Date of Award

Summer 2026

Abstract

Background: Postpartum hemorrhage (PPH), defined as blood loss greater than 1,000 mL after delivery, is a leading cause of maternal morbidity in the United States. Identification of risk factors and timely intervention are critical to improving maternal outcomes after delivery. First-line interventions include manual uterine massage, uterotonic medications, and antifibrinolytic medications; however, when bleeding is not well controlled, the Jada® System (Jada) is a newer vacuum-induced hemorrhage control device with a high efficacy and safety profile, particularly when implemented earlier in the hemorrhage cascade.

Local Problem: In 2025, the annual rate of PPH within the microsystem was 7.29%, exceeding the microsystem benchmark of less than or equal to 5%. Evidence suggests Jada is most effective when used earlier in the hemorrhage cascade, creating an opportunity to improve nurses’ knowledge, confidence, and perceptions regarding earlier consideration of the device through a re-education intervention.

Methods: An evidence-based educational poster was developed to reflect current best practices and microsystem goals related to PPH management, early consideration of Jada, and nurses’ roles in escalating care. The Plan-Do-Study-Act (PDSA) model guided implementation of the intervention over 12 days, and outcomes were evaluated using pre- and post-intervention surveys.

Results: A total of 17 nurses completed the pre-intervention survey and 7 completed the post-intervention survey, with 22 unique respondents included in aggregate form where appropriate. Baseline knowledge and confidence related to PPH management and Jada were high among respondents. After the educational intervention, positive trends were observed in several confidence measures, including confidence recognizing signs of PPH (Top 2 Box agreement increased from 94.1% to 100.0%) and confidence initiating nursing interventions during a PPH (88.2% to 100.0%). Additionally, 5 out of 7 (71.4%) post-intervention respondents reported being more likely to advocate for earlier Jada consideration after reviewing the educational materials. However, small sample size and limited paired responses prevented statistical analysis of pre- and post-intervention differences.

Conclusion: Results support the use of creative, cost-effective, and comprehensive educational materials within the unit to reinforce evidence-based practices (EBP) related to PPH management and timely consideration of Jada. Future PDSA cycles should focus on increasing the sample size to strengthen the analysis, evaluating long-term knowledge retention and sustainability, and assessing the scalability of the intervention. This educational resource could also be expanded to include live educational sessions, hands-on demonstrations, and simulation training to create a more comprehensive nurse re-education program.

Document Type

Master's Thesis

First Advisor

Pamela Kallmerten

Second Advisor

Deborah Simonton

College or School

CHHS

Department or Program

Direct Entry Master's in Nursing

Degree Name

Master of Science

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