 mL in the NASG phase (P < 0.0001). EAO decreased with use of the garment (2.9% versus 4.4%, (OR 0.65, 95% CI 0.24–1.76)). In conclusion, using the NASG improved maternal outcomes despite the worse condition on study entry. These findings should be tested in larger studies.
机译:该研究旨在确定非气动抗震衣(NASG)是否是一种急救压缩装置,可以减少非声子性产科出血的严重不良后果。患有非强直性病因(434),失血量> 1000 mL且有休克体征的女性为合格。妇女在干预前阶段(226)获得了标准护理,在NASG阶段(208)获得了标准护理以及衣服的使用。测量失血量和极端不良后果(EAO死亡率和严重发病率)。使用NASG的女性入院时估计会有更多的失血。在干预前阶段平均测得的失血量为370μmL,在NASG阶段平均测得的失血量为258μmL(P <0.0001)。 EAO随衣服的使用而降低(2.9%对4.4%,(或0.65,95%CI 0.24–1.76))。总之,尽管入学条件较差,使用NASG仍可改善孕产妇结局。这些发现应在更大的研究中进行测试。

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