Developing and Implementing Nursing Care Protocol Regarding Management of Postpartum Hemorrhage

Document Type : Original Article

Authors

1 Nursing Specialist at Women's Health Hospital in Assiut University, Egypt

2 Assistant Professor of Obstetric & Gynecologic Nursing, Faculty of Nursing, Assiut University, Egypt.

3 Professor of Obstetrics & Gynecological, Faculty of Medicin, Assiut University, Egypt

Abstract

Background: Postpartum hemorrhage (PPH) is the leading cause of maternal morbidity and mortality in developing
countries. PPH is defined as any blood loss >500 ml following vaginal delivery and >1000 ml after cesarean section.
It can also be defined as fall in hematocrit >10% or blood loss >15% of total blood volume, or 10% measured per
partum decline in hemoglobin levels. Aim of the study: the aim of this quasi-experimental study was to evaluate the
effect of Developing and implementing Nursing Care protocol regarding management of postpartum hemorrhage on
Patients outcomes and complications. Setting: This study was conducted at Assiut Women's Health Hospital,
postpartum unit .Sample: Purposive sample with a total of 140 Postpartum Hemorrhage patients was recruited,
divided into two groups (control and study) 70 patients for each group Result: this study found that a significant
difference between the routine and designed protocol in nursing management of postpartum hemorrhage . these
findings show that the patient outcomes improved in study cases when compared with control cases which appeared
in stop of bleeding 95.7% in study group, 82.8% in control group and conscious level 87.1%in study group,78.6 in
control group with normal conscious level Conclusion: This research concluded that nursing care protocol was
effective in reducing postpartum hemorrhage outcome and complications. Recommendations: clearly written
Postpartum Hemorrhage management protocol, adapted for a particular hospital, should be developed and used in
clinical practice.

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