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Related Concept Videos

Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Midwives' experiences with aortic compression for postpartum hemorrhage: A qualitative study.

Sonja Kalsvik1, Mirjam Lukasse1, Enid L Myhre1

  • 1Centre for Women's, Family and Child Health, Faculty of Health Sciences, University of South-Eastern Norway, Kongsberg, Norway.

European Journal of Midwifery
|November 29, 2023
PubMed
Summary

Midwives find aortic compression an easy and effective first response to postpartum hemorrhage (PPH). This technique helps reduce blood loss and improve maternal health outcomes, though further research is needed.

Keywords:
aortic compressionfirst-line responseguidelinesmaternal mortalitypostpartum haemorrhage

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Emergency Medicine

Background:

  • Severe postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality globally.
  • While standard treatments exist, there's a need for accessible and effective alternative methods.
  • Aortic compression is an intermittently used technique for PPH with limited scientific validation.

Purpose of the Study:

  • To explore midwives' experiences and perceptions of using aortic compression during postpartum hemorrhage.
  • To understand the perceived effectiveness and practical application of aortic compression in clinical settings.

Main Methods:

  • Qualitative study involving seven semi-structured interviews with midwives in Norway.
  • Thematic analysis of interview transcripts using Braun and Clarke's six-step process.
  • Data collected over a two-month period in 2022.

Main Results:

  • Midwives perceive aortic compression as both easy to perform and effective in managing PPH.
  • The technique is often used as a first-line response based on experience rather than formal training.
  • Aortic compression is seen as crucial for reducing blood loss, preventing escalation, and facilitating timely treatment, thereby improving maternal health.

Conclusions:

  • Midwives believe aortic compression can positively impact maternal health and reduce mortality in PPH cases.
  • The findings highlight the perceived value of aortic compression as an intervention.
  • Further scientific research is essential to validate these experiences and establish evidence-based guidelines.