Postpartum Hemorrhage: A Technical Essay  

作　　者：Rita de Cássia Teixeira Rangel Eneida Patrícia Teixeira Maria de Lourdes de Souza Fiona Ann Lynn Rodrigo Massaroli Adália Edna Fernando Chipindo Rita de Cássia Teixeira Rangel;Eneida Patrícia Teixeira;Maria de Lourdes de Souza;Fiona Ann Lynn;Rodrigo Massaroli;Adália Edna Fernando Chipindo(University of Vale do Itajai (UNIVALI), Itajaí, Brazil;Post Graduation Nursing Program (PEN), Federal University of Santa Catarina, Florianópolis, Brazil;REPENSUL Institute, Florianópolis, Brazil;Queen’s University Belfast (QUB), Belfast, UK)

机构地区：[1]University of Vale do Itajai (UNIVALI), Itajaí, Brazil [2]Post Graduation Nursing Program (PEN), Federal University of Santa Catarina, Florianópolis, Brazil [3]REPENSUL Institute, Florianópolis, Brazil [4]Queen’s University Belfast (QUB), Belfast, UK

出　　处：《Open Journal of Nursing》2023年第8期583-599,共17页护理学期刊（英文）

摘　　要：Background: Postpartum hemorrhage is one of the main causes of maternal mortality, mainly in underdeveloped countries. Deaths are mostly preventable, and are related to socioeconomic development, organization of health services and professional training. Objective: To systematize alerts for the prevention of postpartum hemorrhage. Method: This is a technical essay developed from reflections on previously produced and published texts about maternal mortality and has hemorrhage as the focus of this study. Results: It presents the concept, classification of hemorrhage, risk factors and their classification, prevention strategies, universal recommendations, pharmacological and non-pharmacological interventions when hemorrhage already exists, bleeding assessment techniques;clinical evaluation, by laboratory examination and by shock index. Conclusions: Hemorrhage is a preventable cause of maternal death through the accomplishment of multiple care. Hospital care must be conducted by qualified professionals and in adequate numbers. The risk diagnosis must be carried out during prenatal care with the recording of clinical data accessible in the health care network. All references studied are not specific to nursing, as hemorrhage prevention requires multidisciplinary action.Background: Postpartum hemorrhage is one of the main causes of maternal mortality, mainly in underdeveloped countries. Deaths are mostly preventable, and are related to socioeconomic development, organization of health services and professional training. Objective: To systematize alerts for the prevention of postpartum hemorrhage. Method: This is a technical essay developed from reflections on previously produced and published texts about maternal mortality and has hemorrhage as the focus of this study. Results: It presents the concept, classification of hemorrhage, risk factors and their classification, prevention strategies, universal recommendations, pharmacological and non-pharmacological interventions when hemorrhage already exists, bleeding assessment techniques;clinical evaluation, by laboratory examination and by shock index. Conclusions: Hemorrhage is a preventable cause of maternal death through the accomplishment of multiple care. Hospital care must be conducted by qualified professionals and in adequate numbers. The risk diagnosis must be carried out during prenatal care with the recording of clinical data accessible in the health care network. All references studied are not specific to nursing, as hemorrhage prevention requires multidisciplinary action.

关 键 词：Postpartum Hemorrhage Multiple Care Risk Diagnosis PREVENTION 

分 类 号：S82[农业科学—畜牧学]