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Abstract Objective: To care for the implementation of risk management of postpartum hemorrhage to evaluate the effects. Methods: The change in management philosophy, risk education in nursing, and strengthen risk awareness; ways to improve care, increase in human input; strengthen the capacity of emergency stress; identification and evaluation of risk factors for postpartum hemorrhage, early treatment to predictability; increased obstetric emergency management, establishment of emergency plans. Implementation of risk management before and after effects, the results U-test. Results: After implementation of risk management, reduction of maternal postpartum hemorrhage, nursing records to improve quality and maternal satisfaction with the implementation of risk management before and there were statistically significant differences (P <0.01). Conclusion: The implementation of nursing risk management of postpartum hemorrhage, which can effectively enhance the medical and nursing staff awareness of risk prevention of postpartum hemorrhage and improve the quality of obstetric care, and effective risk event occurs, reduce medical disputes.
Key words delivery care of postpartum hemorrhage
Evaluation of effect of risk management for the postpartum hemorrhage nursing
HUANG Lan î€‘ ying
(Department of Nursing, Wuhua County Maternal and Child Health Hospital, Guangdong Province Wuhua 514400, China)
[ABSTRACT] Objective: To evaluate the effect of risk management for the postpartum hemorrhage nursing. Methods: Changing philosophy of management, carrying out nursing risk education, elevating risk awareness, improving nursing methods, increasing nurses, strengthening emergency stress ability, recognizing and evaluating risk factors of postpartum hemorrhage, practicing preventive management, increasing management of obstetric emergency, establishing plans for emergency, comparing the nursing effect of risk management before and after the implementation. The U î€‘ test was used for the statistical analysis. Results: Maternal postpartum hemorrhage decreased after the implementation of risk management, quality of nursing records were raised, the degree of maternal satisfaction increased, compared with the results before the implementation of risk management, there was significant difference (P
Postpartum hemorrhage is a major cause of maternal mortality in China, but also the serious maternal complications during delivery, the highest cause of maternal death in China first. Now with the launching of decreasing items, national maternal mortality rate declined, but with urban-rural divide, the key to reducing maternal mortality is to reduce postpartum hemorrhage deaths . Therefore, in the nursing management of postpartum hemorrhage, respond to high-risk maternity ward, change management philosophy, to take practical management methods to reduce the incidence of nursing risk to a minimum, which for the protection of mother and child saf
1 Clinical data
1.1 General Information
â‘ regular care and risk education, and strengthen risk awareness. Clinical cases and learn lessons, learn a lesson; care and safety analysis will be held every month to find out affecting the quality, there are hidden factors and these factors, recommend corrective measures to check the implementation. Respect for maternity rights, and effectively fulfill the obligations of the risk and signed an informed delivery of books and when the post-production transcript.
â‘¡ way to improve care, increase in human input. Undergraduate admissions for emergency room the night of maternal and more busy, and previous delivery room problems and lessons for the care and services in place to ensure the abolition of duty over the past 1 system, increase the midwifery human input, full implementation of midwifery accompany delivery, the implementation of 2 night shift system, each class with a reasonable attention to personnel.
â‘¢ identification and assessment of risk factors for postpartum hemorrhage. Risk management, risk identification is the first step, first possible to identify risk factors for postpartum hemorrhage. For multiple pregnancy, fertility, has repeatedly uterine surgery, history of postpartum hemorrhage, scarring the uterus, uterine fibroids, uterine malformations, blood disease, uterine inertia prolonged labor, fetal head to attract the line, forceps vaginal delivery and other high-risk factors predictable, preventive work, such as when the fetus was delivered before the shoulder, the intramuscular injection of oxytocin 10 U, or the baby is delivered immediately after the rapid intravenous injection of normal saline 20 mL, addition of 10 U oxytocin to prevent postpartum hemorrhage; when maternal vaginal bleeding of more than 300 mL, the immediate establishment of an intravenous access, early good deal of preparation, before they occur.
â‘£ establish emergency plans, strengthen risk disposal. Strengthen the emergency equipment and materials, drug administration, all kinds of rescue goods, equipment, the person responsible for maintenance of a regular weekly disinfection times, faulty timely maintenance to ensure integrity of backup equipment. On-site rescue personnel rational division of labor, clearly the job responsibilities, nursing process, prepared by Guangdong Province, postpartum hemorrhage aid process. Case of postpartum hemorrhage, and start the emergency plan immediately.
1.3 Evaluation results
1.3.1 Statistics of postpartum hemorrhage
According to "Chinese Obstetrics and Gynecology"  Measurement of volume 24 h post-partum hemorrhage. When the baby is delivered after device placed in the maternal blood using poly buttocks access the amount of vaginal bleeding, by volume measurement 24 h post-partum hemorrhage.
1.3.2 the quality of nursing records
The implementation of three quality control, quality control staff have families checked by hospital medical records for scoring rate the initial evaluation by one by one, as a quality control; midwives long review, the two quality control; Care Division final, the three quality control to calculate percentile scores.
1.3.3 maternal satisfaction
1 d before each payment of maternity hospital discharge patient satisfaction surveys, fill out by the mothers, midwives is responsible for recovery of statistical scores to percentile scores calculated.
1.4 Statistical Methods
SPSS10.0 software was handled by using the U test. Measurement data were (
Documents were citedã€‘ ã€China Academic Journal to dry before the 10 1 Rong;; vaginal delivery technology and the relationship between cesarean section rate analysis [J]; Chinese doctors; 2007 20 2 Shi Jianfei; Tang Chunhui;; Pregnancy Treatment of uterine fibroids [J]; Chinese Journal of Practical Gynecology and Obstetrics; 2007 12 3 Dengxia Fei; ON TRADITIONAL; Cheng-Liang Xiong;; the latest clinical applications of mifepristone [J]; Reproduction and Contraception; 2007 11 4 Ding Yi Ling Lee moon, Zhu Fu Fan, Zhou XM, Yi-Feng Yang; mitral valve closed at the same time dilation report of four cases cesarean section [J]; Journal of Perinatal Medicine; 2004 02 5 Baiwen Pei, Zhang Birong; postmenopausal A case of natural intrauterine pregnancy [J]; Journal of Perinatal Medicine; 2004 06 6 Chunyan, YANG Hui-xia, Xiecui Ying, Dong Yue; abnormal glucose metabolism during pregnancy on the incidence of children and other huge issues related to the impact of [J] ; Journal of Perinatal Medicine; 2005 01 7 Tan Li, Gui-Jin; microsatellite polymorphism in Chinese Han CYP11a Kaohsiung with polycystic ovary syndrome relationship between sex hormone hyperlipidemia [J]; Journal of Medical Genetics; 2005 02 8 Peng Bing; Chen Qiang; tension; Zouhai; Liu Shuyun;; Chengdu intrahepatic cholestasis of pregnancy with the human leukocyte antigen-DQA1 Correlation of [J]; Journal of Medical Genetics; 2006 05 9 Zhao rate of red, Xiang-Hui; MTX alone and mifepristone and MTX treatment of ectopic pregnancy clinical observation [J]; Primary Medicine; 2001 02 10 Mr Li Xiang, Fu Xiuhong, Zhang Qiuling ; Î±-chymotrypsin treatment of infertility, artificial insemination of the joint [J]; Primary Medicine; 2002, 05 full text database of China's important conference papers to the east before the 10 1; Liangxue Fang; Chen Xiuhua;; book's treatment of chronic pelvic abdominal acupuncture Clinical observation of 48 cases of pain [A]; First National Conference on abdominal acupuncture conference proceedings [C]; 2007 2 in the sea; Xu Shuang Jun; Cao Xuemei; single-Chi group; Bai Jie;; Acupuncture Clinical observation of ovulation induction with [ A]; branch of Chinese Acupuncture Society of Clinical Acupuncture Fifteenth National Conference Proceedings [C]; 2007 3 Yu Qi;; existing national clinical diagnosis of dysfunctional uterine bleeding and treatment guidelines and integrated information [A]; high lactation Su acidosis and dysfunctional uterine bleeding Symposium Proceedings [C]; 2007 4 Li Ailin;; 248 cases of postmenopausal bleeding because [A]; hyperprolactinemia and dysfunctional uterine bleeding Symposium Proceedings [C]; 2007 years 5 with aryl; Liu Xin; Li Shaoqin; Zhang Ting; Zhang Li;; vaginal B-monitoring of endometrial thickness in the treatment of dysfunctional uterine bleeding observed [A]; hyperprolactinemia and dysfunctional uterine bleeding Symposium Proceedings [C]; 2007 6 Wang Li; Lvshu Lan; Sun Ting; CAO Zuan Sun;; female hyperprolactinemia of 48 cases [A]; hyperprolactinemia and dysfunctional uterine bleeding Symposium Proceedings [C]; 2007 7 LIN Yi; Leili; Sun Wenjie;; hormone therapy the effects of adolescent dysfunctional uterine bleeding of [A]; hyperprolactinemia and sexual dysfunction bleeding Symposium Proceedings [C]; 2007 8 Han Ping;; hospitalized expectant timing of the impact on the delivery mode [A]; Chinese Medicine of the First International Conference and conduct medical academic medical academic behavior of the Ninth National Conference Papers Series [C]; 2007 9 Xu Yin; Feng Yan; Xiao Xuelian; Zhaozhi Lan; had Liwen; Wang Qijie; Yang Lanping;; Guizhou Nutritional analysis of urban and rural groups of pregnant women [A]; the Sixth National Conference of Eugenics Paper Series [C]; 2006 years 10 Wufeng Ying; Zhou Yongmei;; low dose hormone replacement therapy clinical observation [A]; of the Second National Conference Proceedings senior issues related to menopause [C]; 2006 Doctoral Dissertation full text of China Database ago 10 1 Sun Lizhou; PIH placenta cells gene expression profile [D]; Nanjing Medical University; Zhen Ling 2, 2006; epithelial ovarian cancer in the autophagy gene expression and regulation of Beclin1 related signaling pathways PI3K/PKB experimental study [D]; Sichuan University; 3, 2007, Zeng Li Qin; THY1 gene expression in ovarian cancer and ovarian cancer cell growth [D]; Sichuan University; 4, 2007 Li Qing; Effect of estrogen on ER and MHC mRNA expression in masseter of [D]; Sichuan University; 2007 5 simulated rainfall conditions; high-intensity focused ultrasound treatment of uterine leiomyoma pathology and clinical evaluation of [D]; fourth Military Medical University; Master Wei 6, 2007; Palace granule control IUD side effects of uterine bleeding Endarterectomy / repair mechanisms of the clinical and experimental research [D]; Shandong University of Traditional Chinese Medicine; 7, 2007, Yi Tang; controlled ovarian hyperstimulation follicular phase progesterone levels and growth hormone application of [D]; Central South University; 2007 8 Min Xue; HPV16E6 p53 genotypes of different cervical cancer cell proliferation, apoptosis and chemotherapy sensitivity of [D]; South Africa University; 9, 2007, Long Ling; soap gill activity and mechanism of anti cancer research [D]; Northwest A & F University; summer of 2006, 10, Yin; oral route and through the skin to surgical ERT T lymphocyte function in postmenopausal women of [D]; Fudan University; master's degree in China in 2007 before the full paper 10 1 Chen Shasha database; Rukuaixiao side hyperplasia of mammary gland in rats and its mechanism of [D]; Nanjing Agricultural University; 2007 2 Yumei Jia; application YKL-40 Diagnosis of Endometrial Carcinoma in [D]; Sichuan University; 2007 3 Hu Jinliang; maternal and child health in rural County of Sichuan Province gender analysis [D]; Sichuan University; 2007 4 He Guolin ; G protein Î²3 subunit gene C825T polymorphism and the relationship between preeclampsia [D]; Sichuan University; 5, 2007, Kuo Ming-Chuan; SD rat endometriosis model and evaluation of [D]; Sichuan University; 6 Guo Shaofeng 2007; neonatal respiratory lesions, pathology and forensic characteristics of [D]; Sichuan University; 2007 7 Gongyun Hui; 830 cases of uterine endometriosis laparoscopic surgery in the Treatment of [D]; Sichuan University; 2007 8 Li Yu; polycystic ovary syndrome and platelet activating factor acetyl hydrolase activity associated preliminary study [D]; Sichuan University; 2007 9 Liyan Xi; PCOS serum total adiponectin correlated with insulin resistance of [D]; Sichuan University; 10, 2007, Feng Xiao; infertile women with polycystic ovary syndrome, serum inhibin B predict ovarian reserve value of the [D]; Suzhou University; 2007
txt Medicine paper - Yan Pei mother for cesarean delivery adverse reactions . heat: pdf hi grams of feed to prevent heat Postpartum Hemorrhage: pdf bleeding outside the heat: pdf abortion on the impact of placental adhesion heat: ppt postpartum bleeding heat: doc pregnancy common phenomenon of abnormal pregnancy heat: txt Medicine paper - card suppository to prevent pregnancy 800 cases of cesarean section bleeding . heat: txt Medicine paper - early intervention on postpartum hemorrhage during cesarean section . heat: txt Medicine study - treatment of postpartum hemorrhage in 28 cases and analysis of heat: pdf placental abruption, delivery timing and prognosis of heat: doc carboprost suppository to prevent pregnancy-induced hypertension clinical study of 108 cases of postpartum hemorrhage heat: pdf accompany the clinical application delivery Observation and heat: pdf palm heat exposure to the abdomen in preterm children: pdf postpartum hemorrhage in patients with pregnancy hypertension drug of choice for prevention and treatment of heat: pdf PIH heat: pdf tubal obstruction infertility diagnosis and treatm