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 developingcountries. 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 perpartum decline in hemoglobin levels. Aim of the study: the aim of this quasi-experimental study was to evaluate theeffect of Developing and implementing Nursing Care protocol regarding management of postpartum hemorrhage onPatients 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 significantdifference between the routine and designed protocol in nursing management of postpartum hemorrhage . thesefindings show that the patient outcomes improved in study cases when compared with control cases which appearedin stop of bleeding 95.7% in study group, 82.8% in control group and conscious level 87.1%in study group,78.6 incontrol group with normal conscious level Conclusion: This research concluded that nursing care protocol waseffective in reducing postpartum hemorrhage outcome and complications. Recommendations: clearly writtenPostpartum Hemorrhage management protocol, adapted for a particular hospital, should be developed and used inclinical practice.