Effectiveness of implementing clinical nursing practice guidelines for prevention of early postpartum hemorrhage at Ratchaburi Hospital

This comparative,prospective, uncontrolled before and after intervention design was conducted to determine the effectiveness of implementing clinical nursing practice guidelines (CNPGs) for prevention of early postpartum hemorrhage at RatchaburiHospital.The research was carried out from Augest 2016 to December 2016. Samples were divided into 2 groups: 86 parturients who received usual nursing care, and 86 parturient who received care using the CNPGs. The research instruments were: 1) the CNPGs for prevention of early postpartum hemorrhage among mothers in Ratchaburi Hospital, 2) the postpartum hemorrhage recording form. Data were analyzed by using descriptive statistics and the Fisher’s exact probability test. The results of this study revealed that the parturients in CNPGs implementing group had significantly higher proportions of early postpartum hemorrhage than the parturients who received usual nursing care group( p< .05). For proportion of severity ofpostpartum hemorrhagein CNPGs implementing group had significantly lower than the parturients who received usual nursing care group (p< .05). The results confirm that implementation of CNPGs for prevention of early postpartum hemorrhage can lead to improved quality outcome. So this CNPGs should be used as a routine care for all although there is no risk. Keywords : clinical nursing practice guidelines (CNPGs) early postpartum hemorrhage