Evaluation Plan for Postpartum Hemorrhage
The pre-delivery protocol for addressing the issue of postpartum hemorrhage (PPH) is intended to reduce the incidence of PPH emergencies as well as reducing the number of deaths due to PPH. Methods for evaluating the effectiveness of this proposed solution will be defined in this paper, along with variables to be assessed for evaluating project outcomes. In addition, the tools necessary for educating project participants and the assessment tools necessary for evaluating project outcomes will be described.
In order to determine how well the pre-delivery PPH protocol remedies the problem with PPH in the labor and delivery room, a baseline will first have to be established to quantify how many PPH events occur there each year and how many of these result in the mother's death. The method for establishing the baseline will be to examine hospital delivery records for the past two years and tabulate the occurrence of PPH events and the number of these that led to maternal death. The variables that need to be examined in conjunction with this study include time from start of PPH event to when bleeding was stopped or brought under control, pharmaceutical and non-pharmaceutical interventions that were applied, and outcome. This study will provide a good idea of how prevalent PPH events are at this facility and what percentage of them generally results in death, as well as what interventions are usually applied and how effective they are at controlling the bleeding.
Once the pre-delivery PPH protocol has been put into practice for at least six months, the same variables can be examined, and the results can be compared against those in the baseline. The difference between baseline and post-implementation results will demonstrate the level of effectiveness of the PPH protocol.
The tools necessary to educate project participants will include pamphlets and po...