Effect of WHO Guideline on Nurses’ Knowledge Regarding Prevention and Management of Postpartum Hemorrhage

Document Type : Original Article

Author

Maternity, Gynecology and Obstetrics Nursing- Faculty of Nursing- Port Said University

Abstract

Background: In the majority of nations worldwide, postpartum hemorrhage (PPH) remains the primary cause of mother morbidity and death. Aim: The aim of the study was to evaluate effect of who guideline on nurses’ knowledge regarding prevention and management of postpartum hemorrhage. Subjects and method: A quasi-experimental (one group pre- posttest) design was employed in this investigation. The study was conducted at Women's Health House Hospital (previously named Specialized Women and Obstetrics Hospital (affiliated to Egypt health care authority hospitals in Port Said). Sample: All 150 nurses employed at the time of the study at the Women's Health House Hospital were included in a convenience sample for the purpose of the study. Data collection tool: A structured interviewing form was used to collect relevant data. It includes personal characteristics about the study subjects such as: age, marital status, educational level, years of experience, residence and previous training courses about PPH, and nurse’s knowledge regarding prevention and management of postpartum hemorrhage. Results: The majority of the studied nurses had satisfactory level of total knowledge regarding nursing interventions for prevention and management of PPH post applying WHO guidelines (78.0% & 94.0%, respectively) compared to the minority of them had unsatisfactory level of knowledge pre- applying WHO guidelines (4.0%6.0%, respectively). Conclusion: Following the implementation of the recommendations issued by the WHO for the prevention and management of postpartum hemorrhage, the investigated nurses' knowledge significantly improved. Recommendations: It is recommended that intern nurses be provided with periodic health education programs in order to improve their knowledge and abilities in order to provide advanced nursing care with respect to the prevention and treatment of primary postpartum hemorrhage.

Keywords

Main Subjects


Abd Elhakm, E. M., & Elbana, H. M. (2018). Effect of simulation based training on maternity nurses’ performance and self-confidence regarding primary postpartum hemorrhage management. American Journal of Nursing, 6(6), 388-397.‏
Abdelwahed, A. A., & Farahat, F. Z. (2022). EFFECT OF NURSING CAREPROTOCOL ON NURSES'PERFORMANCE DURING THIRDSTAGE OF LABOR. Port Said Scientific Journal of Nursing, 9(1), 1-22.‏
Ali, A. H., & Bahaaldeen, E. F. (2019). Effectiveness of an Education Program on Nurse-midwives’ Practices Related to Postpartum Hemorrhage at Delivery Room of Maternity Hospitals in Baghdad City. Indian Journal of Public Health Research & Development10(9).‏
Alsaqri, S. (2016). Patient satisfaction with quality of nursing care at governmental hospitals, Ha’il City, Saudi Arabia. Journal of Biology, Agriculture and Healthcare, 6(10), 128–142.
Association of Women’s Health, Obstetric and Neonatal Nurses. (2013) .‏ Guidelines for management of PPH.
Balde, O., Balde, I. S., Sylla, I., Diallo, F. B., Sow, A., & Haidara, S. M. (2020). Implementation of active management of the third period of childbirth for the prevention of immediate post-partum bleeding in four regional maternity hospitals of Conakry, Guinea. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 9(9), 3563-3569.‏
Bazirete, O., Nzayirambaho, M., Umubyeyi, A., Uwimana, M. C., & Evans, M. (2020). Influencing factors for prevention of postpartum hemorrhage and early detection of childbearing women at risk in Northern Province of Rwanda: beneficiary and health worker perspectives. BMC pregnancy and childbirth, 20(1), 1-14.‏
Begum, F., Beyeza, J., Burke, T., Evans, C., Hanson, C., Lalonde, A., ... & FIGO PPH Technical Working Group. (2022). FIGO and the International Confederation of Midwives endorse WHO guidelines on prevention and treatment of postpartum hemorrhage. International Journal of Gynaecology and Obstetrics, 158(Suppl 1), 6.‏
Bihan, L., Nowak, E., Anouilh, F., Tremouilhac, C., Merviel, P., Tromeur, C., ... & de Moreuil, C. (2022). Development and Validation of a Predictive Tool for Postpartum Hemorrhage after Vaginal Delivery: A Prospective Cohort Study. Biology, 12(1), 54.‏
Christiansen, A. M. H., Sørensen, B. L., Boas, I. M., Bedesa, T., Fekede, W., Nielsen, H. S., & Lund, S. (2023). The impact of the Safe Delivery Application on knowledge and skills managing postpartum haemorrhage in a low resource setting: a cluster randomized controlled trial in West Wollega region, Ethiopia. Reproductive Health, 20(1), 1-11.‏
Committee on Practice Bulletins- Obstetrics. (2019): Practice Bulletin No. 183: Postpartum Hemorrhage. Obstet Gynecol; 130:e168.
Cunningham G, Leveno J, Bloom L, Dashe S, Hoffman L, Casey M, Spong Y.(2018). Williams Obstetrics. 25th ed., United States of America:McGraw-Hill Education com.; 2018. 100-30.
Desoky, M., & Salim, H. (2021). Developing Competences for Maternity Nurses during Labor and Immediate Postpartum Period Regarding Prevention of Postpartum Hemorrhage. Egyptian Journal of Health Care, 12(4), 618-634.
Egenberg, S., Reta, A., Sørensen, J. L., Ugglas, A. A., Nilsen, S., & Evans, C. (2023). Skills Training and Multi-Professional Simulation Training on Postpartum Haemorrhage. In Practical Guide to Simulation in Delivery Room Emergencies (pp. 515-521). Cham: Springer International Publishing.‏
Elbahlowan, G. A., El-Salam, A., Ali, A., & Ashour, E. S. S. (2022). Effectivness of video simulation on increasing maternity nurses knowledge, practice and self efficacy in managing primary post-partum hemorrhage. Port Said Scientific Journal of Nursing, 9(2), 44-72.‏
El-hamid, A., Mahmoud, S., Ahmed, M. H., Abo-zaid, E. H., & El-adham, A. F. (2021). Effect of High Fidelity Simulation Based Training Program on Nursing Students’ Performance, Self-efficacy and Confidence regarding Prevention of Postpartum Hemorrhage. Tanta Scientific Nursing Journal, 23(4), 233-267.‏
El-Malek, A., Ahmed, S., Taha, R. R., El-Azeem, A., Alaa, G., & Mahmoud, S. M. (2019). Factors associated with postpartum hemorrhage maternal morbidity and mortality in Minia city hospitals a cross-sectional epidemiological survey. Minia Journal of Medical Research, 30(1), 114-118.‏
Esan, D. T., Ayenioye, O. H., Ajayi, P. O., & Sokan-Adeaga, A. A. (2023). Traditional birth attendants’ knowledge, preventive and management practices for postpartum hemorrhage in Osun State, Southwestern Nigeria. Scientific Reports, 13(1), 12314.
Escobar, M. F., Nassar, A. H., Theron, G., Barnea, E. R., Nicholson, W., Ramasauskaite, D., ... & Wright, A. (2022). FIGO recommendations on the management of postpartum hemorrhage 2022. International Journal of Gynecology & Obstetrics, 157, 3-50.‏
Kassebaum N., Amelia B., Megan S., Katya A., Caitlyn S., Kyle R., (2014): Global, regional, and national levels and causes of maternal mortality during 1990–2013: a systematic analysis for the Global Burden of Disease study , 384: 980-1004 . 
Khadim, I., Yaqoob, A., Parveen, K., & Khan, S. (2022). EFFECTS OF CLINICAL INTERVENTIONS ON NURSING CARE PRACTICES REGARDING INCIDENCE OF PRIMARY POST-PARTUM HAEMORRHAGE. Pakistan Journal of Physiology, 18(2), 51-53.‏
Lavoie, P., Lapierre, A., Maheu-Cadotte, M. A., Rodriguez, D., Lavallee, A., & Mailhot, T. (2022). Improving the recognition and management of hemorrhage: A scoping review of nursing and midwifery education. Nurse education today, 113, 105361.
McKinney, E. S., James, S. R., Murray S. S., Nelson, K., and Ashwill, J., (2021). The Woman with Postpartum Complication, In Maternal-Child Nursing - E-Book, Elsevier. Riverport lane. 6th edition. Chapter 28. 604- 623.
Menezes, R. M., Cardoso, P. M., and Pednecar, G., (2021). Study of Primary Postpartum Hemorrhage at Term in a Tertiary Care Hospital. IOSR Journal of Dental and Medical Sciences. 9 (5).35-41
Mohammed, S., Omran, A., Elsayed, H., & Salama, A. (2023). Effect of Simulation Training on Intern Nurses’ Competence and Self-Confidence regarding Primary Postpartum Hemorrhage. Journal of Nursing Science Benha University, 4(2), 602-616.‏
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), 1-10.‏
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), 1-10.‏
Prata N., Sreenivas A., Vahidnia F.,& Potts M., (2014): Saving maternal lives in resource-poor settings: Facing reality ;89 (2) :131–148.
Shahin, H., Desoky, A., & Salim, M. (2021). Developing Competences for Maternity Nurses during Labor and Immediate Postpartum Period Regarding Prevention of Postpartum Hemorrhage. Egyptian Journal of Health Care, 12(4), 618-634.‏
Walker, K. C., Arbour, M. W., & Wika, J. C. (2019). Consolidation of guidelines of postpartum care recommendations to address maternal morbidity and mortality. Nursing for women's health, 23(6), 508-517.‏
WHO (2014): Guidelines for management of PPH and retained placenta.
Wormer, K. C., Jamil, R. T., & Bryant, S. B. (2022). Acute postpartum hemorrhage. In StatPearls [Internet]. StatPearls Publishing.