Volume 5, Issue 1, February 2016, Page: 8-15
The Practice of Nursing in the Prevention and Control of Postpartum Hemorrhage: An Integrative Review
Haimee Emerich Lentz Martins, Public Health Department of Santa Catarina (SES-SC), Florianópolis, Santa Catarina, Brazil
Maria de Lourdes de Souza, Post Graduation Program in Nursing (PEN/UFSC) and REPENSUL Institute, Federal University of Santa Catarina (UFSC), Florianópolis, Santa Catarina, Brazil
Sabiha Khanum, Post Graduation Program in Nursing from Federal University of Santa Catarina (PEN/UFSC), Florianópolis, Santa Catarina, Brazil
Najma Naz, Post Graduation Program in Nursing from Federal University of Santa Catarina (PEN/UFSC), Florianópolis, Santa Catarina, Brazil
Anna Carolina Raduenz Huf Souza, Post Graduation Program in Nursing from Federal University of Santa Catarina (PEN/UFSC), Florianópolis, Santa Catarina, Brazil
Received: Jan. 5, 2016;       Accepted: Jan. 13, 2016;       Published: Jan. 27, 2016
DOI: 10.11648/j.ajns.20160501.12      View  10345      Downloads  480
Abstract
The study was developed to identify and analyze nursing practices in the literature related to the prevention and control of postpartum hemorrhage. Integrative review of on-line articles indexed in the databases MedLine, PubMed, Lilacs, SciELO, Embase, CINAHL and Web of Science (in the period between September 2013 and February 2014); search strategies by keywords and mesh descriptors were used. The 22 studies selected were categorized as: 1. Implementation of the active handling of the third stage of the delivery; 2. Use of Misoprostol; 3. Blood loss estimate; 4. Nursing training on the handling of postpartum hemorrhage; 5. Other handling measures to prevent postpartum hemorrhage; and 6. Use of technology to record data on postpartum hemorrhage. The present integrative review revealed that nursing professionals (midwives, nurses, traditional birth attendants), together with other professionals, have contributed to implement the active handling of the third stage of the labor, and to elaborate and implement protocols, trainings and assessments of results of this practice in the services. Despite the global recommendations to adopt the active management of third stage of labor, whenever a qualified professional delivers such care, this practice is still not broadly developed and implemented, even in the reference hospitals in Brazil and many other countries.
Keywords
Nursing, Postpartum Hemorrhage, Prevention
To cite this article
Haimee Emerich Lentz Martins, Maria de Lourdes de Souza, Sabiha Khanum, Najma Naz, Anna Carolina Raduenz Huf Souza, The Practice of Nursing in the Prevention and Control of Postpartum Hemorrhage: An Integrative Review, American Journal of Nursing Science. Vol. 5, No. 1, 2016, pp. 8-15. doi: 10.11648/j.ajns.20160501.12
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
World Health Organization. WHO recommendations for the prevention and treatment of postpartum haemorrhage [Internet]. Geneve: WHO; 2012 [cited 2015 Aug 20]. Available from: http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/9789241548502/en/.
[2]
World Health Organization. WHO guidelines for the management of postpartum haemorrhage and retained placenta [Internet]. Geneve: WHO; 2009 [cited 2015 Aug 20]. Available from: https://books.google.com/books?hl=en&lr=&id=val3YtLrgjMC&pgis=1.
[3]
Knight M., Callaghan W. M., Berg C., Alexander S., Bouvier-Colle M. H., Ford J.., Joseph K. S., Lewis G., Liston R. M., Roberts C. L., Oats J and Walker J. Trends in postpartum hemorrhage in high resource countries: a review and recommendations from the International Postpartum Hemorrhage Collaborative Group. BMC Pregnancy Childbirth [Internet]. 2009 Nov [cited 2015 Aug 20]; 9 (1): 55. Available from: http://www.biomedcentral.com/1471-2393/9/55.
[4]
Souza M. L., Laurenti R., Knobel R., Monticelli M., Brüggemann O. M., Drake E. Mortalidade materna por hemorragia no Brasil. Rev Lat Am Enfermagem. 2013[cited 2015 Aug 20]; 21 (3): 711-8. Available from: http://www.scielo.br/pdf/rlae/v21n3/pt_0104-1169-rlae-21-03-0711.pdf.
[5]
Sheiner E., Sarid L., Levy A., Seidman D. S., Hallak M. Obstetric risk factors and outcome of pregnancies complicated with early postpartum hemorrhage: a population-based study. J Matern Fetal Neonatal Med. 2005 Sep; 18 (3): 149-54.
[6]
Karlsson H., Pérez Sanz C. Hemorragia postparto. Anales Sist San Navarra [Internet]. 2009 [cited 2015 Aug 20]; 32 (suppl. 1): 159–67. Available from: http://scielo.isciii.es/pdf/asisna/v32s1/obstetricia6.pdf.
[7]
International Confederation of Midwives; International Federation of Gynaecologists and Obstetricians. Joint statement: management of the third stage of labour to prevent post-partum haemorrhage. J Midwifery Womens Health. 2004 Jan-Feb; 49 (1): 76-7.
[8]
Leduc D., Senikas V., Lalonde A. B., Ballerman C., Biringer A., Delaney M., Duperron L., Girard J., Jones D., Lee L. S., Shepherd D. and Wilson K. Active management of the third stage of labour: prevention and treatment of postpartum hemorrhage. J Obstet Gynaecol Can [Internet]. 2009 Oct 1 [cited 2015 Jun 20]; 31(10): 980–93. Available from: http://europepmc.org/abstract/med/19941729.
[9]
Melnyk B. M., Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice [Internet]. Lippincott Williams & Wilkins; 2011 [cited 2015 Aug 20]. 599 p. Available from: https://books.google.com/books?hl=en&lr=&id=hHn7ESF1DJoC&pgis=1.
[10]
Bullough C. H., Msuku R. S., Karonde L. Early suckling and postpartum haemorrhage: controlled trial in deliveries by traditional birth attendants. Lancet. 1989 Sep 2; 2 (8662): 522-5.
[11]
Bij de Vaate A., Coleman R., Manneh H., Walraven G. Knowledge, attitudes and practices of trained traditional birth attendants in the Gambia in the prevention, recognition and management of postpartum haemorrhage. Midwifery [Internet]. 2002 Mar [cited 2015 Jul 8]; 18 (1): 3-11. Available from: http://www.sciencedirect.com/science/article/pii/S026661380190289X.
[12]
Glover P. Blood loss at delivery: how accurate is your estimation? Aust Midwifery [Internet]. 2003 Jun [cited 2015 Aug 20]; 16 (2): 21-4. Available from: http://www.sciencedirect.com/science/article/pii/S1031170X03800053.
[13]
Chandhiok N., Dhillon B. S., Datey S., Mathur A., Saxena N. C. Oral misoprostol for prevention of postpartum hemorrhage by paramedical workers in India. Int J Gynaecol Obstet [Internet]. 2006 Feb [cited 2015 Aug 20]; 92 (2): 170–5. Available from: http://www.sciencedirect.com/science/article/pii/S0020729205005898.
[14]
Foster J., Regueira Y., Heath A. Decision making by auxiliary nurses to assess postpartum bleeding in a Dominican Republic maternity ward. J Obstet Gynecol Neonatal Nurs [Internet]. 2006 Jan [cited 2015 Aug 20]; 35(6):728–34. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17105637.
[15]
Tsu V. D., Mai T. T. P., Nguyen Y. H., Luu H. T. T. Reducing postpartum hemorrhage in Vietnam: assessing the effectiveness of active management of third-stage labor. J Obstet Gynaecol Res [Internet]. 2006 Oct [cited 2015 Aug 20]; 32 (5): 489–96. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16984516.
[16]
Buckland S. S., Homer C. S. E. Estimating blood loss after birth: using simulated clinical examples. Women Birth [Internet]. 2007 Jun [cited 2015 Aug 20]; 20 (2): 85–8. Available from: http://www.sciencedirect.com/science/article/pii/S1871519207000029.
[17]
Hassan-Bitar S., Wick L. Evoking the guardian angel: childbirth care in a Palestinian hospital. Reprod Health Matters [Internet]. 2007 Nov [cited 2015 Aug 20]; 15 (30): 103–13. Available from: http://www.sciencedirect.com/science/article/pii/S0968808007303212.
[18]
Goudar S. S., Chakraborty H., Edlavitch S. A., Naik V. A., Bellad M. B., Patted S. S., Patel A., Moore J., Mc Clure E. M., Hartwell T., Moss N., Derman R. J. and Kodkany B. S. Variation in the postpartum hemorrhage rate in a clinical trial of oral misoprostol. J Matern Fetal Neonatal Med. 2008 Aug [cited 2015 Aug 20]; 21 (8): 559-64.
[19]
Low L. K., Bailey J. M., Sacks E., Medina L., Piñeda H. O. L. Postpartum hemorrhage prevention: a case study in northern rural Honduras. J Midwifery Womens Health [Internet]. 2008 Jan [cited 2015 Aug 20]; 53 (1): e1–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18164426.
[20]
Prata N., Gessessew A., Abraha A. K., Holston M., Potts M. Prevention of postpartum hemorrhage: options for home births in rural Ethiopia. Afr J Reprod Health. 2009; 13 (2): 87–95.
[21]
Sosa C. G., Althabe F., Belizán J. M., Buekens P. Risk factors for postpartum hemorrhage in vaginal deliveries in a Latin-American population. Obstet Gynecol. 2009; 113 (6): 1313–9.
[22]
Burke C. Active versus expectant management of the third stage of labor and implementation of a protocol. J Perinat Neonatal Nurs. 2010 Jul-Sep; 24 (3): 215–28.
[23]
Edmonds J. K., Hruschka D., Sibley L. M. A comparison of excessive postpartum blood loss estimates among three subgroups of women attending births in Matlab, Bangladesh. J Midwifery Womens Health [Internet]. 2010 Jan [cited 2015 Aug 20]; 55 (4): 378–82. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2897753&tool=pmcentrez&rendertype=abstract.
[24]
Farrar D., Tuffnell D., Airey R., Duley L. Care during the third stage of labour: a postal survey of UK midwives and obstetricians. BMC Pregnancy Childbirth [Internet]. 2010 Jan [cited 2015 Aug 20]; 10 (1): 23. Available from: http://www.biomedcentral.com/1471-2393/10/23.
[25]
Mobeen N., Durocher J., Zuberi N., Jahan N., Blum J., Wasim S., Walraven G. and Hatcher J. Administration of misoprostol by trained traditional birth attendants to prevent postpartum haemorrhage in homebirths in Pakistan: a randomised placebo-controlled trial. BJOG [Internet]. 2011 Feb [cited 2015 Aug 20]; 118(3):353–61. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3041931&tool=pmcentrez&rendertype=abstract.
[26]
Sanghvi H., Ansari N., Prata N. J. V., Gibson H., Ehsan A. T., Smith J. M. Prevention of postpartum hemorrhage at home birth in Afghanistan. Int J Gynaecol Obstet [Internet]. 2010 Mar [cited 2015 Aug 20]; 108(3): 276–81. Available from: http://www.sciencedirect.com/science/article/pii/S002072920900650X.
[27]
Vivio D., Fullerton J. T., Forman R., Mbewe R. K., Musumali M., Chewe P. M. Integration of the practice of active management of the third stage of labor within training and service implementation programming in Zambia. J Midwifery Womens Health [Internet]. 2010 Jan [cited 2015 May 1]; 55(5): 447–54. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20732666.
[28]
Althabe F., Mazzoni A., Cafferata M. L., Gibbons L., Karolinski A., Armbruster D., Buekens P. and Belizán J. M. Using uniject to increase the use of prophylactic oxytocin for management of the third stage of labor in Latin America. Int J Gynaecol Obstet [Internet]. 2011 Aug [cited 2015 Aug 20]; 114(2): 184–9. Available from: http://www.sciencedirect.com/science/article/pii/S0020729211002621.
[29]
Andreatta P., Debpuur D., Danquah A., Perosky J. Using cell phones to collect postpartum hemorrhage outcome data in rural Ghana. Int J Gynaecol Obstet [Internet]. 2011 May 5 [cited 2015 Aug 22]; 113 (2): 148–51. Available from: http://www.ijgo.org/article/S002072921100052X/fulltext.
[30]
Andreatta P., Perosky J., Johnson T. R. Two-provider technique for bimanual uterine compression to control postpartum hemorrhage. J Midwifery Womens Health [Internet]. 2012 Jul-Aug [cited 2015 Aug 20]; 57(4): 371–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22758359.
[31]
Garcia K., Morrison F. B., Savrin C. Teaching guatemala midwives about postpartum hemorrhage. MCN Am J Matern Nurs. 2012 Jan-Feb; 37(1): 42–7.
[32]
Prendiville Walter J. P., Elbourne D., McDonald S. J. Active versus expectant management in the third stage of labour [Internet]. Cochrane Database of Systematic Reviews. 2009. Available from: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000007.pub2/abstract.
[33]
Walraven G., Blum J., Dampha Y., Sowe M., Morison L., Winikoff B. and Sloan N. Misoprostol in the management of the third stage of labour in the home delivery setting in rural Gambia: a randomised controlled trial. BJOG [Internet]. 2005 Sep [cited 2015 Jun 12]; 112(9): 1277-83. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16101608.
[34]
Høj L., Cardoso P., Nielsen B. B., Hvidman L., Nielsen J., Aaby P. Effect of sublingual misoprostol on severe postpartum haemorrhage in a primary health centre in Guinea-Bissau: randomised double blind clinical trial. BMJ [Internet]. 2005 Oct 1 [cited 2015 Aug 20]; 331 (7519): 723. Available from: http://www.bmj.com/content/331/7519/723.short.
Browse journals by subject