Construção de um protocolo de hemorragia pós-parto em uma maternidade do sertão potiguar

Abstract

Introduction: Postpartum hemorrhage is defined as blood loss greater than or equal to 500 ml after vaginal birth and 1000 ml after cesarean delivery, which can occur early within 24 hours and is classified as primary or immediate, caused especially by uterine atony. (80%), placental retention, coagulation disorder, uterine inversion, lacerations and hematomas along the birth canal, or can be classified as late secondary, occurring after 24 hours to 6 to 12 weeks after birth, caused by retention of remains placental disorders, hereditary coagulation errors and puerperal infection. However, it is important to highlight that any blood loss through the genital tract capable of causing hemodynamic instability should be considered a case of significant PPH. Objective: Develop a Protocol to qualify and standardize nursing care in the management of postpartum hemorrhage at Hospital do Seridó.. Methodology: This is a study with a methodological approach to construct a protocol that aims to intervene in the reality of the health service in the hospital care network, reducing the risk factors for postpartum hemorrhage in women treated at Hospital do Seridó. The protocol was constructed from 3 stages: situational diagnosis, literature review and protocol construction. Results: The literature search was carried out during the month of August 2023, in the following databases, lilacs, scielo and pubmed, totaling N= 26 studies, shortly afterwards the studies were analyzed and a protocol was created to postpartum hemorrhage. Conclusion: It was possible to develop an institutional protocol using data found in the literature. However, the gap identified in this study was the lack of robust scientific evidence for the standardization of PPH treatment, indicating the need for more publications on the topic.