Helping Nurses Prevent Postpartum Hemorrhage

Postpartum hemorrhage is a serious condition that threatens new mothers’ lives everywhere in the world. Nurses have a very important role in preventing and managing the issues of birth-related bleedings. The three reviewed articles examine the potential the educational intervention has at helping nurses prevent postpartum hemorrhage and reduce maternal mortality rates.

The article by Anca et al. (2020) examines the impact of specific educational practices on a nursing intervention regarding PPH. The key point of the study refers to the importance of the use of hemorrhage risk assessment before the preoperative huddles, as well as close communication with patients on the possible risks after the assessment. Anca et al. (2020) state that “before the intervention, HRA was included in perioperative huddles only 3% of the time for high-risk patients, missing women of moderate risk, some of whom did experience PPH” (p. 1). The implementation of educational practices with L&D clinical nurse education specialists, as well as medical staff, reduced the rate of transfusion protocols by 20%. It is concluded that nursing education plays a crucial role in preventing PPH.

The study by Ghosh et al. (2019) further explores the possibilities a culturally tailored educational program provides for the prevention of PPH. Among the key point is the examination of changes in diagnosis and management of PPH after the implementation of a multi-faceted nurse improvement program in Bihar, India. According to the authors (2019), “the proportion of diagnosed cases where selected evidence-based practices were used for management either remained stable or increased over time” (p. 2). However, it must be noted that, even after an effective educational intervention, the PPH diagnosis levels were still low compared to Southeaster Asia and global ones.

Finally, Nishimwe et al.’s (2021) research studies the consequences of the implementation of a specific mobile learning application on the prevention of PPH in Rwanda. The key aspect of the study is that the mean scores of nursing skills increased after the intervention that involved comprehensive and easily accessible learning. Nishimwe et al. (2021) state that “knowledge scores and skills scores on PPH management increased significantly from baseline to end line measurements” (p. 1). In the end, the authors concluded that such results are very important for low-income countries.

References

Anca, R., Mahoney, M., & Lucarini, E. (2020). Nurse-Driven initiative to increase awareness during perioperative interprofessional huddles of women at risk for postpartum hemorrhage. Journal of Obstetric, Gynecologic & Neonatal Nursing, 49(6).

Ghosh, R., Spindler, H., Morgan, M. C., Cohen, S. R., Begum, N., Gore, A., Mahapatra, T., & Walker, D. M. (2019). Diagnosis and management of postpartum hemorrhage and intrapartum asphyxia in a quality improvement initiative using nurse-mentoring and simulation in Bihar, India. PLOS ONE, 14(7).

Nishimwe, A., Ibisomi, L., Nyssen, M., & Conco, D. N. (2021). The effect of an mLearning application on nurses’ and midwives’ knowledge and skills for the management of postpartum hemorrhage and neonatal resuscitation: Pre–post intervention study. Human Resources for Health, 19(1).