Bundle for quantifying vaginal blood loss after childbirth

Mariana Torreglosa Ruiz, Nayara Freitas Azevedo, Cynthya Viana de Resende, Maria Paula Custódio Silva, Divanice Contim, Luciano Marques dos Santos, Monika Wernet, Ana Maria Linares

Research output: Contribution to journalArticlepeer-review


Objective: To construct and validate the content of a bundle to quantify vaginal blood loss after childbirth. Methods: This is a methodological study developed from February to August 2022, divided into bibliographic survey, instrument construction and content validity, by 14 experts. The instrument for validity consisted of 11 items selected from a systematic review. For each item in the bundle, a Likert scale was applied, and to check agreement among experts, the Concordance Index was calculated. Items with agreement above 80% were considered valid. Content validity was carried out in a single round of assessment. Results: The final version of the bundle consisted of nine items. The proposed care is related to direct quantification of postpartum bleeding and its recording, observation of postpartum women, use of institutional protocols in cases of postpartum hemorrhage as well as team training. Conclusion: The study allowed constructing and validating a bundle for quantifying vaginal blood loss after childbirth, with a view to improving postpartum hemorrhage diagnosis.

Original languageEnglish
Article numbereAPE02172
JournalACTA Paulista de Enfermagem
StatePublished - 2024

Bibliographical note

Publisher Copyright:
© 2024 Departamento de Enfermagem/Universidade Federal de Sao Paulo. All rights reserved.


  • Blood loss, surgical
  • Patient care bundles
  • Postpartum hemorrhage
  • Postpartum period

ASJC Scopus subject areas

  • Medical–Surgical
  • Advanced and Specialized Nursing


Dive into the research topics of 'Bundle for quantifying vaginal blood loss after childbirth'. Together they form a unique fingerprint.

Cite this