Labor Outcomes of Implemented Evidence-Based Nursing Guideline during the Third Stage of Labor

Soliman,, Hanaa Abdel Hady; Essa, Mustfa A.; Labib, Aziza T.; Hafez, Azza M.; Ahmed, Nadia H.

doi:10.21608/asnj.2016.60349

Labor Outcomes of Implemented Evidence-Based Nursing Guideline during the Third Stage of Labor

Document Type : Original Article

Authors

¹ Assistant lecturer of Maternity and Obstetric Health Nursing Faculty of Nursing, Minia University, Egypt.

² Professor of Obstetric and Gynecology Medicine Faculty of Medicine, Minia University, Egypt.

³ Professor of Maternity and Gynecology Health Nursing Faculty of Nursing - Ain shams, University, Egypt.

⁴ Assistant Professor of Maternity and Obstetric Health Nursing Faculty of Nursing, Minia University. Egypt

⁵ Assistant Professor of Obstetric and Gynecology Health Nursing Faculty of Nursing, Assuit University. Egypt.

10.21608/asnj.2016.60349

Abstract

Background: there is a question with obstetricians and health staff whether implemented evidence-based guideline, can affect labor outcomes. This study was conducted to implement evidence-based guideline practice during the third stage and all stages of labor will affect in reducing postpartum hemorrhage and giving better labor outcomes. Aim of the study: to determine effect of an evidence-based guideline on caring a woman during the third stage of labor and evaluate the labor outcome of evidence-based intervention (EBI). Materials and methods: Design: A quasi - experimental design. Tools structured interviewing sheet including socio-demographic data. Observational sheet including nursing practice, and Follow up sheet including assess blood loss. Setting: data collected from delivery unit, Minia University maternity Hospital. Sampling: simple random sampling, one hundred included in the study; divided into two equal (control and study group). Results: the study revealed that there were mean of blood loss after 1, 2, 3 hours of delivery can lower in the study than control group. On the other hand, There was a highly significant relationship between maternal outcome and their neonatal apgar score level (P= 0.001). Conclusion and Recommendation: further researches are still needed to implemented guideline of nursing practices for childbirth and measures could be decreasing intra-postpartum hemorrhage and others complication.

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