Identifying the needs of women following a severe postpartum hemorrhage

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dc.contributor.authorFitzgerald, Imeldaen
dc.contributor.authorMcKernan, Joyeen
dc.contributor.authorGreene, Richarden
dc.contributor.authorO'Connell, Rhonaen
dc.date.accessioned2024-07-01T14:27:17Z
dc.date.available2024-07-01T14:27:17Z
dc.date.issued2024-06en
dc.description.abstractIntroduction: Childbirth is a unique experience for women. In Ireland, major obstetric hemorrhage (MOH) is the most frequently reported severe maternal morbidity (SMM) with an incidence of 3.27 per 1000 maternities. Much is known now about the management of postpartum hemorrhage (PPH), and there is some research on women and their partner's experience. Less is known about how the woman feels emotionally following a PPH or what informational needs and emotional support are required. The aim of this study was to understand how women felt after experiencing a severe PPH, to listen to their first-hand experience, and to learn what improvements could be made for future care for women who experience a PPH. Methods: A descriptive, quantitative approach was conducted using semi-structured interviews with women who had a severe hemorrhage (blood loss) of ≥2.5 L between four and fourteen months postpartum. Results: Five women took part in this study. The women identified a lack of information provided to them about the reason for the significant bleeding. The women voiced they could overhear information about the event discussed between healthcare professionals but not with the woman. The care the women received in the High Dependency Unit (HDU) was significantly different from the care they received in the postnatal wards, and the women were not informed they were clinically well for transfer to the postnatal ward. It was reported that the postnatal wards were busy and short-staffed, and the women looked for more emotional support from staff, which was not available. This had an effect on their recovery in the postnatal period. Conclusions: The women reported that they wanted more information in the early postnatal period following the event, and some still had unanswered questions at the time of the interviews several months later. Most of the participants did not receive adequate emotional support from the midwives caring for them, which resulted in the participants requesting early discharge home to get emotional support from members of their family.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationFitzgerald, I., McKernan, J., Greene, R. and O’Connell, R. (2024) ‘Identifying the needs of women following a severe postpartum hemorrhage’, European Journal of Midwifery, 8(June), pp. 1–7. Available at: https://doi.org/10.18332/ejm/183027en
dc.identifier.doihttps://doi.org/10.18332/ejm/183027en
dc.identifier.endpage7en
dc.identifier.issn2585-2906en
dc.identifier.journaltitleEuropean Journal of Midwiferyen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/16045
dc.identifier.volume8en
dc.language.isoenen
dc.publisherEuropean Publishingen
dc.relation.ispartofEuropean Journal of Midwiferyen
dc.rights© 2024 Fitzgerald I. et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License. (https://creativecommons.org/licenses/by/4.0/)en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectPostpartum hemorrhageen
dc.subjectInformationalen
dc.subjectEmotionalen
dc.subjectSupporten
dc.subjectMidwivesen
dc.subjectCare-pathwayen
dc.subjectPostnatal careen
dc.subjectWomen's healthen
dc.subjectMaternal healthen
dc.subjectObstetric emergenciesen
dc.subjectPostpartum perioden
dc.subjectMidwifery careen
dc.subjectMidwifery educationen
dc.titleIdentifying the needs of women following a severe postpartum hemorrhageen
dc.typeArticle (peer-reviewed)en
oaire.citation.issueJuneen
oaire.citation.volume8en
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