Factors Affecting Postpartum Hemorrhage at Langsuan Hospital, Chumporn Province.

Abstract

The research objective was to the study factors affecting postpartum hemorrhage at Langsuan Hospital, Chumporn Province. The case-control study was performed to identify the risk factors of postpartum hemorrhage. The research data were extracted from the hospital’s childbirth records for the period between October 2021 and September 2023 based on the postpartum hemorrhage prevention and service delivery quality recording forms.  One Hundred and forty-four medical childbirth records were selected by purposive random sampling technique. Three experts approved the record form for content validity and 25 samples were collected for assessing inter-rater reliability. The Inter-rater reliability was 0.81. Binary logistic regression was used for analyses of the data.   

The study found that the factors contributing to postpartum hemorrhage were composed of no labor induction with medications, pregnant women with high obstetric risk, and blood loss estimation was not done using a collecting bag. In conclusion, the research suggested that active management during the third stage of labor recommended for nurse midwifery based on The Royal Thai College of Obstetricians and Gynecologists Clinical Practice Guidelines would help prevent postpartum hemorrhages.. However, continuous promoting of awareness about adhering to the practice of the guidelines and making a training available to nurse-midwives regarding the prevention and management of postpartum hemorrhage should be conducted by the hospital administrators.