Kongvattananon Puangpaka, Sosome Boonsurb, Chunuan Sopen, Punsomreung Treechada, Varachanonth Panida, Bhatarasakoon Patraporn
Faculty of Nursing, Thammasat University, Bangkok, Thailand.
Faculty of Nursing, Praboromarajchanok Institute, Nakhon Sawan, Thailand, Boromarajonani College of Nursing Sawanpracharak Nakhonsawan, Nakhonsawan, Thailand.
BMJ Open. 2025 Feb 2;15(1):e092936. doi: 10.1136/bmjopen-2024-092936.
Postpartum haemorrhage (PPH) negatively impacts women's health. Preventing and managing PPH is important, and nurse-led interventions are needed. However, no systematic review has evaluated the effectiveness of non-invasive uterine massage for PPH prevention. Therefore, this systematic review aims to assess the efficacy of midwife/nurse-led intervention in managing PPH, serving as the best available evidence to develop further guidelines and recommendations in practice and policy-making.
This systematic review will follow the JBI methodology for systematic reviews of effectiveness. The search will be conducted in the MEDLINE (PubMed), CINAHL (EBSCO), BENTHUM Science, JBI, Cochrane, ThaiJo and Google Scholar databases. Studies will be included in English and Thai and published between 2015 and 2024. Two independent reviewers will conduct the review, with data extraction and quality evaluation. Studies will be pooled in a statistical meta-analysis using JBI System for the Unified Management, Assessment and Review of Information or other software where possible.
This systematic review does not require formal ethical approval because all data will be analysed anonymously. The results will provide an overall review and evidence of midwife/nurse-led non-invasive uterine massage intervention in preventing PPH. These findings will be disseminated through peer-reviewed publications.
CRD42024566382.
产后出血（PPH）对女性健康有负面影响。预防和管理产后出血很重要，需要由护士主导的干预措施。然而，尚无系统评价评估无创子宫按摩预防产后出血的有效性。因此，本系统评价旨在评估助产士/护士主导的干预措施在管理产后出血方面的疗效，为在实践和政策制定中制定进一步的指南和建议提供最佳现有证据。
本系统评价将遵循循证卫生保健国际协作网（JBI）的有效性系统评价方法。检索将在医学文献数据库（MEDLINE，通过PubMed访问）、护理学与健康领域数据库（CINAHL，通过EBSCO访问）、BENTHUM科学数据库、JBI数据库、考克兰系统评价数据库、泰国学术期刊数据库（ThaiJo）和谷歌学术数据库中进行。纳入2015年至2024年期间以英文和泰文发表的研究。两名独立的评审员将进行评审，并进行数据提取和质量评估。如有可能，将使用循证卫生保健国际协作网统一管理、评估和审查信息系统（JBI System）或其他软件对研究进行统计荟萃分析。
本系统评价不需要正式的伦理批准，因为所有数据将进行匿名分析。结果将提供关于助产士/护士主导的无创子宫按摩干预预防产后出血的全面综述和证据。这些研究结果将通过同行评审出版物进行传播。
CRD42024566382。
