Sensitive Midwifery - Issue 43 - July2019

What is the NASG? The NASG, a Non-Pneumatic Anti Shock Garment, is used to manage shock and postpartum haemorrhage (PPH) in birthing mothers. This first aid compression device can stabilise the patient for up to 72 hours until receipt of definitive medical and surgical interventions. The garment is lightweight, washable and reusable up to 144 times. It is flexible and comfortable and need not be removed to conduct patient examinations, procedures or abdominal surgery. How does the NASG work? The NASG is put in place by a trained medical professional by strap- ping the device on to the patient. Once on, the NASG applies sufficient circumferential counter pressure onto the lower body and uterus. This increases circulating blood and blood pressure to the heart, lungs and brain, in effect decreasing blood loss and reversing hypovolemic shock. The NASG is widely used in 33 countries and low resource settings in Asia, South America and Africa (Nigeria, Kenya, Zambia, Zimbabwe) where PPH is the leading cause of maternal mortality. The NASG has been piloted in South Africa, in 2018, with great success. 084 524 3994 / 074 604 0656 NASG Saving Mothers Lives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www.pearlstem.com How do you clean the NASG? - In .01% chlorine bleach solution. How long does it take to put the NASG on? - Approximately 2 minutes. How long does the NASG last? - At least 144 uses. FAQ’s 0864350027 orders@pearlstem.co.za Understanding the transition stage The transition phase of labour – where the rim of the cervix moves away – may overwhelm women. It either takes the form of a few intense contractions at the end of the first stage, or a brief rest period before the second stage begins. It is the shortest but hardest stage of labour, and many women grow agitated, tremble, and become nauseous. During transition, women need you to be their champion, encouraging them and reassuring them that this phase only lasts a few minutes, and that their body now does everything automatically. To assist women during this stage, advise them to: • Squat, crouch, or kneel on all fours while rocking to support the womb’s activity • Grunt and focus on breathing to ease the urge to push • Vomit if nauseous – this often provides relief If contractions cease during transition, encourage moms to lie down and rest until the second stage starts spontaneously. Birth 17 Issue 43 eSensitive Midwifery Magazine