Management of Prevention Postpartum hemorrhage System with Clinical Guidelines in Chiangrai Prachanukroh Hospital

Abstract

           Postpartum hemorrhage is a complication that affects the mother after delivery if not maintained properly and will cause the immediate death of the mother. Objective: To determine the management of prevention postpartum hemorrhage system with clinical guidelines in Chiangrai Prachanukroh Hospital. Methods: Data were collected from a sample of postpartum women who risk of postpartum hemorrhage of 322 cases and satisfaction surveys. Usage guidelines on healthcare personnel working in Clinical Obstetrics and Gynecology Group in Chiangrai Prachanukroh Hospital, from 6 months, 40 cases from 1 October to 30 December 2009. Results: Of the 322 postpartum women who risk of postpartum hemorrhage, 47 percent of Thai nationality, aged between 36-45 years, 47 percent of professional mountain farmers. 32 percent of farmers in different district, 55 percent of prenatal care to follow up were 99 health personnel branch Obstetrics Gynecology, Chiangrai Prachanukroh Hospital, compliance with the service system to prevent postpartum hemorrhage in the high level(82.50 percentage). Conclusion: Healthcare personnel in the Obstetrics Gynecology Department of Chiangrai Prachanukroh Hospital used to system preventing postpartum hemorrhage in the same direction. Summary: Postpartum women to be treated by the system of care to prevent bleeding after delivery of the treatment team was 96.38 per cent of surveillance. Acutepostpartum hemorrhage was 9 percent majority in the 36-45 year age range. patients received hysterectomy 0.31 percent to support life. No maternity deaths from postpartum hemorrhage during the study. And practitioners were satisfied with the practice of clinical high.