Development of a Clinical Nursing Practice Guideline to Prevent Postpartum Hemorrhage in the first 2 hours postpartum at Labor Room, Chaturaphakpiman hospital

Abstract

Purposes : To develop Nursing practice guidelines for preventing postpartum hemorrhage in mothers and evaluate the results of using guidelines for preventing postpartum hemorrhage during the 2 hours after giving birth at Labor Room , Chaturaphakphiman Hospital.

Study design : Research and development (Research and development)

Materials and Method : The group participating in the study was 10 professional nurses in the delivery room and _ birth attendants who came to receive services in the delivery room. The study was divided into 2 phases: Phase 1, the development of guidelines, divided into 6 steps 1 ) Determining the issues and scope of the problem 2) Setting objectives Target groups, and results 3) Searching and evaluating the value of empirical evidence 4) Drafting guidelines and 5) Checking the quality of the guidelines 6) Putting the guidelines into practice Phase 2 Evaluation of the implementation of the guidelines. The development process is divided into 2 steps: 1) implementing the developed guidelines and 2) evaluating the use of the guidelines. A professional nurse in the delivery room department Analyze data on the feasibility of use, satisfaction, and prevention of postpartum hemorrhage. Analyze data with descriptive statistics, problems, obstacles, and suggestions Data were analyzed by grouping content.

Main finding : Nursing practice guidelines for preventing early postpartum hemorrhage. in mothers who gave birth vaginally, Chaturaphakpiman Hospital consists of 4 steps: 1) signal evaluation Warning of bleeding After the baby is born until 2 hours after birth 2) Uterine massage after the placenta is born in conjunction with using a watch to warn of uterine movements every 15 minutes after placenta delivery, 3) assessing blood volume 1 hour after birth, and 4) assessing blood volume 2 hours after birth. After using the guidelines, it was found that mothers lost less than 400 milliliters of blood. It was statistically significant at the 0.05 level and 98% of mothers had normal vital signs and had no abnormal symptoms after giving birth. The results of the evaluation of the users of the guidelines found that the guidelines were appropriate and easy to use. The results of this research It was shown that this nursing practice was effective in preventing postpartum hemorrhage within 2 hours after delivery. In the delivery room department of Chaturapakphiman Hospital

Conclusions and recommendations : Nursing practice guidelines for preventing postpartum hemorrhage in the first 2 hours in mothers who gave birth vaginally at Chaturaphat Phiman Hospital. are appropriate Can be used easily Can be used to effectively prevent postpartum hemorrhage in the first 2 hours after birth. Its use should be promoted and monitored continuously and reviewed and developed if risks are found in the future or at least every 1 year.