Experience in the use of non-pneumatic anti-shock garment (NASG) in the management of postpartum haemorrhage with hypovolemic shock in the Fundación Valle Del Lili, Cali, Colombia.
BACKGROUND
The aim of this case series is to describe the experience of using the non-pneumatic anti-shock garment (NASG) in the management of severe Postpartum hemorrhage (PPH) and shock, and the value of implementing this concept in high-complexity obstetric hospitals.


METHODS
Descriptive case series of 77 women that received NASG in the management of PPH with severe hypovolemic shock from June 2014 to December 2015. Vital signs, shock index (SI), the lactic acid value and the base deficit were compared before and after NASG application.


RESULTS
Fifty-six (77%) women had an SI > 1.1 at the time shock management was initiated; 96% had uterine atony. All women received standard does of uterotonics. The average time between the birth and NASG applications was 20 min. Forty-eight percent of women recovered haemodynamic variables in the first hour and 100% within the first 6 h; 100% had a SI < 1.0 in the first hour. The NASG was not removed until definitive control of bleeding was achieved, with an average time of use of 24 h. There were no mortalities.


CONCLUSIONS
In this case series of women in severe shock, the NASG was an effective management device for the control of severe hypovolemic shock. It should be considered a first-line option for shock management.
['Escobar|María Fernanda|MF|', 'Füchtner|Carlos Eduardo|CE|', 'Carvajal|Javier Andrés|JA|', 'Nieto|Albaro José|AJ|', 'Messa|Adriana|A|', 'Escobar|Sara Sofía|SS|', 'Monroy|Angélica María|AM|', 'Forero|Angélica María|AM|', 'Casallas|José David|JD|', 'Granados|Marcela|M|', 'Miller|Suellen|S|']
D000293:Adolescent D000328:Adult D003020:Clothing D003105:Colombia D004630:Emergencies D005260:Female D005676:Gravity Suits D006801:Humans D020896:Hypovolemia D015915:Motion Therapy, Continuous Passive D013513:Obstetric Surgical Procedures D006473:Postpartum Hemorrhage D011247:Pregnancy D011256:Pregnancy Outcome D012189:Retrospective Studies D012769:Shock D055815:Young Adult
Postpartum haemorrhage Hypovolemic shock Emergency treatment Gravity suits