Nursing Role In Obstetric Emergencies: Challenges In Early Recognition Of Postpartum Hemorrhage

Abstract

Nursing care in obstetric emergency situations is complex and challenging, requiring nurses to have up-to-date technical and scientific knowledge, effective communication skills, and the ability to make quick and precise decisions. It is important to understand that the postpartum period is not just a time when a woman adapts to the arrival of her child, but a moment that demands more specific care, where the woman should be seen holistically, with her needs fully addressed. This activity requires an intense pace, skill in dealing with the unexpected, a constant state of alertness, and readiness for an excess of tasks, as well as emotional, physical, and especially psychological preparation to act efficiently in cases of postpartum hemorrhage. Postpartum hemorrhage is considered when there is blood loss greater than 500 ml in vaginal deliveries and greater than 1000 ml in cesarean deliveries. When blood loss exceeds 1000 ml, the nurse must act efficiently to eliminate any danger. Given this, the present study is exploratory and descriptive in nature, conducted through bibliographic research. As results, we identified that nursing care for postpartum women leads to patient satisfaction, as they feel comfortable and confident under nursing care. However, there is still a tendency for postpartum women to abandon care after delivery, as refusal of postpartum follow-up remains a common reality. The study highlights the need for further research, especially regarding health education for pregnant women about their rights, which do not end at the time of delivery. For professionals, it is important to have ongoing training in postpartum care, aiming to continuously improve the quality of care provided to this population.