The study maternal risk screening protocol to prevent early 2 hours post partum hemorrhage, Nongbualumphu Hospital

Abstract

Introduction: Post partum hemorrhage was the major cause of the maternal death. Mostly within early 2 hours after delivery. Screening risk of post partum hemorrhage was helped to prevent early 2 hours post partum hemorrhage. The purpose of this study was to developed a screening protocol to prevent early 2 hours post partum hemorrhage.

Material and method: The study was divided into 3 phase; preparation phase, action phase and evaluation phase. The sample consisted of 9 professional nurses and 300 mothers who have vaginal delivery at Nongbualumphu hospital. The instrument used in the study included maternal risk screening protocol for early 2 hours post partum hemorrhage in admission period, attention period, delivery period and 2 hours post partum period.

Result: The maternal risk for early 2 hours post partum hemorrhage, In admission period were (1) uterine atony before developing the practice was 16.67 % and after was 27.67%. (2) Blood disorder before developing the practice was 1 % and after was 10.33%, In attention period, maternal risk for early 2 hours post partum hemorrhage was uterine atony before developing the practice was 12 % and after was 20.33%, In delivery period, maternal risk for early 2 hours post partum hemorrhage were (1) Uterine atony before developing the practice was 1.67 % and after was 7%. (2) Blood loss ≥ 300 c.c. before developing the practice was 0 % and after was 1.33% and (3) Retained placenta before developing the practice was 1.33 % and after was 0.67%. Maternal risk for early 2 hours postpartum period were (1) Uterine atony before developing the practice was 0.67 % and after was 7.33%. (2) Hematoma & tear cervix before developing the practice was 0.33 % and after was 0.67%. (3) Blood loss ≥ 300 c.c. before developing the practice was 4.67 % and after was 0.33%. (4) Retained placenta before developing the practice was 1.33 % and after was 0.67%. Postpartum hemorrhage before developing the practice was 1.12 % and after was 0.67%, (2 mothers from retained placenta and tear cervix). There weren’t from uterine atony. Nurses’s opinion for the practiced, was absolute clearly communication with team. Suitable language and easy to understand (88.89% and 77.78%)

Conclusion: Risks of screening mothers at all stages of childbirth has increased. It was found that the most risk for maternal postpartum hemorrhage caused by uterine atony, This screening protocol may help nurse take the risk at all stages of childbirth warning signs of surveillance maternal postpartum hemorrhage, so anyway mother no risk postpartum hemorrhage may be have postpartum hemorrhage too. There fore, should be monitored in all mother. Considerations for assigning tasks to staff at each level such as students who come to study, new officer, experienced nurses are closely supervised