NASG- A Perfect First Line Life Saving Wrap

Author(s): Indra Bhati1 , Sobika Rana2 , Saroj Choudhary3

BACKGROUND Majority of deaths due to postpartum haemorrhage (PPH) can be avoided through the use of prophylactic uterotonics during the third stage of labour and by timely and appropriate management. The purpose of this study was to evaluate the usage of NASG at our center in cases with obstetric haemorrhage & shock. METHODS We describe a total of 51 women who received NASG at our institute for obstetric haemorrhage & shock from December 2016 to September 2017. Their demographic characteristics, vital signs, & shock index, before and after application of NASG were studied & compared. RESULTS Most women wrapped in NASG were in the age group 20 - 25 years (49%), 91% (46) were unbooked, 73% (37) were of rural background, 60.78% (31) were postpartum at admission. NASG was applied to 90% (46) at our center while only 5 came with the device on. Most common indication was atonic post-partum haemorrhage & it was kept on for 24 - 48 hours in most. 41 (80%) women did not require any surgical intervention after being wrapped in the garment. Peripartum hysterectomy was the commonest surgical intervention 05 (10%), 92% were given blood & blood products. We were able to save 46 (90%) women given NASG. The vital parameters & shock index improved remarkably in most women. CONCLUSIONS NASG emerged as an effective tool in managing shock due to obstetric haemorrhage. We recommend it as a front-line option for shock management.