Development of the risk factor assessment and nursing practice guideline for prevention of early postpartum hemorrhage by knowledge management, Sawang Dandin Crown Prince Hospital

Abstract

This study  participatory action research, a purpose was to develop a risk factor assessment form and nursing practice guidelines to prevent early postpartum hemorrhage by using knowledge management, Sawang Dandin Prince Hospital. The target groups are 1) pregnant women who came to give birth at Sawang Dandin Prince Hospital, Sakon Nakhon Province. Multidisciplinary team including obstetrician-gynecologist, antenatal nurse, delivery room nurse, postpartum nurse, operating room group, laboratory group By finding the cause of postpartum hemorrhage. The research was conducted from February to May 2021. The research tool including a structured interview, screening form of pregnant women who risk postpartum hemorrhage in the delivery room, nursing practice guidelines to prevent postpartum hemorrhage in the delivery room, nursing practice guidelines in the postpartum department, the results of the study were evaluated by visual multiplication data analysis by content analysis, Quantitative data using percentage.

The results showed that good nursing practices to prevent early postpartum hemorrhage. There are risk factors assessment criteria in the early stages of admission at the delivery room, using a postpartum blood bag to assess realistic blood loss, the  model was used to teach, demonstrate, explain and allow the postpartum mother to properly massage the uterus by herself.use a PPH set box and use management practice in the 3rd stage of labor called Active Management of the Third Stage of Labor  use the TIME protocol to manage active bleeding when blood loss more than 300 cc.and the SBAR principle is used to achieve effective communication. And a 7-step process of knowledge management was carried out. The development outcomes were found, one postpartum hemorrhage in the mother after cesarean section, no hemorrhagic shock or hysterectomy. Improving the quality of nursing through knowledge management It is a tool that gives nurses a multidisciplinary team the potential to effectively manage postpartum hemorrhage.