Effect of implementing bundle care on reducing early Postpartum haemorrhage among primiparous

Abstract

Background: Postpartum hemorrhage (PPH) is associated with an increased risk of complications after delivery for both the mother and the newborn in postnatal period and later life. Aim: Aim of the study was to assess the effect of implementing bundle care on reducing early postpartum haemorrhage among primiparous.Methods: A quasi-experimental design (nonequivalent control group pretest/posttest) was adopted. Setting: The current study was conducted in the postpartum words of Obstetrics and Gynecology department in Maternity hospital, Portsaid Governorate, Egypt. A purposive sample of 70 primiparous with early PPH was carefully chosen from the nominated setting and dispersed accidentally into two equal groups (study and control group). Two tools were used for collecting the study data: A structured interviewing questionnaire schedule and tool of bundle care of early PPH that consists of three parts.Results: There is a statistically significant difference between the study and control groups in reducing early PPH among primiparous and improve outcomes. The current study results display that the primiparous outcomes improved in study group compared to control group which seemed in mild of bleeding 68.6% in study group, 37.1in control group and conscious level 94.3% in study group, 60% in control group with normal conscious level. The study group have lower complications, compared to complications of the control group. Conclusion: Bundle care was effective in decreasing blood loss complications of early PPH. Recommendations: Bundle care should be recommended as a nursing intervention protocol and should become a fundamental part of the total management of early PPH.