Iram Khadim, Adnan Yaqoob, Kousar Parveen, Sadia Khan.
Effects of clinical interventions on nursing care practices regarding incidence of primary post-partum hemorrhage.
Pak J Physiol Jan ;18(2):51-3.

Background: Postpartum haemorrhage (PPH) is a common obstetric haemorrhage. That is one of the leading causes for maternal mortality. This study aims to assess the effect of clinical interventions on nursing care practices regarding primary postpartum haemorrhage. Methods: This quasi-experimental study was conducted in Gynaecology Department of Allied Hospital, Faisalabad. Eighty-five license holder nurses who work in morning, and evening shifts, aged 25+-50 were included. Nurses who had PPH training and/or teach obstetrics, gynaecology and midwifery students, were excluded. Purposive sampling technique was used. A 16-items adopted validated checklist was used to assess the practices of nurses pre- and post-educational training about primary PPH. Results: Demographic and skill related variables were checked for frequency and percentages. All of nurses (n=85) had poor practices before clinical interventions. In post-intervention assessment, results revealed that 11 (12.9%) nurses had good and 74 (87.3%) showed excellent practices, and no one had poor practices. Conclusion: Educational trainings had prominent effect in improving skill performances and practices of maternity nurses regarding the management of labour to prevent primary post-partum hemorrhage.

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