Comprehensive Nursing Intervention Applied to the Puerpera Postpartum Hemorrhage Prevention Research

2021 ◽  
Author(s):  
diyan indriyani ◽  
Moses Glorino Rumambo Pandin

Postpartum hemorrhage is a complication during the puerperium that requires serious management, because it risks on threatening the mother's death. Currently, postpartum hemorrhage is still the main cause of maternal morbidity and mortality in the world. There is a need for a fast, precise and comprehensive handling effort involving all elements, such as the entire health team including doctors-nurses and families. The form of nursing intervention in postpartum hemorrhage patients can be in the form of nursing treatment or collaboration. The purpose of this review literature is to identify nursing treatment and nursing collaboration in postpartum hemorrhage patients as an effort to prevent maternal death. The writing method uses literature reviews by summarizing 10 articles publicated in 2019, 2020 and 2021 in 4 search data bases including Sciencedirect, Scopus, Proquest and Thompson. The review guidelines used are based on Prisma and the Joanna Briggs Institutute. The level of eligibility is identified through the title, abstract, research methodology and full text. The results of the reviews found are presented in a narrative form. The results of the review study found that there were 10 articles on postpartum hemorrhage management measures both in the effort of snoring treatment and collaboration including: optimizing the competence of service providers based on E_Learning , foot reflexology since the 4th stage of labor, 800 mcg sublingual Misoprostol, the use of the Digital Postpartum Hemorrhage Management Device ( DPHMD), bilateral-contralateral cervical clamps, suction tube uterine tampons, bilateral hypogastric artery (BHAL), evaluation of Shock Index, Carbetocin drugs and administration of Tranexamic acid 1 gram IV within 10 minutes of vaginal delivery. The conclusion of this review literature is that nursing treatment and nursing collaboration are proven to have a positive impact as an effort to prevent death in postpartum hemorrhage patients.


2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Pu Quanyan

Objective: To study the effect of predictive nursing intervention on patients with postpartum hemorrhage after cesarean section. Methods: 84 delivery women who had been hospitalized for cesarean section from July 2016 to July 2017 were recruited. They were divided into experimental and reference groups by random number table method. Each group had 42 cases. Among them, the reference group adopted the routine nursing mode. On this basis, the experimental group adopted the predictive nursing intervention mode. The amount of postpartum hemorrhage and the causes of bleeding in two groups were compared and analyzed. Results: The volume of postpartum hemorrhage in two hours and 24 hours after operation in the experimental group were lesser compared to reference group. Compared with the reference group, the proportion of postpartum hemorrhage causes, such as incision bleeding, uterine atony bleeding, placental bleeding and vascular rupture bleeding was lower in the experimental group. Besides, the delivery women and family members in the experimental group had higher total satisfaction compared to reference group. The difference between two groups was significance (p<0.05). Conclusion: The results showed that predictive nursing intervention model plays an important role in the nursing of postpartum hemorrhage after cesarean section and should be popularized and applied in clinical practice.


2018 ◽  
Vol 8 (9) ◽  
pp. 1909-1912
Author(s):  
Zhao Yuchen ◽  
Jiao Xinyi ◽  
Lv Hongbo ◽  
Yang Xiaolong

To explore the influence of the parturients' mental factors on the delivery mode and postpartum hemorrhage and the nursing intervention countermeasures, the research randomly divided the expectant primiparae hospitalized in our hospital during February 2012–February 2013 into the intervention group and the control group. Wherein, the control group received routine nursing, while the intervention group received nursing intervention based on the routine nursing, to compare the postpartum hemorrhage and satisfaction of the two groups of parturients. Result: 36 of 112 parturients suffered from dysphoria, accounting for 32.14%; 37 parturSients suffered from depression, accounting for 33.04%. The parturients' hemorrhage incidence, postpartum amount of bleeding within 2 h and postpartum amount of bleeding within 24 h all significantly declined compared with those of the control group (x2/t = 3.98, 4.02, 4.96 p < 0.05). The cesarean rate of the control group (7.14%, 4/56) was significantly higher than that of the control group (16.07%, 9/56) (x2 = 4.02 p < 0.05). The postpartum satisfaction of the patients in the intervention group was apparently higher than that of the control group (x2 = 4.26 p < 0.05). Conclusion: The nursing intervention can obviously reduce the incidence of postpartum hemorrhage and improve postpartum satisfaction, so it is worth popularizing.


1991 ◽  
Vol 46 (5) ◽  
pp. 525-527 ◽  
Author(s):  
S. Price Connor ◽  
John R. Livengood

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