Knowledge, Utilization, and Associated Factors of Nonpneumatic Antishock Garments for Management of Postpartum Hemorrhage among Maternity Ward Health Care Professionals in South Wollo Zone Health Facilities, Ethiopia, 2021: A Cross-Sectional Study Design (original) (raw)
Related papers
Reproductive Health
Background Non- pneumatic anti-shock garment is a unique, life -saving first -aid device made of neoprene and velcro, which is used for treatment of women with postpartum hemorrhage. Maternal mortality in the world still very high and postpartum hemorrhage is the leading cause of maternal mortality worldwide. Objective This study was aimed to assess the utilization of non-pneumatic anti-shock garment and associated factors for postpartum hemorrhage management. Methods Facility based cross-sectional studies design both quantitative and qualitative data collection methods were employed among 210 health care professionals and 10 key informants respectively. Bivariable and multivariable logistic regression was done to identify factors associated with non-pneumatic anti-shock garment utilization. Qualitative data was transcribed, translated and triangulated with quantitative findings. Results Seventy six (36.2%) of the respondents used non-pneumatic anti-shock garment in their hospitals ...
Frontiers in Public Health, 2023
Background: Global maternal deaths have either increased or stagnated tragically. Obstetric hemorrhage (OH) remains the major cause of maternal deaths. Non-Pneumatic Anti-Shock Garment (NASG) has several positive results in the management of obstetric hemorrhage in resource-limited settings where getting definitive treatments are difficult and limited. Therefore, this study aimed to assess the proportion and factors associated with the utilization of NASG for the management of obstetric hemorrhage among healthcare providers in the North Shewa zone, Ethiopia. Methods: A cross-sectional study was conducted at health facilities of the north Shewa zone, Ethiopia from June 10th-30th/2021. A simple random sampling (SRS) technique was employed among 360 healthcare providers. Data were collected using a pretested self-administered questionnaire. EpiData version 4.6 and SPSS 25 were used for data entry and analysis, respectively. Binary logistic regression analyses were undertaken to identify associated factors with the outcome variable. The level of significance was decided at a value of p of <0.05. Results: The utilization of NASG for the management of obstetric hemorrhage among healthcare providers was 39% (95%CI: 34-45). Healthcare providers who received training on NASG (
Central African Journal of Public Health, 2021
Background: Non-pneumatic anti-shock garment is a unique, life-saving first-aid device made of neoprene and velcro, which is used for treatment of women with postpartum hemorrhage. Maternal mortality in the world still very high and postpartum hemorrhage is the leading cause of maternal mortality worldwide. Objective: This study was aimed to assess the utilization of non-pneumatic anti-shock garment and associated factors for postpartum hemorrhage management. Methods: Facility based cross-sectional studies design both quantitative and qualitative data collection methods were employed among 210 health care professionals and 10 key informants respectively. Bivariable and multivariable logistic regression was done to identify factors associated with non-pneumatic anti-shock garment utilization. Qualitative data was transcribed, translated and triangulated with quantitative findings. Results: Seventy six (36.2%) of the respondents used non-pneumatic anti-shock garment in their hospitals for management of post-partum hemorrhage. Having good knowledge [(AOR = 3.96, 95% CI: (1.67, 9.407)], having positive attitude [(AOR = 3.54, 95% CI: (1.37, 9.13)], attending training [AOR = 13.156, 95% CI: (4.81, 36.00], having two and above non-pneumatic anti-shock garment at their hospitals [AOR = 8.7, 95% CI: (2.89, 26.20)] were significantly associated with utilization of non-pneumatic anti-shock garment. … "I didn't use non-pneumatic anti-shock garment for the management of postpartum hemorrhage complication before because I have no training and experience how to use it." Conclusion: The utilization of non-pneumatic anti-shock garment for the management of postpartum hemorrhage was low. Having positive attitude, having good knowledge and training on non-pneumatic anti-shock garment were statically associated with its use. The health care professionals that involved in the maternity service should be trained on how to use this important garment in the management of postpartum hemorrhage.
Babcock University Medical Journal (BUMJ)
Objective: To assess the knowledge and determine the level of utilization of Non-Pneumatic Anti-Shock Garment (NASG) for the management of PPH among Midwives. Method: The study employed a descriptive cross-sectional study design, using a validated self-administered questionnaire. A total of 198 randomly selected midwives across three health facilities in Ogun State participated in the study. A 10-point knowledge scale was used to assess the knowledge of midwives on NASG. Descriptive statistics were used to determine the level of utilization of NASG among midwives, while Chi-square statistics were used to determine the relationship between the dependent and independent variables of interest at p<0.05 level of significance. Results: Most (88.9%) of the respondents were female with a mean age of 40.2±5.6years. Most (48.5%) had a BNS degree. The majority (74.7%) of the respondents were aware of NASG. Close to a half (49.3%) of the respondents had fair knowledge scores, 34.5% had good...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2015
Background: Non-pneumatic anti-shock garment (NASG) is a first-aid lower-body pressure device that reverses hypovolaemic shock and decreases obstetric hemorrhage thereby decreasing maternal morbidity and mortality due to post-partum haemorrhage (PPH).This study assessed the knowledge and utilization of non-pneumatic anti shock garment in the management of postpartum hemorrhage among midwives in selected health care facilities in Bayelsa state. Methods: This is a descriptive cross-sectional study in which a sample size of 112 nurses were selected using purposive sampling technique. The instrument for data collection was questionnaire and data collected were analyzed using descriptive and inferential statistics. Results: The study revealed that majority of the respondents regardless of their educational level had good knowledge of the description, mechanism of action, and uses of NASG. It was also revealed that majority of the respondents do not use NASG in their centers and its application in management of post-partum hemorrhage was not part of the protocols in these centers, which was a clear indication of underutilization of the NASG in the primary health care centers. There was no significant association found between years of working experience of respondents and their utilization of NASG with (X 2 = 8.577, df = 2, P = 0.114) as well as between the level of knowledge of midwives and their utilization of the NASG with (X 2 = 0.387, df = 1, P = 0.534). Conclusions: It was recommended that non-pneumonic antishock garment should be made available by government and its utilization should be included in all health care centers policy as a management protocol for post-partum hemorrhage.
IOSR Journal of Nursing and Health Science, 2014
Postpartum Haemorrhage is the most common cause of maternal mortality in world. It is vaginal bleeding in excess of 500ml after vaginal delivery or in excess of 1000ml after cesarean delivery that can jeopardize the survival of client. The purpose of the study therefore, is to determine the midwives' knowledge on utilization of anti-shock garment in the prevention of postpartum haemorrhage shock in the University College Hospital, Ibadan Nigeria. Through incidental and purposive sampling methods, 110 respondents were selected for the study. Data collection was carried out from 19 th to 29 th October, 2011 with self-developed structured questionnaire. However, only 100 returned a fully completed questionnaire which was analyzed using Microsoft Excel. 2010 edition. Ages of the respondents ranged from 20 to 59 with a mean 31± 2.6 and 100% of the midwives are females. The respondents' years of experience as midwives ranged from 1 to 27 with a mean 13 ± 5.9. Respondents held different views on the number of emergency cases of post partum haemorrhage referred weekly to UCH, Ibadan from other hospitals. The results revealed that 7% of them had no idea of the number, 46% said it is 10-20, 34% believed it is 21-30 while 13% believed it is >30. Awareness about the existence of non-pneumatic anti-shock garment (NASG) was high among the respondents as 96% of them said they have heard about it through various sources ranging from seminars and conferences (60%), textbook (16%), journals (11%), internet (7%) and electronic media (2%). As much as 76% of them could describe NASG application, removal and its general function in the prevention of post partum haemorrhage. Similarly, majority (74%) could correctly explain various advantage of NASG as well as some maternal and fetal conditions that are contraindicated in the use of NASG. However, their knowledge seems to be only theoretical as only 35% of them have had opportunities to apply NASG; the rest 65% had never applied it on clients. Because the respondents have never had opportunity to apply NASG on bleeding woman, their theoretical knowledge is of little use. Therefore it was recommended that the authority of the UCH, Ibadan should make NASG abundantly available for the use of its personnel. Also since the survival of the patient is the utmost goal of any hospital, application of NASG should not be limited to resident doctors and consultant obstetricians and gnaecologists alone; the midwife as a stake holder in midwifery matter should be given free hands to apply it on bleeding woman.
PLOS ONE, 2016
Obstetric hemorrhage (OH), which includes hemorrhage from multiple etiologies during pregnancy, childbirth, or postpartum, is the leading cause of maternal mortality and accounts for one-quarter of global maternal deaths. The Non-pneumatic Anti-Shock Garment (NASG) is a first-aid device for obstetric hemorrhage that can be applied for post-partum/post miscarriage and for ectopic pregnancies to buy time for a woman to reach a health care facility for definitive treatment. Despite successful field trials, and endorsement by safe motherhood organizations and the World Health Organization (WHO), scale-up has been slow in some countries. This qualitative study explores contextual factors affecting uptake.
PloS one, 2013
Obstetric hemorrhage is the leading cause of maternal mortality. Using a cluster randomized design, we investigated whether application of the Non-pneumatic Anti-Shock Garment (NASG) before transport to referral hospitals (RHs) from primary health care centers (PHCs) decreased adverse outcomes among women with hypovolemic shock. We hypothesized the NASG group would have a 50% reduction in adverse outcomes. We randomly assigned 38 PHCs in Zambia and Zimbabwe to standard obstetric hemorrhage/shock protocols or the same protocols plus NASG prior to transport. All women received the NASG at the RH. The primary outcomes were maternal mortality; severe, end-organ failure maternal morbidity; and a composite mortality/morbidity outcome, which we labeled extreme adverse outcome (EAO). We also examined whether the NASG contributed to negative side effects and secondary outcomes. The sample size for statistical power was not reached; of a planned 2400 women, 880 were enrolled, 405 in the inter...
Journal of Women's …, 2011
To cite this article: Janet Turan, Oladosu Ojengbede, Mohamed Fathalla, Mohammed Mourad-Youssif, Imran O. Morhason-Bello, David Nsima, Jessica Morris, Elizabeth Butrick, Hilarie Martin, Carol Camlin and Suellen Miller. Journal of Women's Health. January 2011, 20(1): ...