Abstract
Objective: To determine whether the non-pneumatic anti-shock garment (NASG) reduces maternal morbidity and mortality from uterine atony. Method: Women with uterine atony (blood loss of ≥1000 ml) and one clinical sign of shock were enrolled in a pre-intervention phase (n=169) and an intervention phase (n=269) at two referral facilities in Egypt. Differences in demographics, condition on study entry, treatment, and outcomes were examined. Relative risks and 95% confidence intervals (CI) were estimated for mean measured blood loss, emergency hysterectomy, and extreme adverse outcomes (EAO)—a combination of morbidity and mortality. Results: in the intervention phase, mean measured blood loss was significantly reduced, emergency hysterectomy was significantly decreased, and there were fewer EAOs (11% to 3% in the NASG phase, relative risk=0.28, 95% CI: 0.12–0.63). A subgroup analysis of only women in severe shock demonstrated similar trends. Conclusion: The NASG shows promise for reducing blood loss, emergency hysterectomies, and EAO from obstetric haemorrhage-related shock due to uterine atony.
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