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CompletedNCT00305253Updated May 14, 2013Results posted

Efficacy Study of the Non-Pneumatic Anti-Shock Garment (NASG) in Egypt

A Phase 1/2 interventional study of Non-pneumatic Anti-shock Garment (NASG) in Hypovolemic Shock and Hemorrhage, sponsored by University of California, San Francisco. Completed at 2 sites in Egypt. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-05-14.

Sponsored by University of California, San Francisco · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
990
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
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Study summary

This study will test the efficacy of the NASG on women suffering from obstetric hemorrhage as compared to hemorrhaging women who do not receive the NASG.

Read the detailed description

This is a comparative, pre-post study of the Non-pneumatic Anti-Shock Garment (NASG) to establish its effectiveness in reducing maternal mortality and morbidity due to obstetrical hemorrhage. The sites are two maternity teaching hospitals in Egypt: El Galaa, in Cairo and Assiut University in Assiut.

Our main aim was to test the efficacy of the NASG on women suffering from obstetric hemorrhage as compared to hemorrhaging women who do not receive the NASG. Our primary outcome was Extreme Adverse Outcomes (EAO) - a combined outcome of maternal mortality and severe morbidity. Secondary outcomes included mean measured blood loss and incidence of emergency hysterectomy.

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Conditions studied

  • Hypovolemic Shock
  • Hemorrhage

Keywords

  • maternal mortality
  • obstetric hemorrhage
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In context

Hemorrhage

3,000 studies on the registry are indexed under Hemorrhage; 474 are open to participants now.

This study's enrollment of 990 is above the median of 100 across 1,985 interventional studies indexed under Hemorrhage.

Browse Hemorrhage studies →

Lead sponsor

University of California, San Francisco is the lead sponsor of 2,132 studies on the registry; 375 are open to participants now.

Of its 262 completed or terminated interventional studies of FDA-regulated products, 196 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • blood loss from obstetric hemorrhage >= 1000 mL
  • pulse > 100 beats per minute or systolic blood pressure \< 100 mmHg

Exclusion criteria

Exclusion Criteria:

Absolute exclusion criteria:

  • current viable third trimester intrauterine pregnancy that can be delivered in the next 20 minutes after hemorrhage begins
  • current bleeding sites above the diaphragm.

Relative exclusion criteria:

  • history or current clinical evidence of mitral stenosis or congestive heart failure (CHF)
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
990 participants (actual)

Study arms

  • No intervention
    Pre-Intervention

    The Pre-Intervention Phase served as the Control / Baseline group.

  • Experimental
    Post-Intervention

    Intervention used in this phase and outcomes compared to the Pre-Intervention phase.

    Device: Non-pneumatic Anti-shock Garment (NASG)

Interventions

  • DeviceNon-pneumatic Anti-shock Garment (NASG)

    In the Post-Intrevention phase of the study, the NASG will be used when a patient meets the study criteria.

    Also known as: NASG, Manufactured by Zoex, Anti-Shock Garment, Life Wrap

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What researchers measure

Primary outcomes

  1. Extreme Adverse Outcomes (EAO) - a Combined Outcome of Maternal Mortality or Severe Morbidity (Cardiac,Respiratory, Renal or Cerebral Dysfunction)

    Time frame: from early pregnancy to within 3 weeks postpartum

Secondary outcomes

  1. Blood Loss Due to Obstetric Hemorrhage

    cumulative blood loss measured hourly upon study admission by calibrated blood collection drape

    Time frame: within 72 hours of study enrollment

  2. Emergency Hysterectomy

    incidence of emergency hysterectomy for cases of uterine atony

    Time frame: within 72 hours of study enrollment

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Results

Posted Jul 15, 2011
Limitations and caveats
Non-randomized, non-blinded pre-intervention/intervention design

Participant flow

Participant flow — Overall Study
MilestonePre-InterventionPost-Intervention
Started432559
Completed432558
Not completed01
Withdrew: Withdrawal by subject01

Outcome measures

PrimaryExtreme Adverse Outcomes (EAO) - a Combined Outcome of Maternal Mortality or Severe Morbidity (Cardiac,Respiratory, Renal or Cerebral Dysfunction)
Time frame:
from early pregnancy to within 3 weeks postpartum
Reported as:
Number · participants
Extreme Adverse Outcomes (EAO) - a Combined Outcome of Maternal Mortality or Severe Morbidity (Cardiac,Respiratory, Renal or Cerebral Dysfunction)
participantsPre-InterventionPost-Intervention
Extreme Adverse Outcomes (EAO) - a Combined Outcome of Maternal Mortality or Severe Morbidity (Cardiac,Respiratory, Renal or Cerebral Dysfunction)2711
Statistical analysis
  • Pre-Intervention vs Post-Intervention · Regression, Logistic · p = 0.019 · Odds ratio (or): 0.38 · 95% CI 0.17 to 0.85Pre-Intervention group was compared to the Post-Intervention group. Each group contained different study participants.
SecondaryBlood Loss Due to Obstetric Hemorrhage

cumulative blood loss measured hourly upon study admission by calibrated blood collection drape

Time frame:
within 72 hours of study enrollment
Reported as:
Mean · mL
Blood Loss Due to Obstetric Hemorrhage
mLPre-InterventionPost-Intervention
Blood Loss Due to Obstetric Hemorrhage378.9 ± 234.3253.2 ± 205.3
Statistical analysis
  • Pre-Intervention vs Post-Intervention · t-test, 2 sided · p = <0.0001 · Mean difference (final values): 7.79Pre-Intervention group was compared to the Post-Intervention group. Each group contained different study participants.
SecondaryEmergency Hysterectomy

incidence of emergency hysterectomy for cases of uterine atony

Time frame:
within 72 hours of study enrollment
Reported as:
Number · participants
Emergency Hysterectomy
participantsPre-InterventionPost-Intervention
Emergency Hysterectomy3528
Statistical analysis
  • Pre-Intervention vs Post-Intervention · t-test, 2 sided · p = <0.05 · Risk ratio (rr): 0.41 · 95% CI 0.21 to 0.80Pre-Intervention group was compared to the Post-Intervention group. Each group contained different study participants.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pre-Intervention—10/432 (2.3%)17/432 (3.9%)
Post-Intervention—6/558 (1.1%)5/558 (0.9%)
Most frequent serious events
Most frequent serious events
EventPre-InterventionPost-Intervention
MortalityPregnancy, puerperium and perinatal conditions10/4326/558
Most frequent other events
Most frequent other events
EventPre-InterventionPost-Intervention
Renal FailureRenal and urinary disorders14/4323/558
Acute Respitory Distress Syndrome (ARDS)Respiratory, thoracic and mediastinal disorders3/4320/558
Cerebral ImpairmentNervous system disorders2/4322/558
Cardiac FailureCardiac disorders1/4320/558

Baseline characteristics

Age Continuous
Age Continuous(years)Pre-InterventionPost-InterventionTotal
Mean28.7 ± 6.228.9 ± 6.028.8 ± 6.2
Sex: Female, Male
Sex: Female, Male(Participants)Pre-InterventionPost-InterventionTotal
Female432558990
Male000
Region of Enrollment
Region of Enrollment(participants)Pre-InterventionPost-InterventionTotal
Egypt432558990
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Study locations

2 sites
  • Assuit University Hospital
    Assiut, Egypt
  • El-Galaa Teaching Hospital
    Cairo, Egypt
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References and documents

Publications

  • Miller S, Hamza S, Bray EH, Lester F, Nada K, Gibson R, Fathalla M, Mourad M, Fathy A, Turan JM, Dau KQ, Nasshar I, Elshair I, Hensleigh P. First aid for obstetric haemorrhage: the pilot study of the non-pneumatic anti-shock garment in Egypt. BJOG. 2006 Apr;113(4):424-9. doi: 10.1111/j.1471-0528.2006.00873.x. PubMed 16553654 ↗
  • Miller S, Martin HB, Morris JL. Anti-shock garment in postpartum haemorrhage. Best Pract Res Clin Obstet Gynaecol. 2008 Dec;22(6):1057-74. doi: 10.1016/j.bpobgyn.2008.08.008. Epub 2008 Sep 20. PubMed 18805742 ↗
  • Turan J, Ojengbede O, Fathalla M, Mourad-Youssif M, Morhason-Bello IO, Nsima D, Morris J, Butrick E, Martin H, Camlin C, Miller S. Positive effects of the non-pneumatic anti-shock garment on delays in accessing care for postpartum and postabortion hemorrhage in Egypt and Nigeria. J Womens Health (Larchmt). 2011 Jan;20(1):91-8. doi: 10.1089/jwh.2010.2081. Epub 2010 Dec 29. PubMed 21190486 ↗
  • Miller S, Fathalla MM, Ojengbede OA, Camlin C, Mourad-Youssif M, Morhason-Bello IO, Galadanci H, Nsima D, Butrick E, Al Hussaini T, Turan J, Meyer C, Martin H, Mohammed AI. Obstetric hemorrhage and shock management: using the low technology Non-pneumatic Anti-Shock Garment in Nigerian and Egyptian tertiary care facilities. BMC Pregnancy Childbirth. 2010 Oct 18;10:64. doi: 10.1186/1471-2393-10-64. PubMed 20955600 ↗
  • Mourad-Youssif M, Ojengbede OA, Meyer CD, Fathalla M, Morhason-Bello IO, Galadanci H, Camlin C, Nsima D, Al Hussaini T, Butrick E, Miller S. Can the Non-pneumatic Anti-Shock Garment (NASG) reduce adverse maternal outcomes from postpartum hemorrhage? Evidence from Egypt and Nigeria. Reprod Health. 2010 Sep 1;7:24. doi: 10.1186/1742-4755-7-24. PubMed 20809942 ↗
  • Miller S, Turan JM, Dau K, Fathalla M, Mourad M, Sutherland T, Hamza S, Lester F, Gibson EB, Gipson R, Nada K, Hensleigh P. 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. Glob Public Health. 2007;2(2):110-24. doi: 10.1080/17441690601012536. PubMed 19280394 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 14, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00305253
Lead sponsor
University of California, San Francisco
Collaborators
MacArthur Foundation
Responsible party
Sponsor
First posted
Mar 21, 2006
Start date
Apr 2006
Primary completion
Jun 2008
Completion
Jun 2008
Results posted
Jul 15, 2011
Last update
May 14, 2013

Study contacts

Suellen Miller, CNM, PhD, RN
principal investigator · University of California, San Francisco

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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