Cuidados de enfermeros frente a las hemorragias puerperales: revisión integrativa

Autores/as

DOI:

https://doi.org/10.5902/2179769270177

Palabras clave:

Enfermería, Atención de enfermería, Hemorragia posparto, Periodo Posparto, Revisión

Resumen

Objective: to identify the care of nurses in the face of puerperal hemorrhages available in the scientific literature. Method: integrative review whose search was performed in the sources of information National Library of Medicine, Embase, Cumulative Index to Nursing and Allied Health Literature Scopus, Web of Science, Latin American and Caribbean Literature in Health Sciences and Scientific Electronic Library Online. Results: 31 precautions were found for the management of puerperal hemorrhages, the main ones being the measurement of vital signs and the new technology for blood measurement Quantitative Blood Loss. There was a lack of verification of vital signs and incorrect recording of cases that evolved into postpartum hemorrhage. Conclusion: postpartum hemorrhage can be prevented by nursing care. It is necessary that studies be made on the evaluation of the safety globe of Pinard, breastfeeding and mother and baby bond. And those new technologies, such as blood quantification, be added in institutional protocols.

Descargas

Los datos de descargas todavía no están disponibles.

Biografía del autor/a

Luana Branga, Escola de Saúde Pública (ESP), Florianópolis

Enfermeira. Residente em Saúde da Família. Escola de Saúde Pública (ESP). Florianópolis, Santa Catarina (SC), Brasil, e-mail:  brangaluana@gmail.com, orcid: https://orcid.org/0000-0001-9668-9065

Laís Antunes Wilhelm, Universidade Federal de Santa Catarina (UFSC)

Enfermeira. Pós-Doutora em Enfermagem. Professora Adjunta do Departamento de Enfermagem. Universidade Federal de Santa Catarina (UFSC). Florianópolis, Santa Catarina (SC), Brasil.

Jaqueline Arboit, Universidade Federal de Santa Maria

Enfermeira. Doutora em Enfermagem. Professora Adjunta do Departamento de Ciências da Saúde. Universidade Federal de Santa Maria (UFSM). Santa Maria, Rio Grande do Sul (RS), Brasil, e-mail: jaqueline.arboit@hotmail.com, orcid: http://orcid.org/0000-0002-6610-5900

Carolina Heleonora Pilger, Universidade Federal de Santa Maria

Enfermeira. Mestranda no Programa de Pós-Graduação em Enfermagem. UFSM. Santa Maria, RS, Brasil.

Graciela Dutra Sehnem, Universidade Federal de Santa Maria

Enfermeira. Doutora em Enfermagem. Professora Adjunta do Departamento de Enfermagem. UFSM. Santa Maria, RS, Brasil.

Elaine Lutz Martins, Universidade do Estado do Rio de Janeiro

Enfermeira. Doutora em Enfermagem. Professora Assistente do Departamento de Enfermagem Materno-Infantil. Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ.

Citas

Committee on Practice Bulletins-Obstetrics. Practice bulletin no. 183: postpartum hemorrhage. Obstet Gynecol. 2017 Oct;130(4):e168-e186. doi: 10.1097/AOG.0000000000002351

Organização das Nações Unidas (ONU). Objetivo de desenvolvimento sustentável: objetivo 3: saúde e bem-estar [Internet]. Brasília (DF): Organização das Nações Unidas; 2015 [acesso em 2021 dez 15]. Disponível em: https://brasil.un.org/pt-br/sdgs/3

Martins ACS, Silva LS. Epidemiological profile of maternal mortality. Rev Bras Enferm. 2018;71(Suppl 1):677-83. doi: 10.1590/0034-7167-2017-0624

BRASIL. Ministério da Saúde. Secretaria de Vigilância em Saúde. Boletim epidemiológico: mortalidade materna no Brasil. Brasília (DF): Ministério da Saúde, 2021.

Pan American Organization (PAHO); World Health Organization (WHO). Saúde materna [Internet]. World Health Organization; 2021 [cited 2021 Nov 15]. Available from: https://www.paho.org/pt/node/63100

Rodrigues ARM, Cavalcante AES, Viana AB. Mortalidade materna no Brasil entre 2006-2017: análise temporal. ReTEP Rev Tend Enferm Prof [Internet] 2019 [acesso em 2022 jul 17];11(1):3-9. Disponível em: http://www.coren-ce.org.br/wp-content/uploads/2020/01/Mortalidade-materna-no-Brasil-entre-2006-2017-an%C3%A1lise-temporal-final.pdf

Alves AL, Francisco AA, Osanan GC, Vieira LB. Hemorragia pós-parto: prevenção, diagnóstico e manejo não cirúrgico. Femina [Internet]. 2020 [acesso em 2022 jul 17];48(11):671-9. Disponível em: https://docs.bvsalud.org/biblioref/2020/12/1140183/femina-2020-4811-671-679.pdf

Montenegro CAB, Resende JF, editores. Rezende: obstetrícia fundamental. 13ª ed. Rio de Janeiro: Guanabara Koogan; 2014. 1088 p.

Organização Pan-Americana da Saúde (OPAS). Recomendações assistenciais para prevenção, diagnóstico e tratamento da hemorragia obstétrica. Brasília (DF): OPAS; 2018.

Carvalho SS, Cerqueira CS. Atuação do enfermeiro obstetra em urgências e emergências obstétricas: revisão de literatura. Saúde Rev. 2020;20(52):87-95. doi: 10.15600/2238-1244/sr.v20n52p87-95

Gurney D. Hemorrhage in the pregnant trauma patient. J Emerg Nurs. 2018 Sep;44(5):532-34. doi: 10.1016/j.jen.2018.06.003

Mendes KDS, Silveira RCCP, Galvão CM. Integrative review: research method for the incorporation of evidence in health and nursing. Text Contexto Enferm. 2008;17(4):758-64. doi: 10.1590/S0104-07072008000400018

The Joanna Briggs Institute (JBI). Joanna Briggs Institute reviewers’ manual: 2014 edition. [Internet]. Adelaide (AUS): JBI; 2014 [cited 2021 Nov 03]. Avaiable from: https://nursing.lsuhsc.edu/JBI/docs/ReviewersManuals/Economic.pdf

Fineout-Overholt E, Stillwell SB. Asking compelling, clinical questions. In: Melkyn BM, Fineout-Overholt. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Wolters Klumer, Lippincott Williams & Wilkins; 2011. p. 25-39.

Prata N, Bell S, Holston M, Quaiyum MA. Is attendant at delivery associated with the use of interventions to prevent postpartum hemorrhage at home births? The case of Bangladesh. BMC Pregnancy Childbirth. 2014;14(N Esp):14-24. doi: 10.1186/1471-2393-14-24

Woiski MD, Belfroid E, Liefers J, Grol RP, Scheepers HC, Hermens RP. Influencing factors for high quality care on postpartum haemorrhage in the Netherlands: patient and professional perspectives. BMC pregnancy childbirth. 2015;15:272. doi: 10.1186/s12884-015-0707-9

Behling DJ, Renaud M. Development of an obstetric vital sign alert to improve outcomes in acute care obstetrics. Nurs Womens Health. 2015;19(2):128-41. doi: 10.1111/1751-486X.12185

Ruiz MT, Paraiso NA, Machado ARM, Ferreira MBG, Wysocki AD, Mamede MV. Blood loss and signs or symptoms during puerperal assessment: implications for nursing care. Rev enferm UERJ. 2017;25(N Esp):e22756. doi:10.12957/reuerj.2017.22756

Lutgendorf MA, Spalding C, Drake E, Spence D, Heaton JO, Morocco KV. Multidisciplinary In situ simulation-based training as a postpartum hemorrhage quality improvement project. Mil med. 2017;182(3):e1762-6. doi: 10.7205/MILMED-D-16-00030

Kennedy BB, McMurtry Baird S. Collaborative strategies for management of obstetric hemorrhage. Crit Care Nurs Clin North Am. 2017;29(3):315-30. doi: 10.1016/j.cnc.2017.04.004

Suplee PD, Bingham D, Kleppel L. Nurses' Knowledge and Teaching of Possible Postpartum Complications. MCN Am J matern child nurs. 2017;42(6):338-44. doi: 10.1097/NMC.0000000000000371

Dillard AC. Obstetric hemorrhage in the rural emergency department: rapid response. JEN. 2017; 43(1):15-20. doi: 10.1016/j.jen.2016.10.002

Flood M, Pollock W, McDonald SJ, Davey MA. Accuracy of postpartum haemorrhage data in the 2011 Victorian Perinatal Data Collection: Results of a validation study. Aust N Z J Obstet Gynaecol. 2018;58(2):210-6. doi: 10.1111/ajo.12692

Baldvinsdóttir T, Blomberg M, Lilliecreutz C. Improved clinical management but not patient outcome in women with postpartum haemorrhage-An observational study of practical obstetric team training. PLoS One. 2018;13(9):e0203806. doi: 10.1371/journal.pone.0203806

Ladouceur MK, Goldbort J. A proactive approach to quantification of blood loss in the perinatal setting. nurs womens health. 2019;23(6):471-7. doi: 10.1016/j.nwh.2019.09.007

Teixeira PC, Simões MMD, Santanna GS, Teixeira NA, Koeppe GB, Cerqueira LCN. Cuidados de enfermagem no período pós-parto: um enfoque na atuação do enfermeiro diante as complicações puerperais [Internet]. 2019 [acesso em 2021 set 19];22(259):3436-46. Disponível em: http://www.revistanursing.com.br/revistas/259/pg78.pdf

Seacrist MJ, VanOtterloo LR, Morton CH, Main EK. Quality Improvement Opportunities Identified Through Case Review of Pregnancy-Related Deaths From Obstetric Hemorrhage. J Obstet Gynecol Neonatal Nurs. 2019;48(3):288-99. doi: 10.1016/j.jogn.2019.03.002

Joseph NT, Worrell NH, Collins J, Schmidt M, Sobers G, Hutchins K, et al. Implementation of a Postpartum Hemorrhage Safety Bundle at an Urban Safety-Net Hospital. AJP Rep. 2020;10(3):e255-61. doi: 10.1055/s-0040-1714713

Katz D, Wang R, O'Neil L, Gerber C, Lankford A, Rogers T, et al. The association between the introduction of quantitative assessment of postpartum blood loss and institutional changes in clinical practice: an observational study. Int J Obstet Anesth. 2020;42(N Esp):4-10. doi: 10.1016/j.ijoa.2019.05.006

Tura AK, Aboul-Ela Y, Fage SG, Ahmed SS, Scherjon S, Van Roosmalen J, et al. Introduction of criterion-based audit of postpartum hemorrhage in a university hospital in Eastern Ethiopia: Implementation and considerations. Int J Environ Res Public Health. 2020;17(24):9281. doi: 10.3390/ijerph17249281

Klumpner TT, Kountanis JA, Meyer SR, Ortwine J, Bauer ME, Carver A, et al. Use of a novel electronic maternal surveillance system and the maternal early warning criteria to detect severe postpartum hemorrhage. Anesth Analg. 2020;131(3):857-65. doi: 10.1213/ANE.0000000000004605

Lasica M, Sparrow RL, Tacey M, Pollock WE, Wood EM, McQuilten ZK, et al. Haematological features, transfusion management and outcomes of massive obstetric haemorrhage: findings from the Australian and New Zealand Massive Transfusion Registry. Br J Haematol. 2020;190(4):618-28. doi: 10.1111/bjh.16524

Miner J. Implementing e-Learning to enhance the management of postpartum hemorrhage. Nurs Womens Health. 2020;24(6):421-30. doi: 10.1016/j.nwh.2020.09.010

Leonardsen ACL, Helsegen AK, Ulvoy L, Grondahl VA. Prehospital assessment and management of postpartum haemorrhage- healthcare personnel’s experiences and perspectives. BMC Emerg Med. 2021;21(1):98. doi:10.1186/s12873-021-00490-8

Soares DT, Couto TM, Martins RD, Teixeira JRB, Pires JA, Santos GO. Sociodemographic and Clinical Factors Associated with Postpartum Hemorrhage in a Maternity Ward. Aquichan. 2021;21(2):e2127. doi: 10.5294/aqui.2021.21.2.7

Riley E, Ward N, Capps N, McCormack L, DeGravelles P. Piloting a high-fidelity postpartum hemorrhage simulation with prelicensure nursing students: Evaluating knowledge, confidence, and satisfaction. Teach Learn Nurs. 2021;16(4):296-300. doi: 10.1016/j.teln.2021.04.001

Ahmadzia HK, Phillips JM, Kleiman R, Gimovsky AC, Bathgate S, Luban NL, et al. Hemorrhage risk assessment on admission: utility for prediction of maternal morbidity. Am J Perinatol. 2021;38(11): 1126-33. doi: 10.1055/s-0040-1710501

Harvey CJ. Evidence-based strategies for maternal stabilization and rescue in obstetric hemorrhage. AACN adv crit care. 2018;29(3):284-94. doi: 10.4037/aacnacc2018966

Baird SM, Martin S, Keneddy M. goals for collaborative management of obstetric hemorrhage. Obstet gynecol clin North Am. 2021;48(1):151-71. doi: 10.1016/j.ogc.2020.11.001

Gomes DBM, Santos CM, Rios RL. Amamentação e suas prerrogativas para a saúde do binômio mãe-filho. Biológicas Saúde. 2018;8(27):1. doi: 10.25242/886882720181419

Publicado

2022-10-13 — Actualizado el 2022-12-01

Versiones

Cómo citar

Branga, L., Wilhelm, L. A., Arboit, J., Pilger, C. H., Sehnem, G. D., & Martins, E. L. (2022). Cuidados de enfermeros frente a las hemorragias puerperales: revisión integrativa. Revista De Enfermagem Da UFSM, 12, e45. https://doi.org/10.5902/2179769270177 (Original work published 13 de octubre de 2022)

Número

Sección

Artigos de revisão

Artículos más leídos del mismo autor/a

1 2 3 > >>