Understanding How Health Providers Identify Women with Postpartum Hemorrhage: A Qualitative Study.
| Autor: | Bento SF; Universidade Estadual de Campinas, Campinas, SP, Brazil., Borovac-Pinheiro A; Universidade Estadual de Campinas, Campinas, SP, Brazil., Tanaka EZ; Universidade Estadual de Campinas, Campinas, SP, Brazil., Silveira C; Universidade Estadual de Campinas, Campinas, SP, Brazil., Pacagnella RC; Universidade Estadual de Campinas, Campinas, SP, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia [Rev Bras Ginecol Obstet] 2021 Sep; Vol. 43 (9), pp. 648-654. Date of Electronic Publication: 2021 Oct 20. |
| DOI: | 10.1055/s-0041-1733997 |
| Abstrakt: | Objective: To identify how health providers recognize postpartum hemorrhage early and the difficulties involved in it. Methods: An exploratory, descriptive study using a qualitative approach through a semi-structured interview technique. In total, 27 health professionals (nursing technicians, nurses, medical residents in Gynecology and Obstetrics, hired medical doctors, and medicine professors) working in a tertiary-level hospital of reference in women's health care in the State of São Paulo, Brazil, participated in the study through an invitation. After they accepted the invitation, they signed the free and informed consent form. All interviews were recorded and transcribed, and a thematic analysis was conducted. We found three analysis categories: a) perception of the severity: "there is something wrong with the women"; b) difficulties in the early diagnosis of postpartum hemorrhage; and c) the process to improve obstetrical care. Results: Caregivers believe teamwork and communication should be improved. Besides the visual estimation of blood loss, the nursing team is attentive to behavioral symptoms like irritability, while the medical staff follow protocols and look for objective signs, such as altered vital signs. Conclusion: Besides the objective evaluations, the subjective perceptions of the providers are involved in the clinical judgement regarding the diagnosis of postpartum hemorrhage, and this should be included in a broader diagnosis strategy. Competing Interests: The authors have no conflict of interests to declare. (Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).) |
| Databáze: | MEDLINE |
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