Utilization of Non-pneumatic Anti-shock Garment and Associated Factors among Health Care Professionals at Public Hospitals of Addis Ababa, Ethiopia, 2021 (original) (raw)
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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 ...
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...
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 (
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.
Gynecologic and Obstetric Investigation, 2011
tween phases. Women experienced 350 ml of median blood loss after study entry in the pre-intervention and 50 ml in the NASG phase (p ! 0.0001). Mortality decreased from 18% preintervention to 6% in the NASG phase (RR = 0.31, 95% CI 0.15-0.64, p = 0.0007). In a multiple logistic regression model, the NASG was associated with reduced mortality (odds ratio 0.30; 95% CI 0.13-0.68, p = 0.004). Conclusion: The NASG shows promise for reducing mortality from PPH in referral facilities in Nigeria.
Obstetrics and Gynecology International
Background. In 2017, approximately, 810 women died every day from preventable causes related to pregnancy and childbirth around the world. Obstetric hemorrhage, specifically postpartum hemorrhage, is the leading cause of preventable maternal mortality in the world. New strategies and technologies are needed to reduce the global public health epidemic of maternal mortality. However, nonpneumatic antishock garments were recently introduced and incorporated into teaching curriculums as a management modality for postpartum hemorrhage in Ethiopia. Therefore, this study assessed the knowledge, utilization and associated factors of nonpneumatic antishock garment among maternity ward healthcare professionals in the selected South Wollo zone health facilities, North West Ethiopia. Methods. An institutional-based cross-sectional study design was conducted from February 1 to April 30, 2021. A consecutive sampling technique was employed to collect the data. A self-administered semistructured En...
International Journal of Gynecology & Obstetrics, 2010
Objective: To determine whether the non-pneumatic anti-shock garment (NASG) can improve maternal outcome. Methods: Women were enrolled in a pre-intervention phase (n = 83) and an intervention phase (n = 86) at a referral facility in Katsina, Nigeria, from November 2006 to November 2007. Entry criteria were obstetric hemorrhage (≥ 750 mL) and a clinical sign of shock (systolic blood pressure b 100 mm Hg or pulse N 100 beats per minute). To determine differences in demographics, condition on study entry, treatment, and outcome, t tests and χ 2 tests were used. Relative risk (RR) and 95% confidence interval (CI) were estimated for the primary outcome, mortality. Results: Mean measured blood loss in the intervention phase was 73.5 ± 93.9 mL, compared with 340.4 ± 248.2 mL pre-intervention (P b 0.001). Maternal mortality was lower in the intervention phase than in the pre-intervention phase (7 [8.1%]) vs 21 [25.3%]) (RR 0.32; 95% CI, 0.14-0.72). Conclusion: The NASG showed potential for reducing blood loss and maternal mortality caused by obstetric hemorrhage-related shock.
International journal of gynaecology and obstetrics, 2009
To determine whether the non-pneumatic anti-shock garment (NASG) can improve maternal outcome. Methods: Women were enrolled in a pre-intervention phase (n = 83) and an intervention phase (n = 86) at a referral facility in Katsina, Nigeria, from November 2006 to November 2007. Entry criteria were obstetric hemorrhage (≥ 750 mL) and a clinical sign of shock (systolic blood pressure b 100 mm Hg or pulse N 100 beats per minute). To determine differences in demographics, condition on study entry, treatment, and outcome, t tests and χ 2 tests were used. Relative risk (RR) and 95% confidence interval (CI) were estimated for the primary outcome, mortality. Results: Mean measured blood loss in the intervention phase was 73.5 ± 93.9 mL, compared with 340.4 ± 248.2 mL pre-intervention (P b 0.001). Maternal mortality was lower in the intervention phase than in the pre-intervention phase (7 [8.1%]) vs 21 [25.3%]) (RR 0.32; 95% CI, 0.14-0.72). Conclusion: The NASG showed potential for reducing blood loss and maternal mortality caused by obstetric hemorrhage-related shock.
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.