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What if you could buy time? The NASG can do just that for postpartum hemorrhage

noviembre 01, 2016

What if you could buy time?  The NASG can do just that for postpartum hemorrhage

Postpartum hemorrhage is the major killer of women in the developing world (one woman every four minutes dies this way). One of the key issues is the speed with which an anemic woman can lose her life if she is not provided life-saving care. Often women are lost in transit to a facility that could have provided the care. But what if you could ‘buy time’—stabilizing the woman until she reaches a higher level facility. This is the idea behind the NASG , a device we’ve followed and think is a potential game changer for women’s survival. The  NASG, also called the non-pneumatic anti-shock garment is a medical device that externally wraps around a woman experiencing hemorrhage and ‘buys her time’--Time to get to a higher level health facility with life-saving drugs and blood transfusion. Two key clinical studies  of the LifeWrap device came out in late 2009—one from Nigeria and one from Egypt. Though much more could be written (and will be), to sum up, maternal mortality and morbidity was lower with the use of the LifeWrap. The authors report that in both studies “the measured blood loss was signi ficantly lower for women treated with the NASG: 78% lower in Nigeria and 50% lower in Egypt.” The study also found that uterine atony (failure of the uterus to contract)—and a major cause of postpartum hemorrhage—was the cause of hemorrhage in only 30% of the cases studied. The more that is understood about the reasons for postpartum hemorrhage the better.
 

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New preeclampsia risk-factor checklists to aid health care providers in identifying pregnant women who may benefit from prophylactic low-dose aspirin
New preeclampsia risk-factor checklists to aid health care providers in identifying pregnant women who may benefit from prophylactic low-dose aspirin

agosto 14, 2020

This past June, the Society for Maternal-Fetal Medicine (SMFM) published in the   American Journal of Obstetrics and Gynecology   a special statement on a collection of two new checklists they created to support health care providers in identifying pregnant women at heightened risk of developing preeclampsia, a major cause of maternal and perinatal morbidity and mortality. 
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Are multiple micronutrient supplements superior to the traditional iron-folic acid supplements taken during pregnancy?
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agosto 04, 2020

It is common in low- and middle-income countries for women to experience micronutrient deficiencies as a result of poor diet. This becomes a particularly acute issue in pregnancy due to an increase in the nutrient requirements of both mother and fetus. Deficiencies in micronutrients like vitamin A, iron, iodine, and folate can negatively impact the health of both the mother and fetus.
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Studies suggest a potential direct and dose-response relationship between anemia and postpartum hemorrhage
Studies suggest a potential direct and dose-response relationship between anemia and postpartum hemorrhage

julio 20, 2020

Anemia is a concern in pregnancy and is usually addressed with iron supplementation. Its linkage to postpartum hemorrhage has been of concern because those who are anemic are likely to expire more rapidly once blood loss occurs.
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