Effect of Uterine Massage and Active Management during the Third Stage of Labor on Reduction of Postpartum Hemorrhage among High Risk Women.
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 4
Abstract
Background: Postpartum hemorrhage (PPH) is the common form of obstetric hemorrhage. It remains one of the leading causes for maternal mortality in national and international areas. The active management must be implemented during the third and early in the fourth stage of labor to decrease the risk for developing PPH. The aim of the study: was to evaluate the effect of uterine massage and active management during the third stage of labor on reduction of PPH among high risk women. Subjects & Method: Research design: A Quasiexperimental research design was adopted. Setting: The study was conducted at the delivery, postpartum department and outpatient clinic in Fayoum public hospital, Egypt. Subjects : A purposive sample of 180 women. Tools for data collection: Four tools were used: 1)Women structured interviewing questionnaire, 2) Postpartum assessment questionnaire, 3) Risk factors assessment questionnaire, and 4) Visual estimation of blood loss observation tool. Results: The reported risk factors for PPH included previous history of PPH (58.2%), abnormal uterine involution (29.1%), polyhdrmonis (25.5%), hypertension (25.5%), and multiple gestations (10.9%). There was a statistically significant difference between the study and control group as regards to the vital signs, the amount of blood loss, uterine contractions and involution, and bowel elimination during the posttest. The majority of the intervention group had a normal uterine involution and 47.8% of them discharged at the same day. Conclusion: The women who received the uterine massage and active management were less likely to develop PPH. Recommendations: Early detection of high risk mothers for PPH and appropriate nursing care should be implemented. Moreover, implementation of active management during third stage of labor and uterine massage should be offered and recommended in all hospitals to prevent the risk of PPH.
Authors and Affiliations
Reda M. Nabil Aboushady, Tawheda Mohamed Khalefa El-saidy, Rania Eid Farrag
Keywords
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- EP ID EP436455
- DOI 10.9790/1959-0704064657.
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