TY - JOUR AU - พรหมสาขา ณ สกลนคร, ปิยะนุช AU - Onubon, Sawanee PY - 2022/05/03 Y2 - 2024/03/28 TI - The Development of Clinical Nursing Practice Guidelines for Prevention of Postpartum Hemorrhage Nong Bua Lamphu Hospital: Development of Clinical Nursing Practice Guidelines for prevention of postpartum hemorrhage Nong Bua Lamphu Hospital JF - Hua Hin Medical Journal JA - HuaHin Med. J VL - 2 IS - 1 SE - Original article DO - UR - https://he01.tci-thaijo.org/index.php/hhsk/article/view/253482 SP - 58-71 AB - <p><strong>Background: </strong>Postpartum hemorrhage (PPH) is a serious bleeding disorder that is a primary cause of death in postpartum mothers. The incidence and severity of postpartum hemorrhage can be reduced with proper nursing care.</p><p><strong>Objective: </strong>To develop and evaluate a clinical nursing practice guideline for the prevention of postpartum hemorrhage (CNPG-PPH) in the delivery room, at Nong Bua Lamphu Hospital.</p><p><strong>Methods: </strong>The research was carried out in three stage: The initial stage was to create the CNPG-PPH using William Edwards Deming's PDCA (Plan-Do-Check-Act) conceptual framework. The CNPG-PPH was used in the second stage to care for 80 maternity patients. The final stage was to assess the utilization of the CNPG-PPH as well as nurses' perspectives on its applicability. The data were analyzed using descriptive statistics</p><p><strong>Results: </strong>The CNPG-PPH development consisted of 4 steps: 1) risk screening for the prevention of postpartum hemorrhage by 4 main causes (4T), 2) nursing care for prevention of postpartum hemorrhage, 3) nursing care for preparing mothers for procedures in the operating room and 4) referral for continuing postpartum care</p><p><strong>Results: </strong>The CNPG-PPH development consisted of 4 steps: 1) risk screening for the prevention of postpartum hemorrhage by 4 main causes (4T), 2) nursing care for prevention of postpartum hemorrhage, 3) nursing care for preparing mothers for procedures in the operating room and 4) referral for continuing postpartum care. Based on quality assessment: Appraisal Guidelines for Research and Evaluation (The AGREE II). When used as a clinical nursing practice guideline in the labor room showed that the rate of postpartum hemorrhage decreased and no maternal death. The overall nurses' opinions on the feasibility of implementing the CNPG-PPH were at a high level (M=4.44, SD=0.71).</p><p><strong>Conclusions: </strong>This developed clinical nursing practice guideline for the Prevention of Postpartum Hemorrhage (CNPG-PPH) can be used as a guideline for nurses in the labor room, Nong Bua Lamphu Hospital to reduce complications and maternal mortality from postpartum hemorrhage.<strong> </strong></p><p><strong>Keywords:</strong> Clinical Nursing Practice Guideline, Postpartum hemorrhage, Prevention</p> ER -