Development of Nursing Practice Guideline for Nurse Anesthetists to Prevent Postpartum Hemorrhage after Cesarean Section in the Post-anesthesia Care Unit at Phayakkhaphumphisai Hospital.

Abstract

     This study was action research aimed to develop nurse practice guideline for nurse anesthetists to prevent postpartum hemorrhage (PPH) after cesarean section in post anesthetic care unit (PACU), Phayakkhaphumpisai hospital. The study involved 62 postpartum who underwent cesarean section and were recovering at PACU. Data will be collected using patient care records after anesthesia, a satisfaction questionnaire regarding the practices, and an observation form for compliance with nursing practices. Quantitative data will be analyzed using descriptive statistics, such as frequency distribution and percentage.
     The study found that: The nursing practice guidelines for anesthesia nurses to prevent postopartum hemorrhage in the recovery room of Phayakkhaphumiphisai Hospital, which were developed, consisted of guidelines for assessing patient condition, assessing uterine contractions, caring for both good and bad uterine contractions, assessing vaginal bleeding, reporting to physicians, transferring information, and discharge from the recovery room. The evaluation found that nursing personnel increasingly followed the nursing practice guidelines in all aspects and were highest satisfied with the nursing practice guidelines. Three mothers (4.84%) had poor uterine contractions after cesarean section. There were no postpartum hemorrhage, repeat surgery, or hysterectomy, resulting in safe postpartum mothers.