Effect of Guideline on Improving Nurses' Practices for Patients with Early Postpartum Hemorrhage

Abstract

Early Postpartum hemorrhage (PPH) is an important obstetric emergency. It is an unpredictable and rapid cause of maternal death worldwide, with two-thirds of women with PPH having no identifiable risk factors. (American Association of Women's Health, Obstetric and Neonatal Nurses. (2017). Early Postpartum hemorrhage was redefined in 2017 by the American College of Obstetrics and Gynecology as cumulative blood loss greater than 1000 mL with signs and symptoms hypovolemia within 24 hours of the birth process, regardless of the route of delivery (Yildirim, et al., 2018). Furthermore; early postpartum hemorrhage (PPH) is the nursing concern because she plays a multidisciplinary role as a care giver for early detection, screening and referring patients with early postpartum hemorrhage to minimize maternal and fetal morbidity and mortality. No previous studies implemented guideline for early postpartum hemorrhage at Damanhur teaching hospital. The Aim of the study: To investigate the effect of guideline on improving nurses' practices among patients with early postpartum hemorrhage. Research hypo