Nurses' Compliance with Standardized Protocol for Reduction of Post- Partum Hemorrhage

Abstract

Worldwide, postpartum hemorrhage (PPH) remains the most leading cause of maternal death despite its oftenpreventablenature. Aim: The current study to assess nurses' compliance with standardized protocol for reduction of postpartumhemorrhage. Design: A descriptive cross sectional research design was used to accomplish the aim of the currentstudy at two settings (labor-Delivery Unit and Postpartum Departments of Mansoura University Hospital, DakahliaGovernorate, Egypt. Subjects: All nurses (105) who are working at labor and post-partum units were recruited. Tools:Data were collected using three tools (structured interview schedule, nurses’ knowledge about postpartum hemorrhageand post-partum hemorrhage observational checklist). Results: The majority of the studied maternity nurses didn'tcomply with the examination of placenta after delivery; nearly three-quarters of them didn't comply with late cordclamping and more than half of them didn't comply with controlled cord traction during third stage of labor. More thanthree-quarters of the studied maternity nurses didn't comply to relieve maternal anxiety and nearly three-quarters of themdidn't comply to examine lochia during early post-partum period. This study concluded that about three quartersmaternity nurses had a fair level of compliance with standardized protocol for reduction of PPH during third stage oflabor while less than two-thirds of maternity nurses have an average level of compliance with the standardized protocolfor reduction of PPH during early post-partum period. Thus, it is recommended to conducting mandatory periodicaltraining workshops for maternity nurses to update their knowledge and practices regarding PPH prevention andmanagement.