Effectiveness of Risk Assessment and Nursing Practice Guidelines to Prevent Early Postpartum Hemorrhage in Vaginal Delivery Patients.

Abstract

     This quasi experimental research was to compare bleeding rates. Severity rate of postpartum hemorrhage and nurses' satisfaction with the use of risk assessments and nursing practices to prevent early postpartum haemorrhage in vaginal births. Songdao Hospital Sakon Nakhon Province Data were collected between October 2023 - December 2023. The population used in the research is information in the electronic medical record that records health conditions. (blood loss from vaginal birth) and birth report of mothers who gave birth vaginally Recorded in the HOSxP program was divided into 2 groups: 15 people before using the guidelines, 15 people after using the guidelines, and 5 nurses who had worked in the delivery room for at least 12 months. The research tool was the medical practice guidelines. Clinic for the prevention of early postpartum hemorrhage Risk assessment form and satisfaction questionnaire for nurses General data were analyzed using descriptive statistics. and comparing the incidence of hemorrhage before and after the implementation of the clinical guidelines. The data were analyzed using Fisher's exact probability test.
     The research results found that Group of vaginal births who received care using risk assessments and guidelines. The rate of early postpartum hemorrhage was different from the vaginal birth group who received normal care (p = .000). The vaginal birth group received care using a risk assessment and guidelines. Practice etc. The rate of severity of postpartum hemorrhage in the first period was significantly lower than that of the vaginal birth group who received normal care (p = .000). Nurses were satisfied with the use of the evaluation form. Risks and guidelines were at a high level, 5 people (100 percent). 100 percent of nurses were of the opinion that these guidelines can prevent early postpartum hemorrhage in the delivery room, including being able to follow all points. and can use the guidelines continuously