Incorporating Evidence into Care for the Client with an Obstetrical Complication New advances are constantly becoming standardized treatment for disorders in all fields. Nurses, as well as others, must incorporate these findings into interventions when delivering care. As an example, the Joint Commission has described an initiative addressing the fact that the United States ranks 65th among industrialized nations in terms of maternal death because of poor outcomes, The Joint Commission evaluated expert literature to determine what areas held the most potential impact. The literature review revealed that prevention, early recognition, and timely treatment for maternal hemorrhage and severe hypertension/preeclampsia had the most impact on decreasing complications. The Joint Commission has instituted 13 new elements of performance that will be required of accredited hospitals. Read the evidence reports that are presented in one of the articles listed below about either pre-eclampsia or (obstetric hemorrhage) For the complication that you select, identify three findings that expand the information beyond your textbook. An overview of obstetric hemorrhage Author links open overlay panelLisa M.Nathan Show more Add to Mendeley Share Cite https://doi.org/10.1053/j.semperi.2018.11.001Get rights and content Abstract Obstetric hemorrhage is the leading cause of maternal morbidity and mortality in the world. Disparities in the prevalence of obstetric hemorrhage and its related mortality both on a global scale and locally in the United States indicate that a significant proportion is preventable. In many parts of the world, including the United States, there has also been an unexplainable increase in rates of postpartum hemorrhage. Efforts should focus on implementing comprehensive hemorrhage toolkit/bundles, which research has shown may have the potential to reduce severe maternal morbidity from hemorrhage. Nathan, L. M. (2019). An overview of obstetric hemorrhage (Links to an external site.). Seminars in Perinatology, 43(1), 2–4. https://doi.org/10.1053/j.semperi.2018.11.001 Posts need to be written in a professional manner. The content should have a clear beginning, middle, and end. Professionals communicate using correct grammar and spelling. It is acceptable to use a grammar or spelling editor prior to submitting your post. Language that is disrespectful or discourteous is not acceptable. Your posts should be of sufficient length to answer the question, but information that is extraneous or irrelevant will not strengthen your post. (Please use all current nursing books ,references and U.S. references if possible). Obstetric hemorrhage I did well on all the other discussions. Just please use more US References and in text citation. Thanks Use more of nursing references if possible. This is a nursing discussion.Thanks again.

Obstetric hemorrhage is a significant and potentially life-threatening complication in pregnant women. It is the leading cause of maternal morbidity and mortality worldwide. In the United States, there has been a concerning increase in the rates of postpartum hemorrhage, which requires immediate attention and comprehensive interventions to prevent severe maternal morbidity.

According to a literature review conducted by Lisa M. Nathan, several findings expand our understanding of obstetric hemorrhage beyond what is typically covered in textbooks. One such finding is the global disparities in the prevalence of obstetric hemorrhage and its related mortality. The review highlights that a significant proportion of obstetric hemorrhage cases are preventable, suggesting that targeted interventions and improved access to obstetric care can make a significant impact in reducing maternal mortality.

Another important finding is the unexplained increase in rates of postpartum hemorrhage in many parts of the world, including the United States. This finding emphasizes the urgency to address the underlying factors contributing to this increase and implement effective strategies to mitigate the risk of postpartum hemorrhage. The literature suggests that efforts should focus on implementing comprehensive hemorrhage toolkit/bundles, which have shown promising results in reducing severe maternal morbidity from hemorrhage.

Furthermore, the review emphasizes the need for healthcare professionals to be knowledgeable and skilled in managing obstetric hemorrhage. This includes ongoing education and training on timely recognition of hemorrhage, prompt initiation of interventions, and effective communication within the healthcare team. The literature suggests that healthcare providers should be equipped with evidence-based practices and protocols to ensure optimal outcomes for women experiencing obstetric hemorrhage.

These findings highlight the importance of evidence-based practice in managing obstetric hemorrhage. It is crucial for nurses and other healthcare professionals to stay updated with the latest research and incorporate it into their clinical practice. The Joint Commission’s initiative on maternal death and poor outcomes further emphasizes the significance of evidence-based interventions in improving maternal outcomes.

Incorporating these findings into care for clients with obstetric hemorrhage involves implementing comprehensive hemorrhage toolkit/bundles as a standard practice in healthcare settings. This includes protocols for early recognition of hemorrhage, timely administration of medications and interventions, effective communication among healthcare team members, and postpartum monitoring to ensure appropriate follow-up care. Additionally, ongoing education and training for healthcare providers are essential to ensure competency in managing obstetric hemorrhage and delivering evidence-based care.

In conclusion, obstetric hemorrhage is a significant complication with potentially severe consequences for pregnant women. Global disparities in its prevalence and preventable nature highlight the need for targeted interventions and improved access to obstetric care. The unexplained increase in postpartum hemorrhage rates further underscores the urgency to address this issue and implement evidence-based strategies. Nurses and other healthcare professionals must stay updated with the latest research findings and incorporate them into their practice to optimize outcomes for women experiencing obstetric hemorrhage. The implementation of comprehensive hemorrhage toolkit/bundles and ongoing education and training are key elements in providing high-quality care for clients with this obstetrical complication.