Document Type : Original Article
Authors
1
Assistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Helwan University, Egypt.
2
Lecturer of Woman’s Health and Midwifery Nursing, Faculty of Nursing, Kafrelsheikh University, Egypt.
3
Assistant Professor of Women’s Health and Maternity Nursing, Faculty of Nursing, Kafr El-Sheikh University, Kafr ElSheikh, Egypt.
4
Lecturer of Gynecology and Obstetrics, Porto Said University, Faculty of Medicine, Egypt
5
obstetrical and gynecological nursing,, Faculty of Nursing, Port Said University, Egypt
6
Lecturer of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, Egypt.
Abstract
Background: Postpartum hemorrhage (PPH) is associated with an increased risk of complications
after delivery for both the mother and the newborn in postnatal period and later life. Aim: Aim of
the study was to assess the effect of implementing bundle care on reducing early postpartum
haemorrhage among primiparous.Methods: A quasi-experimental design (nonequivalent control
group pretest/posttest) was adopted. Setting: The current study was conducted in the postpartum
words of Obstetrics and Gynecology department in Maternity hospital, Portsaid Governorate, Egypt.
A purposive sample of 70 primiparous with early PPH was carefully chosen from the nominated
setting and dispersed accidentally into two equal groups (study and control group). Two tools were
used for collecting the study data: A structured interviewing questionnaire schedule and tool of
bundle care of early PPH that consists of three parts.Results: There is a statistically significant
difference between the study and control groups in reducing early PPH among primiparous and
improve outcomes. The current study results display that the primiparous outcomes improved in
study group compared to control group which seemed in mild of bleeding 68.6% in study group,
37.1in control group and conscious level 94.3% in study group, 60% in control group with normal
conscious level. The study group have lower complications, compared to complications of the
control group. Conclusion: Bundle care was effective in decreasing blood loss complications of
early PPH. Recommendations: Bundle care should be recommended as a nursing intervention
protocol and should become a fundamental part of the total management of early PPH.
Keywords
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