Nurses' Compliance with Standardized Protocol for Reduction of Post- Partum Hemorrhage

Document Type : Original Article

Authors

1 Women's health and midwifery nursing,faculty of nursing ,mansoura university

2 Assistant Professor of Woman's Health and Midwifery Nursing- Faculty of Nursing- Mansoura University

3 Professor of Woman's Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Egypt

Abstract

Worldwide, postpartum hemorrhage (PPH) remains the most leading cause of maternal death despite its oftenpreventable
nature. Aim: The current study to assess nurses' compliance with standardized protocol for reduction of postpartum
hemorrhage. Design: A descriptive cross sectional research design was used to accomplish the aim of the current
study at two settings (labor-Delivery Unit and Postpartum Departments of Mansoura University Hospital, Dakahlia
Governorate, Egypt. Subjects: All nurses (105) who are working at labor and post-partum units were recruited. Tools:
Data were collected using three tools (structured interview schedule, nurses’ knowledge about postpartum hemorrhage
and post-partum hemorrhage observational checklist). Results: The majority of the studied maternity nurses didn't
comply with the examination of placenta after delivery; nearly three-quarters of them didn't comply with late cord
clamping and more than half of them didn't comply with controlled cord traction during third stage of labor. More than
three-quarters of the studied maternity nurses didn't comply to relieve maternal anxiety and nearly three-quarters of them
didn't comply to examine lochia during early post-partum period. This study concluded that about three quarters
maternity nurses had a fair level of compliance with standardized protocol for reduction of PPH during third stage of
labor while less than two-thirds of maternity nurses have an average level of compliance with the standardized protocol
for reduction of PPH during early post-partum period. Thus, it is recommended to conducting mandatory periodical
training workshops for maternity nurses to update their knowledge and practices regarding PPH prevention and
management.

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