Status quo of postpartum hemorrhage assessment in obstetric doctors and nurses
10.3760/cma.j.issn.1674-2907.2020.01.013
- VernacularTitle:产科医护人员产后出血评估现状调查
- Author:
Zhaoyan PANG
1
;
Fan LIU
;
Yang XU
Author Information
1. 中日友好医院护理部，北京 100029
- Keywords:
Obstetrical nursing;
Doctors and nurses;
Postpartum hemorrhage;
Warning assessment
- From:
Chinese Journal of Modern Nursing
2020;26(1):65-70
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the status quo of postpartum hemorrhage assessment in obstetric doctors and nurses and provide a reference for developing a scientific, effective and practical early warning assessment tool for postpartum hemorrhage.Methods:The obstetric doctors and nurses were selected from 92 hospitals across China by convenient sampling from April 6th to 13th, 2019. The self-designed questionnaire was used to investigate their demographic information and status of postpartum hemorrhage assessment. Totally 4 490 questionnaires were distributed. The questionnaires were reviewed to ensure the integrity of information after collected. Totally 4 490 valid questionnaires were collected, with a recovery rate of 100%.Results:The hospitals where 4 406 out of the 4 490 obstetric doctors and nurses worked assessed high risk factors for postpartum hemorrhage, accounting for 98.1%. There was statistically significant difference in assessing high risk factors for postpartum hemorrhage or not between hospitals of different kinds ( P<0.05) . Among the hospitals which assessed high risk factors for postpartum hemorrhage, high risk factors for postpartum hemorrhage were assessed jointly by doctors and nurses or midwives in the hospitals where 77.6% of the obstetric doctors and nurses worked, and the postpartum hemorrhage high risk factor scale was used for postpartum hemorrhage assessment in hospitals where 62.1% of the obstetric doctors and nurses worked. The top 2 time of assessing high risk factors for postpartum hemorrhage was postpartum assessment and intrapartum assessment. The most frequently used method to measure amount of bleeding was weighing. According to the obstetric doctors and nurses, the biggest challenge when assessing high risk factors for postpartum hemorrhage was "no appropriate tool for assessing high risk factors for postpartum hemorrhage". Conclusions:Obstetric doctors and nurses pay attention to the assessment of high risk factors for postpartum hemorrhage, but there is no continuous and dynamic assessment for these high risk factors yet, and the measurement of amount of bleeding needs to be consistent. Hospital managers and obstetric doctors and nurses are in badly need of a postpartum hemorrhage assessment tool which is suitable for clinical use.
