Kelsey Grimm and Emily Harnish
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Dr. Abby Massey
Date of Graduation
Objective: To determine whether postpartum hemorrhage (PPH) protocols lead to decreases in maternal morbidity and mortality.
Design: Systemic literature review.
Methods: The clinical question investigated is whether the implementation of PPH protocols has measurable impact on maternal morbidity and mortality. Searches were done through PubMed using the keywords: “maternal hemorrhage postpartum protocol.” Studies were eliminated if they were more than 10 years old, conducted outside the United States, published in a non-English language, used other animal subjects besides humans, used non-female subjects, if they did not answer the clinical question, or were review articles. Eventually, three cohort studies were included for analysis.
Results: Cohort studies by Shields et al. and Skupski et al. were chosen for analysis as they met the inclusion/exclusion criteria for the proposed clinical question.
Conclusions: All of the studies clearly demonstrate an improvement across a variety of measures of maternal morbidity.
Grimm KE, Harnish ER. Effect of Postpartum Protocols on Maternal Outcomes. JMU Scholarly Commons Physician Assistant Capstones. https://commons.lib.jmu.edu/pacapstones. Published December 11, 2019.