IImplantação de protocolo de hemorragias no pós-parto no Centro de Parto Normal Maria de Nazaré Rodrigues em Buriticupuma/MA

Abstract

The WHO (2014) reports that postpartum haemorrhage is the leading cause of maternal mortality in low-income countries and the primary cause of nearly a quarter of all maternal deaths globally. Thus, this paper discusses the implantation of a postpartum haemorrhage protocol in the Normal Birth Center of Maria de Nazaré Rodrigues.The general objective was to implant a protocol for postpartum haemorrhages in this Normal Delivery Center, with the following specific objectives: To discuss with the nursing professionals about the assistance provided to the parturients / postpartum women in the postpartum period with hemorrhage; to evaluate the degree of knowledge of the nursing team about postpartum haemorrhages, to elaborate a plan of action for implantation of the postpartum haemorrhage protocol. The present intervention project addresses the implantation of a postpartum haemorrhage protocol at the Normal Birth Center Maria de Nazaré Rodrigues; in order to better prepare Nursing professionals during the care given to hemorrhagic patients in the immediate postpartum period. To evaluate the results, a chart with the percentage of postpartum haemorrhagic episodes after the protocol implantation was drawn up. The researched universe consisted of women attended in the postpartum period of the normal delivery center. An average of 110 women are served in this sector monthly. The sample consisted of women who presented postpartum haemorrhage. The instrument used to carry out the project was a protocol developed based on references from the Ministry of Health that was adapted according to the reality and needs of this Childbirth Center. The exchange of experiences between the nursing team facilitated this process and has corroborated in the execution of the implementation of this protocol. Doubts and difficulties were shared during the workshop and exposure of the protocol, as well as in meetings in the hopeful search for professional improvement and offer of qualified care. During the following months, after protocol implantation, it was observed that there were no severe hemorrhagic episodes and a slight decrease in the overall number of shocks due to postpartum haemorrhage. The insertion of this protocol came to add and contribute to the effective attendance of users of the SUS service in the Normal Birth Center Maria de Nazaré Rodrigues, and to consolidate the role of obstetric nursing as participants in the management and development of actions aimed at preventing and reducing complications and maternal mortality from postpartum haemorrhage.