Kalsvik Sonja, Lukasse Mirjam, Myhre Enid L
Centre for Women's, Family and Child Health, Faculty of Health Sciences, University of South-Eastern Norway, Kongsberg, Norway.
Eur J Midwifery. 2023 Nov 23;7:35. doi: 10.18332/ejm/172880. eCollection 2023.
The aim of this study was to examine midwives' firsthand experience with aortic compression during postpartum hemorrhage. Severe postpartum hemorrhage is a critical complication during childbirth and the leading cause of maternal morbidity and mortality. Active management of the third stage of labor, combined with standard treatment, has reduced the incidence. However, these measures occasionally fall short, and there is a global need for easy, effective alternative methods. Aortic compression, though not widely recognized, is employed intermittently and lacks substantial scientific backing.
This qualitative study comprised interviews with midwives from various healthcare settings across Norway. Over a two-month period in 2022, we conducted seven individual semi-structured interviews. Interview transcripts were thematically analyzed using Braun and Clarke's six-step process.
Four prominent themes emerged from the analysis, reflecting midwives' experiences with aortic compression in managing postpartum hemorrhage (PPH). In their experiences with aortic compression, midwives uncovered its dual qualities of being both easy and effective. Their utilization of the technique was experience-based only, shaped by personal experience rather than formal training. Nevertheless, aortic compression was perceived as the first-line response to suspected postpartum hemorrhage, preventing escalation, and offering a clearer view of the situation to facilitate timely treatment. Most significantly, midwives recognized aortic compression as a crucial intervention that reduces blood loss and improves health.
Postpartum hemorrhage is a feared situation in the delivery room. The participants consider that aortic compression may affect maternal health and mortality. However, further research is necessary.
本研究旨在考察助产士在产后出血时进行主动脉压迫的第一手经验。严重产后出血是分娩期间的一种关键并发症，也是孕产妇发病和死亡的主要原因。积极处理第三产程并结合标准治疗已降低了其发生率。然而，这些措施偶尔仍有不足，全球都需要简便、有效的替代方法。主动脉压迫虽未得到广泛认可，但仍被间歇性使用且缺乏充分的科学依据。
本定性研究包括对挪威各地不同医疗机构的助产士进行访谈。在2022年的两个月时间里，我们进行了七次个人半结构化访谈。访谈记录采用布劳恩和克拉克的六步法进行主题分析。
分析得出四个突出主题，反映了助产士在处理产后出血时使用主动脉压迫的经验。在她们使用主动脉压迫的经验中，助产士发现其兼具简便和有效的双重特性。她们对该技术的运用仅基于经验，由个人经验而非正规培训塑造。尽管如此，主动脉压迫被视为对疑似产后出血的一线应对措施，可防止情况恶化，并能更清楚地了解状况以便及时治疗。最重要的是，助产士认为主动脉压迫是一项能减少失血并改善健康状况的关键干预措施。
产后出血是产房里令人恐惧的情况。参与者认为主动脉压迫可能会影响孕产妇健康和死亡率。然而，仍需进一步研究。
