Advances in Clinical Care Management for Postpartum Hemorrhage with the JADA® System in Rural Health
Abstract
Background: San Luis Valley Health (SLVH) is in rural, southern, central Colorado. SLVH serves about 46,000 people and is the only hospital that provides maternal delivery services in the valley. Nearly 50% of the population is Hispanic. The Hispanic population has a higher maternal mortality rate and higher incidences of postpartum hemorrhage (PPH). Uterine atony causes up to 80% of PPH and is one of the leading causes of maternal mortality and the primary cause of severe maternal morbidity. PPH requiring blood transfusions is the leading cause of maternal morbidity.
Purpose: The purpose of this evidence-based project and PDSA was to compare the Bakri Ballon with the JADA® system, determining the effectiveness of blood loss reduction through research utilization. A cost analysis was performed on the overall maternal cost of care associated with PPH compared to the cost of implementing the JADA® system.
The ongoing purpose is to evaluate the management of postpartum hemorrhages with and without the JADA® system to determine its effectiveness, leading to increased use with early identification.
Method: A retrospective study was completed on patients (n=675) with PPH after delivery or within 24 hours of delivery from January 2022 through August 10, 2023, at SLVH. The Johns Hopkins Nursing Evidenced-Based Practice Model was utilized to drive the nursing research, critically appraise, translate, and provide recommendations on the most up-to-date research and evidence-based practice standards.
This is an ongoing project with a retrospective cohort study for the continuing data collection and evaluation.
Results: This evidence-based project and PDSA demonstrated that SLVH had a higher percentage of PPH and blood transfusions, significantly contributing to increased morbidity in the patient population.
Conclusion: Rural areas present additional risk factors for patients admitted for labor and delivery to a healthcare facility. Hispanic ethnicity also increases the risk factors. Research demonstrates that the JADA® system is an efficient tool for controlling a PPH effectively within minutes. Increasing access to additional interventions in rural healthcare is vital to reducing the increasing morbidity and mortality associated with living in rural settings.
Notes
References available via QR code in attached poster file.
Sigma Membership
Iota Pi
Type
Poster
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Implementation Science, Health Equity or Social Determinants of Health, Postpartum Hemorrhages, Rural Health
Recommended Citation
Hernandez, Angela; Doyle, Allyson; Valdez, Terisa; Dunn, Tandra; and Kloeppel, Jessica, "Advances in Clinical Care Management for Postpartum Hemorrhage with the JADA® System in Rural Health" (2025). Biennial Convention (CONV). 20.
https://www.sigmarepository.org/convention/2025/posters_2025/20
Conference Name
48th Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Indianapolis, Indiana, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Date of Issue
2025-11-19
Advances in Clinical Care Management for Postpartum Hemorrhage with the JADA® System in Rural Health
Indianapolis, Indiana, USA
Background: San Luis Valley Health (SLVH) is in rural, southern, central Colorado. SLVH serves about 46,000 people and is the only hospital that provides maternal delivery services in the valley. Nearly 50% of the population is Hispanic. The Hispanic population has a higher maternal mortality rate and higher incidences of postpartum hemorrhage (PPH). Uterine atony causes up to 80% of PPH and is one of the leading causes of maternal mortality and the primary cause of severe maternal morbidity. PPH requiring blood transfusions is the leading cause of maternal morbidity.
Purpose: The purpose of this evidence-based project and PDSA was to compare the Bakri Ballon with the JADA® system, determining the effectiveness of blood loss reduction through research utilization. A cost analysis was performed on the overall maternal cost of care associated with PPH compared to the cost of implementing the JADA® system.
The ongoing purpose is to evaluate the management of postpartum hemorrhages with and without the JADA® system to determine its effectiveness, leading to increased use with early identification.
Method: A retrospective study was completed on patients (n=675) with PPH after delivery or within 24 hours of delivery from January 2022 through August 10, 2023, at SLVH. The Johns Hopkins Nursing Evidenced-Based Practice Model was utilized to drive the nursing research, critically appraise, translate, and provide recommendations on the most up-to-date research and evidence-based practice standards.
This is an ongoing project with a retrospective cohort study for the continuing data collection and evaluation.
Results: This evidence-based project and PDSA demonstrated that SLVH had a higher percentage of PPH and blood transfusions, significantly contributing to increased morbidity in the patient population.
Conclusion: Rural areas present additional risk factors for patients admitted for labor and delivery to a healthcare facility. Hispanic ethnicity also increases the risk factors. Research demonstrates that the JADA® system is an efficient tool for controlling a PPH effectively within minutes. Increasing access to additional interventions in rural healthcare is vital to reducing the increasing morbidity and mortality associated with living in rural settings.
Description
The rural environment contributes to severe maternal morbidity and mortality in hospitals delivering fewer than 460 newborns annually. San Luis Valley Health delivers approximately 400 a year. Pregnant women are a vulnerable group facing rising maternal morbidity rates in the U.S. Maternal deaths from obstetric hemorrhage are preventable. Early use of the JADA® system can reduce severe maternal morbidity and mortality by preventing moderate to severe postpartum hemorrhage.