Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mary T. Verklan,

Abstract

Postpartum hemorrhage (PPH) is the most significant cause of maternal deaths during or after childbirth. Due to a high PPH rate, a tertiary care facility in the Southwest United States implemented the Association of Obstetricians and Gynecologist (ACOG) protocol anticipating decreasing PPH rates. This quality improvement project was designed to evaluate whether implementation of the ACOG PPH protocol reduced the incidence of PPH. The practice-focused question was “What is the effect of the implementation of the ACOG PPH protocol on the incidence of PPH?” The Iowa model was selected to guide the project toward accomplishing its goals. The incidence of PPH was evaluated 3 months before and 3 months after implementing the ACOG PPH protocol to establish the effect of implementing the ACOG PPH protocol in the project site. Descriptive statistics were used to determine whether there was a decrease in PPH after the implementation of the protocol in practice. PPH rates before the adoption of the ACOG PPH protocol were 18%, and the rates after the protocol’s adoption were 7%. A reduction of 11% in PPH confirmed the effectiveness of the ACOG PPH protocol in PPH management. Adopting the ACOG PPH protocol promoted positive social change by fostering patient safety and enhancing the overall care quality offered in the health care setting by reducing PPH prevalence.

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