From developing and researching our PICOT question, I have gained an acute awareness of the worldwide crisis of maternal mortality. Our findings have shown that of all industrialized countries, the United States ranks last for the effective management of maternal mortality. This is, in partial, due to the lack of developed protocols and the trepidation of hospitals to take it on. Hospitals may be apprehensive to take on the implementation of maternal hemorrhage protocols, also referred to as safety bundles, because of lack of appropriate studies, funding, and resources, or is not a large maternity hospital. Our analysis of many studies found that utilizing maternal hemorrhage protocols did not change the outcome of maternal mortality. However, we did find evidence that the ways in which these studies were performed contained limitations and are in need of multiple study replications. Due to there being one maternal health to 100,000 births, this would need to be formatted as a large-scale longitudinal study to ultimately determine if safety bundles would effective. As a future nurse, I think I would be more confident having set guidelines if a emergent situation were to occur. Yet, there is always a possibility that a patient may not meet the protocol guideline requirements and in those instances it would be up to the physicican to determine the appropriate care.
Team challenges included formatting the synthesis portion and maintaining a ‘one voice’ kind of writing style. Ultimately, our group worked well together and maintained an open dialogue that helped us turn our draft in on time.
