Results of nursing practice model and risk assessment for prevention of postpartum Hemorrhage.

Abstract

     This quasi-experimental research aimed to compare the rate of hemorrhage, the severity of postpartum hemorrhage, and the satisfaction of nurses towards the use of the nursing practice model and the assessment of the risk of early postpartum hemorrhage at Khao Wong Hospital, Kalasin Province. Data were collected between June 2024 and August 2024. The population used in the research was data from electronic medical records that recorded health conditions (blood loss from vaginal delivery) and birth reports of mothers who gave birth vaginally recorded in the HOSxP program. They were divided into 2 groups: a group before using the model, 15 people; a group after using the model, 15 people; and 5 nurses who had worked in the delivery room for at least 12 months. The research instruments were the nursing practice model and the assessment of the risk of early postpartum hemorrhage, the risk assessment form, and the satisfaction questionnaire for nurses. General data were analyzed using descriptive statistics. The incidence of hemorrhage was compared before and after using the nursing practice model. The data were analyzed using the Fisher’s exact probability test.
     The results of the research found that the group of vaginal births who received care using the nursing practice model and the assessment of the risk of early postpartum hemorrhage had a different rate of early postpartum hemorrhage than the group of vaginal births who received normal care (p = < 0.001). The group of vaginal births who received care using the model had a significantly lower rate of severity of early postpartum hemorrhage than the group of vaginal births who received normal care (p = < 0.001). Five nurses (100%) were highly satisfied with the use of the model. 100% of the nurses believed that the practice guidelines could prevent early postpartum hemorrhage in the delivery room and that all items could be followed and the model could be used continuously.