Integrative nursing leadership for quality in obstetric hemorrhage care
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Keywords
Nursing, Postpartum Hemorrhage, Fibrinogen, Hemostasis, Maternal Health
Abstract
Introduction: Obstetric hemorrhage is the leading cause of preventable maternal death and a daily challenge in obstetric care. The role of the nursing professional is fundamental in the management and coordination of the interprofessional team.
Objective: To analyze the integrative and leadership role of the nursing professional in the care protocol for patients with postpartum obstetric hemorrhage.
Methodology: The Anica-Malagón Checklist is presented as an integrated proposal in 4 phases that provide continuity to the care process. It begins with prenatal risk assessment, it is consolidated during delivery, and it is fully activated upon suspicion or confirmation of obstetric hemorrhage.
Results: The Anica-Malagón Checklist is proposed, organized by stage of the care process (0-3) into 4 lists and 50 actions for the nursing staff. This set of tools strengthens decision-making, standardizes practice, and improves maternal-fetal prognosis. Emphasis is placed on the quantitative recording of blood loss and continuous hemodynamic monitoring.
Conclusion: Overall, the integration of prenatal risk stratification, the protocolized response using the checklist, and its projection as a continuous improvement tool position obstetric nursing as an essential pillar in the prevention and comprehensive management of obstetric hemorrhage.
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