Volume 5 , Issue 1 , February 2016 , Pages: 8 - 15
The Practice of Nursing in the Prevention and Control of Postpartum Hemorrhage: An Integrative Review
Haimee Emerich Lentz Martins, Public Health Department of Santa Catarina (SES-SC), Florianópolis, Santa Catarina, Brazil
Maria de Lourdes de Souza, Post Graduation Program in Nursing (PEN/UFSC) and REPENSUL Institute, Federal University of Santa Catarina (UFSC), Florianópolis, Santa Catarina, Brazil
Sabiha Khanum, Post Graduation Program in Nursing from Federal University of Santa Catarina (PEN/UFSC), Florianópolis, Santa Catarina, Brazil
Najma Naz, Post Graduation Program in Nursing from Federal University of Santa Catarina (PEN/UFSC), Florianópolis, Santa Catarina, Brazil
Anna Carolina Raduenz Huf Souza, Post Graduation Program in Nursing from Federal University of Santa Catarina (PEN/UFSC), Florianópolis, Santa Catarina, Brazil
Received: Jan. 5, 2016;       Accepted: Jan. 13, 2016;       Published: Jan. 27, 2016
DOI: 10.11648/j.ajns.20160501.12        View        Downloads  
The study was developed to identify and analyze nursing practices in the literature related to the prevention and control of postpartum hemorrhage. Integrative review of on-line articles indexed in the databases MedLine, PubMed, Lilacs, SciELO, Embase, CINAHL and Web of Science (in the period between September 2013 and February 2014); search strategies by keywords and mesh descriptors were used. The 22 studies selected were categorized as: 1. Implementation of the active handling of the third stage of the delivery; 2. Use of Misoprostol; 3. Blood loss estimate; 4. Nursing training on the handling of postpartum hemorrhage; 5. Other handling measures to prevent postpartum hemorrhage; and 6. Use of technology to record data on postpartum hemorrhage. The present integrative review revealed that nursing professionals (midwives, nurses, traditional birth attendants), together with other professionals, have contributed to implement the active handling of the third stage of the labor, and to elaborate and implement protocols, trainings and assessments of results of this practice in the services. Despite the global recommendations to adopt the active management of third stage of labor, whenever a qualified professional delivers such care, this practice is still not broadly developed and implemented, even in the reference hospitals in Brazil and many other countries.
Nursing, Postpartum Hemorrhage, Prevention
To cite this article
Haimee Emerich Lentz Martins, Maria de Lourdes de Souza, Sabiha Khanum, Najma Naz, Anna Carolina Raduenz Huf Souza, The Practice of Nursing in the Prevention and Control of Postpartum Hemorrhage: An Integrative Review, American Journal of Nursing Science. Vol. 5, No. 1, 2016, pp. 8-15. doi: 10.11648/j.ajns.20160501.12
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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