Effectiveness of using clinical nursing practice guideline for the prevention of early postpartum hemorrhage in Phatthalung Hospital
Keywords:Clinical nursing practice guideline, early postpartum hemorrhage
This quasi-experimental research aimed to investigate the effectiveness of using clinical nursing practice guideline for the prevention of early postpartum hemorrhage in Phatthalung Hospital. Samples were vaginal delivery mother in labour room, Phatthalung Hospital. Subjects were divided into 2 groups, 30 subjects who received usual nursing care were control group. 30 subjects who received care using the clinical nursing practice guideline were study group. The research instrument was the clinical nursing practice guideline for the prevention of early postpartum hemorrhage. The data were collected including general information, history of pregnancy, amount total blood loss per vagina, postpartum hemorrhage. Data were analyzed using descriptive statistics, the Fisher’s exact, Chi-Square test and Mann-Whitney U test. The results showed that the mean rank of amount total blood loss per vagina among study group was significantly lower than control group (Mean ranked = 15.62 and 45.38, p<.05). In addition, the proportion of early postpartum hemorrhage among study group was lower than control group (0 and 7 cases, p<.05). The results suggested that clinical nursing practice guideline for the prevention of early postpartum hemorrhage should be used in Phatthalung Hospital and other hospitals in order to reduce the early postpartum hemorrhage.
World Health Organization. Maternal mortality: Levels and trends 2000 to 2017: [Internet] 2019[Cited 15 February, 2020]. Maternal mortality. Available from: https://www.who.int/reproductivehealth/publications/ maternal-mortality-2000-2017/en/.
World Health Organization. WHO guidelines for the management of postpartum haemorrhage and retained placenta: [Internet] 2012 [Cited 15 January, 2020]. Guidelines PPH. Available from: http://w h g l i b d o c w h o . i n t / p u b l i c a t i o n/2009/9789241-eng.pdf.
Say, L., Chou, D., Gemmill, A., Tuncalp, O., Moller, A.B., Daniels, J., et al. Global causes of maternal death: a WHO systematic analysis. The Lancet Global Health 2014; 2(6): e323-333.
Regional Health Promotion center 12 YALA. Maternal and Child health report. Document support in Regional health 12 Meeting.2019. (In Thai)
Anderson, J.M., & Ethiches, D. Prevention and management of postpartum hemorrhage. International Journal of American Family Physician 2007; 75(6): 875-82.
Royal College of Obstetricians and Gynaecologists (RCOG). Prevention and Management of Postpartum Haemorrhage. RCOG Green-top Guideline No. 52: [Internet] 2016 [Cited 19 January, 2020]. Guidelines PPH. Available from: https://www.rcog.org.uk/en/guidelines-research-ervices/ guidelines/gtg52/.
Queensland Maternity and Neonatal Clinical Guideline Program. Primaty Postpartum Haemorrhage: [Internet] 2013 [Cited 12 January, 2020]. Guidelines PPH.Available from: http://www. Health.qld.gov.au/_data/assets/pdf_file/0015/140136/g-pph.pdf.
FIGO Safe Motherhood and Newborn Health (SMNH) Committee/International. FIGO Guidelines: Prevention and treatment of postpartum hemorrhage in low-resource setting. International Journal of Gynecology and Obstetrics 2010; (117): 108-118.
PPH CPG Work group. Associtation of Ontario Midwives. Postartum Hemorrhage (Clinical Practice Guideline No. 17: [Internet] 2016 [Cited 19 January, 2020]. Guidelines PPH. Available from: http://www.aom. on.ca/files/Health_Care_Professionals/Clinical_Practice_Guidelines/cpg_pph_2016_FINAL.pdf.
Plodrit, L., Vipavakarn, S., Kinglek,A. Development of Clinical Nursing Practice Guidelines to Prevent Early Postpartum Hemorrhage in Labor Room, Krabi Hospital. The Southern College Network Journal of Nursing and Public Health 2016; 3(3): 127-140. (In Thai)
Evensen, A., Anderson. J.M., Fontaine, P. Postpartum Hemorrhage: Prevention and Treatment: [Internet] 2017 [Cited 19 January, 2020]. Postpartum hemorrhage prevention.Available from: https://www.aafp.org/afp/2017/0401/p442.html.
Anusornteerakul, S. First Two Hours Postpartum Hemorrhage Prevention: Midwives’ Role. Journal of Nursing Science & Health 2014; 37 (2): 155-162. (In Thai)
Lertbunnaphong, T., Primary postpartum hemorrhage: recommendations for prevention and management. P.A. Living Co. Ltd.; 2013. (In Thai)
Einerson, B.D., Baksh, L., Fisher, J.A., Sullivan, A and Clark, E.A.S.(2016). Postpartum hemorrhage implementing your bundle. University of Utah. : [Internet] 2016 [Cited 15 January, 2020]. Postpartum hemorrhage prevention. Available from: https://healthcare.utah.edu/echo/docs/pregnancy-care-didactics/201609.09-postpartum-hemorrhage.pdf.
Bernard, R., Fundamental of biostatistics (5ed ). Duxbery: Thomson learning.; 2000.
Ruangrit. P., The output of lower uterine segment compression and Uterine Massage for Prevention of Early Postpartum Hemorrhage after Vaginal Delivery. NARESURN RESEARCH Conference 13, 2017; 742-751. (In Thai)
Kristi G, Audrey L, Elliott M. Risk factor assessment: CMQCC Obstetric hemorrhage toolkit version 2.0.Stanford University: [Internet] 2015 [Cited 5 December, 2019]. Risk PPH Assessment. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5223545/.
Bandidpanicha, P., Ponsane, N., Luangkwal, S. The Development of Nursing Care System for Prevention Postpartum Hemorrhage, Medical Journal of Srisaket Surin Buriram Hospitals 2017; 32(2): 131-144. (In Thai)
Wattanaluangarun, R., Chantrapitak, W., Kajang, N., Onlaor, R. Effectiveness of using risk assessment and clinical nursing practice guideline for the prevention of early postpartum haemorrhage from uterine atony in Charoenkrung Pracharak Hospital. Journal of Charoenkrung Pracharak Hospital 2017; 13(2): 28-42. (In Thai)
Jandapradit, R., Anusornteerakul, S. The Effectiveness of using Plastic Film Collector Bag for the Measurement Postpartum Blood Loss.[Internet] 2017 [Cited 5 December, 2019]. Bag for Measurement Postpartum Blood Loss. Available from: http://www.smj.ejnal.com/e-journal/showdetail/?-show_detail=T&art_id=1952.
Charoensri, P., Sarakarn, W., Chaiyara, B. The Development of a Nursing Model for Pregnant Women to Prevent Early Postpartum Hemorrhage. Journal of Nursing and Health Care 2017; 35(3): 48-57. (In Thai)