Development of clinical nursing guidelines for prevention of early postpartum hemorrhage in the delivery room. Phibunrak Hospital.

Abstract

      This action research aimed to develop and investigate the outcomes of implementing clinical nursing guidelines for the prevention of early postpartum hemorrhage in the delivery room of Pibulrak Hospital. The study was conducted from April 2024 to March 2025 in three phases. The sample consisted of 30 mothers who delivered in the delivery room of Pibulrak Hospital. The research instruments included a postpartum hemorrhage patient medical record form based on the Trigger Tool of the Institute of Hospital Accreditation, guidelines for early postpartum hemorrhage prevention, an evaluation form for the use of the guidelines, a questionnaire on general information of stakeholders, and a satisfaction questionnaire for mothers. Data were analyzed using content analysis, means, and percentages.

      The study results showed that the clinical nursing practice guidelines included: protecting the rights of mothers and adhering to ethical principles; assessing the condition of mothers before receiving prevention of early postpartum hemorrhage; managing and preventing early postpartum hemorrhage in mothers; educating mothers on prevention of early postpartum hemorrhage; continuous care for prevention of early postpartum hemorrhage in mothers; improving service quality; and assessing the risk of postpartum hemorrhage using the 4Ts model. The outcomes of implementing the clinical nursing practice guidelines showed that the overall feasibility of implementing the guidelines was 66.66%. 90.32% of those who tested the guidelines were able to implement them. Overall satisfaction among mothers was high (x̅ = 5.00, S.D. = 4.03).