A review of the effect of using the non-pneumatic anti-shock garment as an. emergency device to prevent postpartum haemorrhage

摘要

Introduction: Postpartum haemorrhage (PPH) is the major cause of maternal mortality globally. Lack of resources and delays in accessing a comprehensive health care facility are the major contributors; therefore the use of the non-pneumatic anti-shock garment (NASG) as an emergency device can contribute significantly to the reduction of maternal deaths and the achievement of part of the objectives developed for a low-resource economy. The aim of this review was to assess the effect of the use of NASG as an emergency device for PPH.Method: Literature was searched using the databases CINAHL, PubMed, Cochrane and Medline. Search criteria included the use of NASG as a tool for the emergency management of PPH, along with the standard protocol in any setting located in a iow-resource economy. Data was synthesised using a narrative approach.Result: There were a total of 19 studies included: three qualitative and 16 quantitative.The qualitative studies indicated a positive attitude amongst health care providers towards the introduction of the NSAG into practice while the quantitative research shows a reduction in the amount of blood loss, the rate of maternal mortality and the rate of utilisation of emergency hysterectomy during the intervention phase of the study.Conclusion: The use of the NSAG along with the standard protocol of each setting, with availability of resources for further intervention after the emergency care, is vital for the reduction of maternal mortality.