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Understanding How Health Providers Identify Women with Postpartum Hemorrhage: A Qualitative Study
Silvana Ferreira Bento1, Anderson Borovac-Pinheiro1, Erika Zambrano Tanaka1
1Universidade Estadual de Campinas, Campinas, SP, Brazil.
Summary
Healthcare providers use both objective signs and subjective perceptions for early postpartum hemorrhage diagnosis. Improving teamwork and communication is crucial for better patient outcomes in obstetric care.
Area of Science:
- Obstetrics and Gynecology
- Healthcare Quality Improvement
- Medical Diagnostics
Background:
- Postpartum hemorrhage (PPH) remains a leading cause of maternal mortality worldwide.
- Early recognition of PPH is critical for timely intervention and improved patient outcomes.
- Current diagnostic strategies may not fully capture the nuances of PPH detection.
Purpose of the Study:
- To explore how healthcare providers recognize postpartum hemorrhage (PPH) early.
- To identify the challenges and difficulties encountered in the early diagnosis of PPH.
- To understand the role of subjective perceptions in PPH diagnosis.
Main Methods:
- An exploratory, descriptive qualitative study.
- Semi-structured interviews conducted with 27 healthcare professionals at a tertiary-level women's health hospital in São Paulo, Brazil.
- Thematic analysis of transcribed interviews to identify key themes.
Main Results:
- Healthcare providers utilize both visual estimation of blood loss and behavioral symptoms (e.g., irritability) for PPH detection.
- Medical staff rely on established protocols and objective signs like altered vital signs.
- Teamwork and communication among caregivers are identified as areas needing improvement.
Conclusions:
- Subjective perceptions of providers play a significant role in clinical judgment for PPH diagnosis, complementing objective evaluations.
- Integrating subjective insights into diagnostic strategies can enhance early PPH detection.
- Improving interprofessional communication and teamwork is essential for optimizing obstetric care and PPH management.
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