Development of Nursing Practice Guideline for The Prevention of Postpartum Hemorrhage in the First Two Hours After Giving Birth Deliver Room, Kamalasai Hospital

Abstract

Postpartum hemorrhage  is one of the major causes of maternal mobidity and matality wordwide.   This research and   development(R&D)   study aimed   to develop Clinical Nursing Practice Guidelines (CNPG) for prevention of  postpartum hemorrhage in the first two hours after giving birth in labor room,Kamalasai Hospital. This study was devided into 4 phases1)Analyse 0f the problem and plan to develop the CNPG 2) Development of  the CNPG 3) Implementation of the new develop CNPG 4) Evaluation phase.  Sample were 2 groups: 7 registered nurses who were   working  in labor  room  and used The CNPG  and 30 mothers  with normal labor . The research instruments were 1) Postpartum hemorrhage assessment form  , group discussion  , the develop CNPG ,the CNPG observation form 2) Instrument for collect data: the outcome of using  CNPG , satisfaction questionnairs of  registered nurses and  mother  with normal labor. CNPG validity equal to 0. 90 Reliability of CNPG was teated using Cronbach ' sAlpha Coefficient equal to 0.88. The data were analysed using mean , percentage and  standard deviation.  The outcome evaluation found that:1) After applying the  CNPG in 30 mother  with normal labor there were no postpartum hemorrhage  occurred  during the  first  two hour after  delivery .The registered nurses perceived feasibility and benefit of applying the CNPG for  prevention of postpartum hemorrhage in the first two hours after  giving birth  at all stages. The top three opinions on the  CNPG  rated by the registered nurses were  content covered, clearer than the original guidelines and useful for nursing (= 4.86  SD = 0.350 )                  Inconclusion, The CNPG for prevention of postpartum hemorrhage in the first two hours after delivery  should be implemented to  prevent  postpartum hemorrhage  in mother with normal labor  , especially for a serious complication of  postpartum hemorrhage. Thus, the guideline should be improve continuous quality of nursing care in the labor room.