Women´s experiences of postpartum hemorrhage : A metsynthesis

Background Midwives play a central role in promoting sexual, reproductive and perinatal health, working in partnership with woman to provide evidence-based and respectful care. Postpartum hemorrhage remains one of the leading causes of maternal mortality worldwide. Aim The aim is to highlight women’s experiences of postpartum hemorrhage by synthesizing existing data. Methods The study is a qualitative metasynthesis based on a meta-ethnographic design where 14 articles were analyzed using reflexive thematic analysis. Results Postpartum hemorrhage was experienced as an event with physical symptoms and fear. Separation from the baby and partner, and the need for support affected bonding and recovery. The care provided by healthcare professionals was important. Clear information contributed to a sense of safety when insufficient information increased anxiety. The recovery process was long and included physical and psychological consequences. Conclusion Women´s experiences of postpartum hemorrhage vary and are dependent on contextual circumstances. The midwife plays a central role in women´s experiences and in how the event affects bonding, psychological well-being and recovery. Clinical implications Increased knowledge of women´s psychological and physical experiences of postpartum hemorrhage may contribute to improved information, provision and preparation within antenatal and intrapartum care. The findings may strengthen midwives understanding and clinical practice when caring for women who have experienced or are at risk of postpartum hemorrhage.