A promising device to save maternal lives associated with obstetric hemorrhage: the non-pneumatic anti-shock garment (NASG)

摘要

Preventable maternal mortality associated with obstetrichemorrhage is a human tragedy that mainly occurs in lowand middle-income countries (LMIC). Massive blood lossleads to hypovolemic shock, which decreases blood flowand therefore oxygen to tissues in the heart, lungs, andbrain. Women can rapidly develop disseminated intravascularcoagulopathy, tissue anoxia, single or multiple organfailure, and death. Management and treatment of hypovolemicshock due to massive obstetric hemorrhage requirescare at the tertiary or referral level, treatment variesdependent on hemorrhage etiology, but generally reversingshock requires not only uterotonics and IV fluids(sometimes available at primary health centers), but alsoblood transfusions and hemostatic surgeries, only availableat Comprehensive Emergency Obstetric Care (CEmOC)facilities.