优质护理对宫缩乏力性产后出血产妇的影响分析.docx

优质护理对宫缩乏力性产后出血产妇的影响分析  Abstract Postpartum hemorrhage (PPH) is one of the most serious complications of child birth, it is the leading cause of maternal morbidity and mortality worldwide. Uterine atony is the most common cause of PPH. This study aims to evaluate the impact of high-quality nursing care on postpartum hemorrhage caused by uterine atony. The study design involved a literature review of current research on postpartum hemorrhage, uterine atony, and nursing care. Results showed that high-quality nursing interventions such as active management of the third stage of labor, early recognition of atony, and appropriate administration of uterotonics reduce the incidence of PPH caused by uterine atony. Introduction Postpartum hemorrhage (PPH) refers to the loss of blood greater than or equal to 500 ml within the first 24 hours after delivery. It is a major cause of maternal morbidity and mortality worldwide. Uterine atony, which occurs when the uterus does not contract well after delivery, is the most common cause of PPH. Other causes of PPH include genital tract trauma, retained placenta, and coagulopathy. Nursing care is critical in preventing and managing postpartum hemorrhage. Nurses play a key role in assessing and managing uterine atony, as well as providing education and support to women during the postpartum period. This study aims to evaluate the impact of high-quality nursing care on postpartum hemorrhage caused by uterine atony. Literature Review Active management of the third stage of labor (AMTSL) is a comprehensive approach to preventing and managing postpartum hemorrhage. It involves the administration of a uterotonic drug immediately after delivery of the baby, controlled cord traction, and uterine massage. Multiple studies have shown that AMTSL significantly reduces the risk of PPH compared to expectant management (EM) where the placenta is allowed to deliver spontaneously without intervention. A Cochrane review of 28 randomized controlle