Effect of Nursing Care Practices Based on Clinical Interventions on the Incidence of Primary Post-Partum Hemorrhage in Females Undergoing Spontaneous Vaginal Delivery

Abstract

Post-Partum Hemorrhage (PPH) has many reported causes such as retained placenta, genital tract lacerations and uterine atony. Objective: To see effect of Nursing Care Practices based on Clinical Interventions on the Incidence of Primary Post-Partum Hemorrhage in females undergoing spontaneous vaginal delivery (SVD). Methods: In this study Pre & Post Study design was used. Sample size 196 was used respectively for Incidence of Primary PPH. In this study Sampling Technique Purposive was used. September 2021 to May 2022 was study duration in which study was conducted. Mothers who were advised to undergo Spontaneous Vaginal Delivery by an obstetrician. Females were including in this study whose maternal age was in years 20-50years. Females admitted to gynecology ward for lower segment caesarian section (LSCS) and Females diagnosed with Preeclampsia were excluded from the study. The Incidence Checklist for PPH was adopted with (Cronbach alpha = 0.89). Results: There was a significant improvement in the incidence of Primary PPH was 27.55% in females undergoing SVD before any change in nursing practices. However, the incidence decreased to 14.48% after clinical interventions in nursing care practices. Conclusions: Nursing Care Practices based on Clinical Interventions was effective. Clinical interventions in nursing care practices showed significant improvement. Furthermore, it also reduces the incidence of Primary PPH and ultimately decreases hospital stay