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Journal articles on the topic 'Non-pneumatic anti-shock garment'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Bangal, Vidyadhar B., Satyajit Gavhane, Sonal Raut, and Ujwala Thorat. "Use of non-pneumatic anti shock garment in hemorrhagic shock." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 2 (2019): 621. http://dx.doi.org/10.18203/2320-1770.ijrcog20190295.

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Background: Non-pneumatic anti-shock garment (NASG) is a first-aid device that reverses hypovolemic shock and decreases obstetric haemorrhage. It consists of articulated neoprene segments that close tightly with Velcro, shunting blood from the lower body to the core organs, elevating blood pressure and increasing preload and cardiac output. The use of an NASG can stabilize a patient while awaiting transport, during transport, or during delays in receiving care at referral facilities.Methods: A prospective observational study of use of non-pneumatic anti shock garment (NASG) in cases with obstetric hemorrhagic shock was carried out at a tertiary referral center. As soon as severe shock was recognized in the hospital, the anti-shock garment was placed. Data on various parameters related to use of NASG was collected and interpreted to draw conclusions.Results: NASG was used in 25 cases of hemorrhagic shock during one-year period. Post-partum hemorrhage (36%) was the commonest indication for NASG use, followed by ruptured tubal ectopic pregnancy (28%). It was observed that 68% and 32 % of women had shock index of 1-1.5 and above 1.5 respectively at the time of application of NASG. The shock index rapidly improved to 0.5-0.9 in 92% and 1-1.5 in 8 percent of cases respectively after the application of NASG. The NASG was mainly used in labour room (40%) and emergency department (36%). NASG was applied by nurses and doctors together in 64% of cases. NASG was kept for a period 24 hours in 92% cases. The survival rate was 96% following use of NASG.Conclusions: NASG is a temporizing alternative measure in hemorrhagic shock management that shows a trend to reduce hemorrhage related deaths and severe morbidities. NASG should be made available at all health facilities that deal with high risk pregnancies and deliveries.

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2

Hauswald, Mark, Michael R. Williamson, Gillian M. Baty, Nancy L. Kerr, and Victoria L. Edgar-Mied. "Use of an improvised pneumatic anti-shock garment and a non-pneumatic anti-shock garment to control pelvic blood flow." International Journal of Emergency Medicine 3, no. 3 (2010): 173–75. http://dx.doi.org/10.1007/s12245-010-0191-y.

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3

McSwain, Norman E. "Medical Anti-Shock Trousers: Pneumatic Anti-Shock Garment: Does it Work?" Prehospital and Disaster Medicine 4, no. 1 (1989): 42–44. http://dx.doi.org/10.1017/s1049023x00038541.

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The use of the Pneumatic Anti-Shock Garment (PASG) has created much controversy in prehospital care. It is interesting that such an inexpensive device and technique has created so much controversy regarding effectiveness when expensive devices and techniques, such as coronary artery bypass, carotid endarteroectomy, and laser angioplasty have been questioned as to effectiveness, but have not created as much controversy.Where do we stand on the PASG today? One well-done, randomized, prospective study has been reported as several different papers. In reality, these reports originate from only one study (1-5). This is compared to more than 200 other studies, many of which have been randomized, prospective studies in animals using the same quality as the randomized, prospective study done on humans. Such studies have the advantage of having better isolation of the specific condition being studied. It does not seem appropriate to base the clinical use or non-use on just one study. All studies should be reviewed and placed in context when attempting to identify the role the PASG has in patient care.

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4

Ojengbede, O., H. Galadanci, IO Morhason-Bello, et al. "The non-pneumatic anti-shock garment for postpartum haemorrhage in nigeria." African Journal of Midwifery and Women's Health 5, no. 3 (2011): 135–39. http://dx.doi.org/10.12968/ajmw.2011.5.3.135.

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5

Magwali, T. L., E. Butrick, V. Mambo, et al. "O421 NON-PNEUMATIC ANTI-SHOCK GARMENT (NASG) FOR OBSTETRIC HEMORRHAGE: HARARE, ZIMBABWE." International Journal of Gynecology & Obstetrics 119 (October 2012): S410. http://dx.doi.org/10.1016/s0020-7292(12)60851-0.

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6

Morris, Jessica, Carinne Meyer, Suellen Miller, et al. "Treating uterine atony with the non-pneumatic anti-shock garment in Egypt." African Journal of Midwifery and Women's Health 5, no. 1 (2011): 37–42. http://dx.doi.org/10.12968/ajmw.2011.5.1.37.

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7

Fathalla, M., M. Mourad-Youssif, T. Al-Hussaini, et al. "O296 Non-atonic obstetric hemorrhage: Will the non-pneumatic anti-shock garment (NASG) help?" International Journal of Gynecology & Obstetrics 107 (October 2009): S177—S178. http://dx.doi.org/10.1016/s0020-7292(09)60668-8.

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8

FIGO Safe Motherhood and Newborn He. "Non-pneumatic anti-shock garment to stabilize women with hypovolemic shock secondary to obstetric hemorrhage." International Journal of Gynecology & Obstetrics 128, no. 3 (2014): 194–95. http://dx.doi.org/10.1016/j.ijgo.2014.10.014.

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9

Mkumba, G., E. Butrick, R. Amafumba, et al. "O461 NON-PNEUMATIC ANTI-SHOCK GARMENT (NASG) DECREASES MATERNAL DEATHS IN LUSAKA, ZAMBIA." International Journal of Gynecology & Obstetrics 119 (October 2012): S424—S425. http://dx.doi.org/10.1016/s0020-7292(12)60891-1.

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10

Sutherland, T., J. Downing, J. G. Kahn, et al. "O666 COST EFFECTIVENESS OF NON-PNEUMATIC ANTI-SHOCK GARMENT (NASG) FOR OBSTETRIC HEMORRHAGE." International Journal of Gynecology & Obstetrics 119 (October 2012): S495. http://dx.doi.org/10.1016/s0020-7292(12)61096-0.

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11

Butrick, E., G. Mkumba, T. L. Magwali, et al. "O123 CHALLENGES: CLUSTER RANDOMIZED TRIAL (CRT) OF THE NON-PNEUMATIC ANTI-SHOCK GARMENT (NASG)." International Journal of Gynecology & Obstetrics 119 (October 2012): S303—S304. http://dx.doi.org/10.1016/s0020-7292(12)60553-0.

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12

Kausar, Farah, Jessica L. Morris, Mohamed Fathalla та ін. "Nurses in Low Resource Settings Save Mothersʼ Lives With Non-pneumatic Anti-Shock Garment". MCN, The American Journal of Maternal/Child Nursing 37, № 5 (2012): 308–16. http://dx.doi.org/10.1097/nmc.0b013e318252bb7d.

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13

El Ayadi, Alison, Luz Gibbons, Eduardo Bergel, et al. "Per-protocol effect of earlier non-pneumatic anti-shock garment application for obstetric hemorrhage." International Journal of Gynecology & Obstetrics 126, no. 1 (2014): 95–96. http://dx.doi.org/10.1016/j.ijgo.2014.02.005.

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14

Ojengbede, O., I. Morhason-Bello, H. Galadanci, et al. "O704 Non-pneumatic anti-shock garment (NASG) reduces maternal mortality in four facilities in Nigeria." International Journal of Gynecology & Obstetrics 107 (October 2009): S295. http://dx.doi.org/10.1016/s0020-7292(09)61077-8.

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15

Galadanci, H., A. Fabamwo, T. Duro-Aina, et al. "P669 Nigeria, non-atonic gynecological and obstetrical hemorrhage treated with the non-pneumatic anti-shock garment (NASG)." International Journal of Gynecology & Obstetrics 107 (October 2009): S605. http://dx.doi.org/10.1016/s0020-7292(09)62160-3.

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16

Morhason-Bello, I., O. Ojengbede, H. Galadanci, et al. "O636 The non-pneumatic anti-shock garment (NASG) for managing uterine atony and hypovolemic shock: Four Nigerian hospitals." International Journal of Gynecology & Obstetrics 107 (October 2009): S274. http://dx.doi.org/10.1016/s0020-7292(09)61009-2.

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17

Magwali, Thulani Leslie, Abaden Svisva, Tarryn Bowers, et al. "Applying the RE-AIM framework in a process evaluation of the introduction of the Non-Pneumatic Anti-Shock Garment in a rural district of Zimbabwe." PLOS ONE 16, no. 5 (2021): e0251908. http://dx.doi.org/10.1371/journal.pone.0251908.

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The Non-Pneumatic Anti-Shock Garment (NASG) is a first aid tool that can halt and reverse hypovolemic shock secondary to obstetric hemorrhage. The World Health Organization recommended the NASG for use as a temporizing measure in 2012, but uptake of the recommendation has been slow, partially because operational experience is limited. The study is a process evaluation of the introduction of NASG in a public sector health facility network in rural Zimbabwe utilizing an adapted RE-AIM, categorizing observations into the domains of: reach, effectiveness, adoption, implementation and maintenance. The location of the study was Hurungwe district, where staff members of 34 health facilities at primary (31), secondary (2) and tertiary (1) levels of care participated. We found that all facilities became skilled in using the NASG, and that the NASG was used in 10 of 11 instances of severe hemorrhage. In the cases of hypovolemic shock where the NASG was used, there were no maternal deaths and no extreme adverse outcomes related to obstetric hemorrhage in the study period. Among the 10 NASG uses, the garment was used correctly in each case. Fidelity to processes was high, especially in regard to training and cascading skills, but revisions of the NASG rotation and replacement operating procedures were required to keep clean garments stocked. Clinical documentation was also a key challenge. NASG introduction dovetailed very well with pre-existing systems for obstetric emergency response, and improved clinical outcomes. Scale-up of the NASG in the Zimbabwean public health system can be undertaken with careful attention to mentorship, drills, documentation and logistics.

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A., Oluwatosin, Lucia Y.O., Oluwadamilare A., and Prisca O.A. "Knowledge and Utilisation of Anti-Shock Garment Among Midwives of Adeoyo Maternity Teaching Hospital, Ibadan, Nigeria." African Journal of Health, Nursing and Midwifery 4, no. 5 (2021): 26–37. http://dx.doi.org/10.52589/ajhnm-u47saemp.

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Background and Aim: Postpartum Haemorrhage (PPH) is a leading cause of maternal mortality, yet it is one of the few obstetric complications, with proven and effective interventions. Non-Pneumatic Anti Shock Garment (NASG) is a high-quality, simple technology and low-cost first-aid device that reverses hypovolemic shock. While evidence has shown that this simple technology is effective in reducing PPH, the level of knowledge and utilisation is unclear. This underscored the need to assess the knowledge and utilisation of the NASG as a measure of controlling postpartum haemorrhage in Adeoyo Maternity Teaching Hospital, Yemetu, Ibadan. Methods: This study adopted a descriptive cross-sectional research design and questionnaires were used to gather data from the midwives. The convenience sampling technique was used to recruit one hundred and forty-four (144) midwives into the study. Data were analysed using version 21.0 of Statistical Package for Social Sciences (SPSS) using Chi-square. Results: The findings of this study revealed that although 97.9% of participants responded that they had seen NASG before, only about half (47.1%) could describe what it looked like. While 96.4% claimed that they knew how to use the NASG, only 73.7% of them actually use it each time there was PPH. No significant association was found between knowledge and utilisation of the equipment (p=.298). Factors associated with non-usage include non-availability, inexperience, lack of skilled personnel, and poor attitude. Conclusion: There was a good level of utilisation of the Non-Pneumatic Anti-Shock Garment for the management of postpartum haemorrhage, but only a few of the midwives were able to correctly describe it and not all were using it. Hence, refresher courses are hereby advocated to further improve NASG usage.

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19

Miller, S., and A. El Ayadi. "I247 META-ANALYSIS OF 3,651 WOMEN WITH SEVERE OBSTETRIC HEMORRHAGE/HYPOVOLEMIC SHOCK TREATED WITH NON-PNEUMATIC ANTI-SHOCK GARMENT." International Journal of Gynecology & Obstetrics 119 (October 2012): S223. http://dx.doi.org/10.1016/s0020-7292(12)60277-x.

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20

Miller, S., M. Mourad-Youssif, M. Fathalla, et al. "O614 Non-pneumatic anti-shock garment (NASG) reduces extreme adverse outcomes from obstetric hemorrhage and shock in Egyptian hospitals." International Journal of Gynecology & Obstetrics 107 (October 2009): S268. http://dx.doi.org/10.1016/s0020-7292(09)60987-5.

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21

Sowunmi, Christiana Olanrewaju, Olufunke Mercy Iwaola, and Gbemisola Bolanle Ogbeye. "Midwives’ skills in the application of non-pneumatic anti-shock garment for the management of postpartum haemorrhage in Ondo State, Nigeria." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 1 (2018): 209. http://dx.doi.org/10.18203/2320-1770.ijrcog20185425.

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Background: Non-pneumatic Anti-shock garment (NASG) has been identified as a device for effective management of postpartum haemorrhage especially in developing countries where maternal mortality is high. Hence, it is important that midwives are skilled and knowledgeable about its use. This study therefore assessed the midwives’ skills in the application of Non-Pneumatic Anti-Shock Garment (NASG) in the management of postpartum hemorrhage.Methods: This study adopted quasi-experimental research design. The study was done in two secondary health facilities in the state. Sixty-eight midwives participated in the study. Simple random sampling technique was used to select 37 and 31 midwives into experimental and control groups respectively. Written consent was obtained from all the participants. The study involved three stages; Pre-test, an intervention and a post test. Questionnaire and observation rating scale that elicited demographic characteristics, knowledge and skills on the application and removal of NASG was used to collect data pre and post intervention. Data was analyzed using descriptive and inferential statistics.Results: Mean knowledge score of midwives in the control group in the use of NASG in the management of PPH was found to be 10.32±4.17 compared with 12.24±5.05 in experimental group pre-intervention. There was a significant increase in knowledge and skills of NASG application, nonetheless the post intervention from experimental group had the highest increase from 6.32±4.97 to 17.14±0.95.Conclusions: Educational intervention enhanced skills of midwives in the use of NASG. Therefore, continuous education units in hospitals should include periodic training of midwives on the use of NASG.

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22

Stenson, Amy. "The Non-pneumatic Anti-Shock Garment: How Applier Strength and Body Mass Index Affect External Abdominal Pressure." Open Women's Health Journal 5, no. 1 (2011): 33–37. http://dx.doi.org/10.2174/1874291201105010033.

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23

Miller, S., S. Hamza, EH Bray, et al. "First aid for obstetric haemorrhage: the pilot study of the non-pneumatic anti-shock garment in Egypt." BJOG: An International Journal of Obstetrics and Gynaecology 113, no. 4 (2006): 424–29. http://dx.doi.org/10.1111/j.1471-0528.2006.00873.x.

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24

Ojengbede, Oladosu A., Imran Oludare Morhason-Bello, Hadiza Galadanci, et al. "Assessing the Role of the Non-Pneumatic Anti-Shock Garment in Reducing Mortality from Postpartum Hemorrhage in Nigeria." Gynecologic and Obstetric Investigation 71, no. 1 (2011): 66–72. http://dx.doi.org/10.1159/000316053.

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25

Miller, Suellen, Oladosu Ojengbede, Janet M. Turan, Imran O. Morhason-Bello, Hilarie B. Martin, and David Nsima. "A comparative study of the non-pneumatic anti-shock garment for the treatment of obstetric hemorrhage in Nigeria." International Journal of Gynecology & Obstetrics 107, no. 2 (2009): 121–25. http://dx.doi.org/10.1016/j.ijgo.2009.06.005.

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26

Miller, Suellen, Mohamed M. F. Fathalla, Mohammed M. Youssif, et al. "A comparative study of the non-pneumatic anti-shock garment for the treatment of obstetric hemorrhage in Egypt." International Journal of Gynecology & Obstetrics 109, no. 1 (2010): 20–24. http://dx.doi.org/10.1016/j.ijgo.2009.11.016.

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27

Bhardwaj, Samita, Sonal Raut, and Vidyadhar B. Bangal. "Training of maternal health care providers in newer modalities of management of post-partum haemorrhage." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 3 (2019): 1062. http://dx.doi.org/10.18203/2320-1770.ijrcog20190880.

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Background: Postpartum haemorrhage (PPH) is a life-threatening complication, that occurs suddenly and unexpectedly. Institutional delivery by skilled birth attendant who are trained in active management of third stage of labour and those who can use of Uterine Balloon Tamponade and Non-pneumatic anti shock garment can reduce incidence and morbidity related to PPH. The objective of the paper was to share the experiences of the training programmes held for maternal health care workers in the newer modalities of PPH management.Methods: During one and a half year period, 32 Continuation of Medical Education (CME) programmes, with the theme of “Managing Obstetric Emergencies and Obstetric Trauma”, covering important topics related to high risk pregnancies like Hypertension, Eclampsia ,Anaemia and Haemorrhage at 32 health institutions, spread over 11 states and 2 union territories in India, were conducted .In addition,42 hands on workshops at various health facilities were conducted with training of more than 2575 maternal health care providers.Results: The pre and post test scores revealed that 95 percent of the maternal health care providers were unaware about the use of Uterine Balloon Tamponade (Bakri balloon) in PPH and Non-pneumatic anti shock garment (NASG). Seventy percent were unaware about the proper sequence of steps of active management of third stage of labour. Training programmes helped to improve the knowledge, whereas hands on workshop, helped in skill development of the health care providers. The participants expressed great satisfaction regarding the knowledge and skills they acquired through training programme on management of post-partum haemorrhage. They gave positive feedback about the quality, contents and conduct of training programme.Conclusions: There is need for refresher training of maternal health care providers in newer modalities like AMTSL, NASG and Bakri balloon, which have potential to save lives.

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28

Dada, Samuel, Folasade Aina, Mary Oyedele, and Daniel Aina. "Knowledge and utilization of non-pneumatic anti-shock garment for the management of postpartum hemorrhage among Midwives in government hospitals in Ogun State, Nigeria." Babcock University Medical Journal (BUMJ) 3, no. 1 (2020): 59–66. http://dx.doi.org/10.38029/bumj.v3i1.40.

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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 knowledge scores, while 16.2% had poor knowledge scores. Only 22.7% of the respondents had ever used NASG in the management of PPH; 77.3% never used it before. Also, 67.2% of the respondents reported NASG was not available in their facilities. There was a significant influence of knowledge of NASG on the utilization among midwives (X2=37.151, P<0.05, df=2). Conclusion: This study demonstrated that midwives in healthcare facilities were aware, but did not have good knowledge of NASG. The utilization of the garment for the management of PPH was also very poor, probably due to suboptimal knowledge and non-availability of the garment.

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Stenson, A., F. Lester, J. Morris, et al. "O396 IMPACT OF APPLIER STRENGTH AND PATIENT BMI ON PRESSURE GENERATED BY THE NON-PNEUMATIC ANTI-SHOCK GARMENT (NASG)." International Journal of Gynecology & Obstetrics 119 (October 2012): S401. http://dx.doi.org/10.1016/s0020-7292(12)60826-1.

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30

Jordan, Keely, Elizabeth Butrick, Gavin Yamey, and Suellen Miller. "Barriers and Facilitators to Scaling Up the Non-Pneumatic Anti-Shock Garment for Treating Obstetric Hemorrhage: A Qualitative Study." PLOS ONE 11, no. 3 (2016): e0150739. http://dx.doi.org/10.1371/journal.pone.0150739.

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31

Amale, Shekhar. "Clinical study of Non-pneumatic anti shock garment (NASG) in patients with post-partum haemorrhage at a tertiary hospital." MedPulse International Journal of Gynaecology 18, no. 3 (2021): 49–52. http://dx.doi.org/10.26611/10121833.

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32

Mourad-Youssif, M., M. Fathalla, T. Al-Hussaini, et al. "O641 Treatment with non-pneumatic anti-shock garment (NASG) improves outcomes for women with PPH/uterine atony in Egyptian referral facilities." International Journal of Gynecology & Obstetrics 107 (October 2009): S276. http://dx.doi.org/10.1016/s0020-7292(09)61014-6.

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33

Miller, Suellen, Eduardo F. Bergel, Alison M. El Ayadi, et al. "Non-Pneumatic Anti-Shock Garment (NASG), a First-Aid Device to Decrease Maternal Mortality from Obstetric Hemorrhage: A Cluster Randomized Trial." PLoS ONE 8, no. 10 (2013): e76477. http://dx.doi.org/10.1371/journal.pone.0076477.

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Sutherland, Tori, Janelle Downing, Suellen Miller, et al. "Use of the Non-Pneumatic Anti-Shock Garment (NASG) for Life-Threatening Obstetric Hemorrhage: A Cost-Effectiveness Analysis in Egypt and Nigeria." PLoS ONE 8, no. 4 (2013): e62282. http://dx.doi.org/10.1371/journal.pone.0062282.

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Escobar, María F., Juan P. Suso, María A. Hincapié, María P. Echavarría, Paula Fernández, and Javier Carvajal. "Experience of combined use of a Bakri uterine balloon and a non‐pneumatic anti‐shock garment in a university hospital in Colombia." International Journal of Gynecology & Obstetrics 146, no. 2 (2019): 244–49. http://dx.doi.org/10.1002/ijgo.12872.

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36

Miller, S., J. M. Turan, K. Dau, et al. "Use of the non-pneumatic anti-shock garment (NASG) to reduce blood loss and time to recovery from shock for women with obstetric haemorrhage in Egypt." Global Public Health 2, no. 2 (2007): 110–24. http://dx.doi.org/10.1080/17441690601012536.

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37

Miller, Suellen, Janet Molzan Turan, Aderinola Ojengbede, et al. "The pilot study of the non-pneumatic anti-shock garment (NASG) in women with severe obstetric hemorrhage: Combined results from Egypt and Nigeria." International Journal of Gynecology & Obstetrics 94 (November 2006): S154—S156. http://dx.doi.org/10.1016/s0020-7292(06)60022-2.

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38

Turan, Janet, Oladosu Ojengbede, Mohamed Fathalla, et al. "Positive Effects of the Non-pneumatic Anti-shock Garment on Delays in Accessing Care for Postpartum and Postabortion Hemorrhage in Egypt and Nigeria." Journal of Women's Health 20, no. 1 (2011): 91–98. http://dx.doi.org/10.1089/jwh.2010.2081.

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39

Turan, J., O. Ojengbede, M. Mourad-Youssif, et al. "P307 Delays in obtaining treatment for postpartum and postabortion hemorrhage in low resource settings: the role of the non-pneumatic anti-shock garment (NASG)." International Journal of Gynecology & Obstetrics 107 (October 2009): S500. http://dx.doi.org/10.1016/s0020-7292(09)61797-5.

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40

Kulshreshtha, Dr Shabdika, and Dr Payal Jain. "Application of Non Pneumatic Anti- Shock Garment (NASG) in 100 patients of postpartum haemorrhage: analysis of causes, management and outcome in a tertiary centre of south Rajasthan." Obsgyne Review: Journal of Obstetric and Gynecology 5, no. 3 (2019): 133–40. http://dx.doi.org/10.17511/joog.2019.i03.02.

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Desta, Abraham Aregay, Mentsegeba Berhane, and Tewolde Wubayehu Woldearegay. "Utilization Rate and Factors Associated with Non-Utilization of Non-Pneumatic Anti-Shock Garment in the Management of Obstetric Hemorrhage in Public Health Care Facilities of Northern Ethiopia: A Cross-Sectional Study." International Journal of Women's Health Volume 12 (October 2020): 943–51. http://dx.doi.org/10.2147/ijwh.s266534.

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42

Bangal, Vidyadhar B., Parikshit Jondhale, Satyajit Gavhane, and Krupa Mange. "Clinical profile of maternal deaths due to postpartum haemorrhage." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 8 (2020): 3243. http://dx.doi.org/10.18203/2320-1770.ijrcog20203303.

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Background: Postpartum haemorrhage is one of the dreadful complications that occur during delivery. It is often un-anticipated and occurs suddenly and un-expectedly. It is responsible for 20 percent of maternal deaths in developing countries. These deaths are largely preventable. The objective of the study was to find out the clinical profile, associated co-morbid conditions and contributory factors and treatment modalities used in the management.Methods: Retrospective observational study of maternal deaths due to postpartum haemorrhage (PPH) was carried out at tertiary care hospital. The data of maternal deaths for seven years from year 2013 to 2019 was reviewed, compiled and analyzed to draw conclusions.Results: There were 18 maternal deaths (19%) due to PPH out of total 86 maternal deaths. The average age of the woman who died due to PPH was 24 years. Ninety five percent of the cases of PPH were due to atonic uterus. Seventy percent of the cases had reported in advanced stage of shock with average blood loss of more than two to three litres. Poor general condition due to delay in reaching to tertiary care hospital was predominant feature. Sixty percent women underwent obstetric hysterectomy. Massive blood transfusion was given in fifty percent cases. Severe pregnancy induced hypertension, severe anaemia and severe concealed accidental haemorrhage were common associated factors in sixty percent of maternal deaths.Conclusions: Postpartum haemorrhage is still a common cause of maternal death. Early detection, prompt aggressive management, adequate blood replacement, use of uterine balloon tamponade and non-pneumatic anti-shock garment, timely transfer to higher centre and timely decision for surgical interventions can prevent maternal deaths.

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Kerr, N. L., M. Hauswald, D. A. Wachter, and S. R. Tamrakar. "W381 PNEUMATIC ANTI-SHOCK GARMENTS DECREASE PELVIC BLOOD FLOW MORE THAN NON-PNEUMATIC ANTI-SHOCK GARMENTS BUT ONLY WHEN THEY HURT MORE." International Journal of Gynecology & Obstetrics 119 (October 2012): S828. http://dx.doi.org/10.1016/s0020-7292(12)62103-1.

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I, Okafor. "Effectiveness of Non-pneumatic Anti-shock Garment (NASG) in Preventing Shock-related Morbidity and Mortality in Severe Hemorrhagic Shock." Critical Care Obstetrics and Gynecology 03, no. 03 (2017). http://dx.doi.org/10.21767/2471-9803.1000149.

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El Ayadi, Alison M., Elizabeth Butrick, Jillian Geissler, and Suellen Miller. "Combined analysis of the non-pneumatic anti-shock garment on mortality from hypovolemic shock secondary to obstetric hemorrhage." BMC Pregnancy and Childbirth 13, no. 1 (2013). http://dx.doi.org/10.1186/1471-2393-13-208.

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Pileggi-Castro, Cynthia, Vicky Nogueira-Pileggi, Özge Tunçalp, Olufemi Taiwo Oladapo, Joshua Peter Vogel, and João Paulo Souza. "Non-pneumatic anti-shock garment for improving maternal survival following severe postpartum haemorrhage: a systematic review." Reproductive Health 12, no. 1 (2015). http://dx.doi.org/10.1186/s12978-015-0012-0.

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Penn, Amy W., Nancy K. Beam, and Hana Azman. "Non-pneumatic anti-shock garment (NASG) as a first aid for preventing or reversing hypovolemic shock secondary to obstetric hemorrhage." Cochrane Database of Systematic Reviews, May 19, 2015. http://dx.doi.org/10.1002/14651858.cd011700.

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Penn, Amy W., Nancy K. Beam, and Hana Azman. "Non-pneumatic anti-shock garment (NASG) as a first aid for preventing or reversing hypovolemic shock secondary to obstetric hemorrhage." Cochrane Database of Systematic Reviews, February 9, 2018. http://dx.doi.org/10.1002/14651858.cd011700.pub2.

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Miller, Suellen, Mohamed MF Fathalla, Oladosu A. Ojengbede, et al. "Obstetric hemorrhage and shock management: using the low technology Non-pneumatic Anti-Shock Garment in Nigerian and Egyptian tertiary care facilities." BMC Pregnancy and Childbirth 10, no. 1 (2010). http://dx.doi.org/10.1186/1471-2393-10-64.

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Miller, Suellen, and José M. Belizán. "A promising device to save maternal lives associated with obstetric hemorrhage: the non-pneumatic anti-shock garment (NASG)." Reproductive Health 12, no. 1 (2015). http://dx.doi.org/10.1186/s12978-015-0019-6.

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