EFFECTS OF COLD GLOVES FOR UTERINE MASSAGE ON THE AMOUNT OF POSTPARTUM BLOOD LOSS, FUNDAL HEIGHT AND AFTERPAINS WITHIN TWO HOURS AFTER DELIVERY
DOI:
https://doi.org/10.37268/mjphm/vol.24/no.3/art.2556Abstract
Postpartum hemorrhage is a serious and life-threatening complication and usually occurs within two hours after delivery. The most common cause of postpartum hemorrhage is uterine atony. Providing nursing care to prevent postpartum hemorrhage is, therefore, a challenging role for nurses. This quasi-experimental research with two-group experimental design aimed to investigate the effects of cold gloves for uterine massage on the amount of postpartum blood loss, fundal height and afterpains within two hours after delivery. The samples were sixty postpartum mothers within 2 hours after delivery at the delivery room of Nakhon Phanom Hospital a hospital in the northeastern region of Thailand. They were selected using a purposive sampling method and equally divided into the experimental group and the control group (30 people per group). The experimental group used the cold gloves for uterine massage. The control group received only usual care. The tools used in the experiment were the cold gloves for uterine massage. The data collection tools included a personal information record form, a pregnancy and delivery data record form, a postpartum blood loss assessment form, a fundal height and afterpains within two hours after delivery record form, a uterine massage and uterine contractions within two hours after delivery record form. Data were analyzed using descriptive statistics, Paired t-test and independent t-test. The findings revealed that the average amount of postpartum blood loss, fundal height and afterpains of the experimental group were significantly lower than those of the control group. This indicates that the cold causes blood vessels under the skin to constrict, causing the reduction of the amount of blood loss. Blood supply to the uterus also decreases, resulting in a quick decline in fundal height. The cold also reduces the activity of the sensory nerve endings, causing pain in the uterus to decrease. Therefore, nurses should use the cold gloves for uterine massage for mothers within two hours after delivery in conjunction with standard postpartum nursing care to stimulate proper uterus contraction and prevent bleeding and relieve afterpains.
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