Development of a Clinical Nursing Practice Guideline to Prevent Early Postpartum Hemorrhage for Vaginal Delivery in Labor Room Phra Achan Fan Acharo Hospital.

Abstract

     This study was action research. The objectives to study and development the nursing situation in preventing early postpartum hemorrhage. in mothers who gave birth vaginally Phra Achan Fun Acharo Hospital. Sample size were 80 mothers who gave birth vaginally, delivery room, Phra Achan Fun Ajaro Hospital, sample group between 3 October 2023 - 31 March 2024. Collect data from general records and Risk assessment form used to prevent early postpartum hemorrhage Data were analyzed using frequency, average, percentage and standard deviation.
     After the trial of the guidelines amount of postpartum blood loss in the first period was found to be more than 300 milliliters, accounting for 1.25 percent, among 80 postpartum mothers. Postpartum mothers were found to have poor uterine contractions and no complications. Accounting for 3.25%, the average number of alerts per blood loss of 300 milliliters or more was 100%, and it was not found that the alert per blood loss of 500 ml or more and the most common 4T causes is retained of Placenta. This is 100%. Suggestions: As for the evaluation of the use of the guidelines with 18 professional nurses, it was found that 1. The content is comprehensive, 88.88%. 2. It is easy to understand, 94.44%. 3. The format is clear 100%. 4. Helps decision making 94.44% 5. Can actually be used 100% and has an additional suggestion that the guidelines should be used continuously in the long term. To evaluate the effectiveness of the guidelines and make appropriate management.