Maternal Death from Obstetric Hemorrhage
Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN), 2000 L Street, NW, Suite 740, Washington, DC 20036, USA. Journal of Obstetric Gynecologic & Neonatal Nursing
(Impact Factor: 1.02).
04/2012; 41(4):531-9. DOI: 10.1111/j.1552-6909.2012.01372.x
Obstetric hemorrhage remains the leading cause of maternal death in the United States, and 54% to 93% of these deaths may have been preventable. Leaders must honor the lives of women who die from obstetric hemorrhage by reviewing their deaths and sharing lessons learned. Shortening the current 3 to 7 year data gap will allow for timely initiation of quality improvement efforts. Designated leaders and researchers from the Association of Women's Health, Obstetric, and Neonatal Nurses are ideally positioned to lead these quality initiatives.
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- "Despite efforts to reduce the incidence of PPH through active management of the third stage of labor with prophylactic oxytocin administration, the incidence of PPH continues to increase. This increase has been linked to increased rates of induction of labor and cesarean delivery as reviewed by Bingham and Jones (2012). "
Journal of Obstetric Gynecologic & Neonatal Nursing 07/2012; 41(4):459-60. DOI:10.1111/j.1552-6909.2012.01397.x · 1.02 Impact Factor
Journal of Women's Health 09/2012; 21(9):901-2. DOI:10.1089/jwh.2012.3873 · 2.05 Impact Factor
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ABSTRACT: To determine the effect of standardized education specific to maternal resuscitation on nurses' confidence and competence during obstetric emergencies and to determine the cost savings associated with the program.
Pre- and postintervention surveys designed to measure perceived confidence and competence in resuscitation before and after Advanced Cardiac Life Support (ACLS) certification in combination with obstetric drills.
The project was conducted at a 12-bed labor and delivery, mother/baby unit in an acute care, community-based hospital in Northwest Arkansas.
Sixty-seven registered nurses (RNs) who were hospital employees with at least 6 months experience in labor and delivery or the neonatal intensive care unit completed focused education and training.
The obstetric ACLS program targeted obstetric emergencies, cardiac arrest in the mother, and simulated drills. Obstetric emergencies included cardiac arrest, postpartum hemorrhage, STAT cesarean, uterine rupture, prolapsed umbilical cord, shoulder dystocia, operative vaginal delivery, and eclampsia.
Comparison of pre- and postassessments revealed improvements in perceived confidence and competence when managing obstetric emergencies. Nurse confidence increased by 35% and nurse competence increased by 32%. The 2-day educational program also realized significant cost savings. Overall costs for the educational program decreased from $94849 to $42974.
An educationally sound program that included classroom time and focused drills led to increased perceived confidence and competence for nurses and cost savings related to employee education.
© 2015 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.
Journal of Obstetric Gynecologic & Neonatal Nursing 07/2015; 44(5). DOI:10.1111/1552-6909.12729 · 1.02 Impact Factor
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