Development of lower uterine segment model by pre-warning massage of uterus innovation to improve quality of early postpartum hemorrhage surveillance: Chanuman Hospital Amnatcharoen Province

Abstract

This study is quasi-experimental research. The sample consisted of 60 term mothers ,
divided into 30 control groups and 30 experimental groups. The sample group was selected
according to the time frame. Calculate the sample size using simple formulas. For the
average one-way test, the test power is 80%, the significance level is .05 . The experimental
group was supervised by the lower uterine segment model with by pre-warning massage of
uterus innovation .The control group received regular care. Data were collected with a
general data record form, surveillance record for early postpartum hemorrhage. form of
uterine massage in the first two hours after birth ,satisfaction service provider evaluation form
and service provider, analyze data by using descriptive statistics and inferential statistics such
as Independent t-test
Results:: It was found that after using lower uterine segment model together with by
pre-warning massage of uterus innovation to improve quality of early postpartum
hemorrhage surveillance found that. 1) The experimental group had average blood loss in
the first 2 hours after birth less than the control group at the statistical significance level of
.01. 2) The experimental group received 6 full uterus massage during the first 2 hours after
birth, 83.33% As a result, the mother after the uterine contraction is well contracted.
Everyone does not have postpartum hemorrhage. The control group receives 6 full uterine
massages in the first 2 hours after birth, 23.33%. 1 postpartum hemorrhage from uterine
atony 3) Service providers are satisfied with the use of lower uterine segment model with by
pre-warning massage of uterus innovation 83.33 percent ,100% satisfied with the service
recipients