Developing Nursing Management Protocol for Maternity Nurses Regarding Emergency Obstetric Care
American Journal of Nursing Science
Volume 6, Issue 5, October 2017, Pages: 418-425
Received: Aug. 19, 2017; Accepted: Sep. 4, 2017; Published: Oct. 11, 2017
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Eman Mohammed Abdelhakm, Faculty of Nursing, Benha University, Benha, Egypt
Amira Refaat Said, Faculty of Nursing, Benha University, Benha, Egypt
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The aim of the study was to develop nursing management protocol for maternity nurses regarding obstetric emergencies. An intervention (quasi experimental) study design was used. The study was conducted in the Obstetrics and Gynecology Emergencies Department at Benha University Hospital. A convenient sample of all nurses working in Obstetrics and Gynecology emergencies department at Benha University Hospital (40 nurse). Two tools were used for data collection; I) A structured interviewing questionnaire: include two parts; Part 1: Socio demographic characteristics of the study nurses: included (Age, educational level, years of experience, previous training program). Part 2: Assessment of nurses’ knowledge regarding obstetric emergencies such as definition, causes, basic priorities and preparations for emergency obstetrics care. II) Observational checklist for evaluating nursing management regarding obstetric emergencies such as resuscitation, nursing management of preeclampsia, eclampsia, infection, trauma & shock and assessment of fetal wellbeing. The study results showed that 88.7% of nurses had poor knowledge before intervention of the protocol. However, 75.7% of them had good knowledge after intervention respectively. As well as, 77.5% of them had unsatisfactory practices toward emergency obstetrics care before intervention of the protocol. Meanwhile, after intervention 82.3% had satisfactory practices respectively. The study concluded that Nurses’ management protocol has appositive effect on nurse’s knowledge and practices regarding obstetric emergencies. There was a highly statistically significant difference before / after protocol of the studied nurses’ knowledge and practice regarding obstetrics emergencies (P ≤ 0.001). The study recommended that Simple guidelines regarding emergency obstetrical nursing care can be attributed to nurses in the emergency obstetrics department. Continuous refreshment courses and follows up programs for nurses regarding emergency obstetrics care.
Emergency Obstetrics Care, Nursing Management Protocol
To cite this article
Eman Mohammed Abdelhakm, Amira Refaat Said, Developing Nursing Management Protocol for Maternity Nurses Regarding Emergency Obstetric Care, American Journal of Nursing Science. Vol. 6, No. 5, 2017, pp. 418-425. doi: 10.11648/j.ajns.20170605.16
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Alam B., Mridha M. K., Biswas T. K. Roy L., Rahman M., & Chowdhury M. E. (2015): Coverage of emergency obstetric care and availability of services in public and private health facilities in Bangladesh, Int J Gynaecol Obstet. doi: 10.1016/j.ijgo.
Alderman J. T. (2012): Using simulation to teach nursing students and licensed clinician’s obstetric emergencies, MCN Am J Matern Child Nurs. 37(6): 394-400. doi: 10.1097/NMC.0b013e318264bbe7.
Attia A. M. (2012): Assessment of Emergency nursing care offered at the labor ward of Ain Shams Maternity University Hospital, Master thesis, Faculty of Nursing, Ain Shams University.
The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), (2013): Women’s Health and Perinatal nursing Care, Quality draft measures specifications, p. 29, available at:
Bayley O., Colbourn T., Nambiar B., Costello A., Kachale F., Meguid T. and Mwansambo C. (2013): Knowledge and perceptions of quality of obstetric and newborn care of local health providers: a cross-sectional study in three districts in Malawi, Malawi Med J. 2013 Dec; 25(4): 105-8.
Bhandari T. R. and Dangal G. (2014): Emergency obstetric Care: strategy for reducing maternal mortality in developing countries / vol 9 / no. 1 / issue 17/.
Bradley S., Kamwendo F., Chipeta E., Chimwaza W., de Pinho H., and McAuliffe E. (2015): Too few staff, too many patients: a qualitative study of the impact on obstetric care providers and on quality of care in Malawi. BMC Pregnancy Childbirth. Mar 21; 15: 65. doi: 10.1186/s12884-015-0492-5.
Brenner S., De Allegri M., Gabrysch S., Chinkhumba J., Sarker M., and Muula A. S. (2015): The quality of clinical maternal and neonatal healthcare - a strategy for identifying 'routine care signal functions'. Apr 15; 10(4): e0123968.
Catherin N., Anushila S. R. and Goud B. R. (2014): Obstetric emergencies presenting to a rural community maternity hospital, Southern Karnataka, India, Int, J., curr. Res. Aca. Rev., 2(9) ISSN: 2347-3215 Volume 2 Number 9, pp. 264-269.
Chodzaza E, and Bultemeier K. (2010): Service providers' perception of the quality of emergency obstetric care provided and factors identified which affect the provision of quality care, Malawi Med J. 22(4): 104-11.
Delucia P. R., Ott T. E. and Palmieri P. A. (2009): Performance in nursing. In F. Durso (Ed.), Reviews of Human Factors and Ergonomics Society, Vol. 5, pp. 1-40 Santa Monica, CA.
EL-Bahy M. A., Mohamed H. I., Salam N. S. and Nasr E. H. (2015): Effect of Educational Program for Nurses about Pregnancy Induced Hypertension on their Knowledge in Port Said Hospitals, Med. J. Cairo Univ., Vol. 81, No. 2, March: 179-188, available at:
Gibbs R. S., Karlan B. Y., Haney A. F. & Nygaard I., (2012): Danforth`s Obstetrics and Gynecology, 10th ed., Lippincott Williams & Wilkins, China, p. 475.
Islam F., Rahman A., Abdul Halim, Eriksson C., Rahman F. and Dalal K. (2015): Perceptions of health care providers and patients on quality of care in maternal and neonatal health in fourteen Bangladesh government healthcare facilities: a mixed-method study, BMC Health Services Research, 15: 237.
Kavitha P., Tesfay A., Prasath R., Habtegiorgis L., Girmay S., and Sereke Y. (2014): To assess level of knowledge of staff nurses on emergency obstetric management at orotta national referral maternity hospital, Int. J. of Allied Med. Sci. and Clin. Research Vol-2(4) pp. 287-293.
King S. and Scrutton M. (2010): Anesthesia and Intensive Care Medicine 2nd ed., Elsevier, London, PP. 179-188.
Munnur U., Bandi V and Guntupalli K. K., (2011): Management principles of the critically ill obstetric patient, Clin Chest Med. 2011 Mar; 32(1): 53-60, available at:
Ominyi, J N and Nwodom, M U (2014): Nurses’ Perception and Practice of Evidence-Based Practice in Federal Teaching Hospital Abakaliki JMSCR Volume 2 Issue 11 Page 2778-2795.
Otolorin E., Gomez P., Currie S., Thapa K., and Dao B. (2015): Essential basic and emergency obstetric and newborn care: From education and training to service delivery and quality of careInt J Gynaecol Obstet.
Royal College of obstetricians and Gynaecologists guidelines, 2016. Available at
The world fact book, 2015, Available at accessed on September/10/2016
Traoré M., Arsenault C., Schoemaker-Marcotte C., Coulibaly A., Huchon C., Dumont A. ndFournier P., (2014): Obstetric competence among primary healthcare workers in Mali, Int J Gynaecol Obstet.; 126(1): 50-55
World health organization, (2013): The world fact Book. Retrived from accessed on august/21/2016.
WHO, Media centre, Fact sheet, Updated November 2016, Available at
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