Atuação do enfermeiro na prevenção e manejo da hemorragia pós-parto uma revisão integrativa

Abstract

Postpartum hemorrhage (PPH) is a highly severe obstetric emergency and stands as the leading cause of maternal deaths worldwide, particularly in low-income countries. It is believed that many of these deaths could be prevented through the implementation of measures of varying complexity, proposed from the prenatal period to the puerperium. This study aimed to identify the main strategies and interventions used by nurses for the prevention and management of PPH. An integrative literature review was conducted using the databases Cochrane, Lilacs, ScienceDirect, Scopus, Web of Science, and PubMed, with the following keywords: “nursing care,” “postpartum period,” “maternal mortality,” and “postpartum hemorrhage,” combined using the Boolean operators AND and OR. Articles in Portuguese, English, and Spanish published between 2020 and 2025 that addressed the nurse’s role in preventing and managing PPH were included. The results yielded a total of 31 scientific articles whose titles were read; of these, 20 were selected for abstract reading, and finally, 5 studies were chosen. These studies highlighted the following interventions: health education and team training; non-pharmacological care strategies; individualized care plans and clinical protocols; structural barriers and the “third delay”; and postpartum surveillance and monitoring. It is concluded that nurses play a broad role, ranging from professional training to the implementation of evidence-based care practices, including the proper administration of medications and the enforcement of maternal monitoring protocols, particularly in the first hours after childbirth.