The risk management model in postpartum hemorrhage patients Health Promotion Hospital Health Center Region 5 Ratchaburi

Abstract

This project was descriptive research that was aimed to study the risks management of postpartum complications. Participants are 29 midwives of Labor Room and Recover Room. It was purposive selection. Data collections-tools consisted of 1.) Data recorder form of general health information (postpartum hemorrhage). In this research, the data from electronic medical record and medical record form the hospital. 2.) Health recorder of postpartum mom. 3.) Satisfaction questionnaires about nursing care methods to prevent and to solve postpartum hemorrhage. Content Validity was managed by 3 specialists, with an Index of Content Validity (IOC) between .67-1.0, and a confidence level of .95. Data analysis methods by using descriptive statistics and paired t-tests.

The research found that the risks managements of hemorrhage parturient consist of 1) Screening the risks when the first admit to the hospital and nursing methods to prevent and to solve postpartum hemorrhage in the first stage. 2) Nursing cares are divided into 4 stages: the slow opening of your cervix, the birth of your baby,      the separation and birth of the placenta, and the first two hours after the birth. 3) Nursing care methods to prevent and solve hemorrhage were effective for: 1) reduced postpartum hemorrhage to 1.59 %. 2) it didn’t find the shock state of hemorrhage. 3) The satisfaction of the midwives with the nursing care method of the preventive action of early postpartum in the high level by the average 2.79 % (SD = 0.41).