Effect of the Intervention Design of Nursing Practices on the Monitoring and Management of Postpartum Hemorrhage

Abstract

Postpartum hemorrhage (PPH) of pregnancy, the main causes of maternal morbidity and mortality in developing countries. Prevention and control of PPH is an intervention in which nurses should be enabled to be implemented in order to reduce PPH rates. The aims of this study were to monitor, manage postpartum hemorrhage, improve patient outcomes and reduce possible complications. A quasi experimental research design was used in this study. A Convenience sample of 140 postpartum hemorrhage women at Assuit University Hospital was recruited. A study sample divided into two groups control and study (control group before nursing practices intervention and study group was another group post nursing practices intervention).History, medical and obstetrical data were obtained. Designing nursing practices intervention on monitoring and management of PPH was implemented. Results: There was statistical significance differences between both groups regarding nursing practices intervention of postpartum hemorrhage, There were a clear improvement in patient outcomes (bleeding stopped (95 .7%)in study group, 82.8%in control group)and deceased the complications As Shock(4.3%)in study group and(17.1%)in control group, Renal failure(8.6%) in study group and(22.9) in control group. Conclusion: The implementation of the intervention design of nursing practices for the management of PPH had a positive effect on the results of PPH patients and reduced PPH complications. Recommendations: Guidelines for management of PPH are clearly written, adapted to a private hospital, should be developed and used in clinical practice.

Assessment of nurses’ knowledge and skills toward postpartum hemorrhage prevention

“…In relation to bladder emptying, nearly two thirds of the study nurse didn't help the mother to evacuate the bladder and that disagree with (Eldien & Ahmed 2019) titled "Effect of the Intervention Design of Nursing Practices on the Monitoring and Management of Postpartum Hemorrhage" who reported that more than two third of the nurses help emptying the bladder.…”