Developing and Implementing Nursing Care Protocol Regarding Management of Postpartum Hemorrhage

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.