Journal of Isfahan Medical School

Journal of Isfahan Medical School

Postpartum Hemorrhage Management in Obstetric Emergencies: Design and Development of a Smartphone-Based Intelligent System to Enhance Clinical Decision-Making and Quality of Maternal Care

Document Type : Original Article(s)

Authors
Sakineh Nazari 1
Shahla Mohamadirizi 2
Soheila Mohamadirizi 3
1 Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran
2 Assistant Professor, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
3 Assistant Professor, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, AND. National Agency for Strategic Research in Medical Sciences Education, Tehran, AND. Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
10.48305/jims.v43.i843.1751
Abstract
Background: Postpartum Hemorrhage (PPH) is one of the most common and life-threatening causes of maternal mortality worldwide. Empowering healthcare providers to manage this condition rapidly and effectively plays a vital role in improving maternal safety and reducing complications. With the advancement of digital technologies in both education and clinical practice, the use of intelligent systems can facilitate learning, decision-making, and enhance clinical performance. The present study aimed to design and develop a smartphone-based intelligent system for the management of postpartum hemorrha.
Methods: This developmental–applied study was conducted in two phases. In the first phase (needs analysis), scientific content and essential skills related to postpartum hemorrhage management were identified through a systematic literature review and expert consultation. In the second phase (design and development), the main modules—including initial assessment, rapid diagnosis, pharmacological and non-pharmacological interventions, and prevention of complications—were designed. The final application was developed for the Android operating system using Kotlin, HTML, and CSS programming languages, and its content validity was confirmed by experts.
Findings: The needs analysis revealed that the top priorities included rapid recognition of abnormal vital signs, clinical decision-making in selecting appropriate interventions, and effective control of bleeding. Expert evaluation indicated that the developed system demonstrated high levels of scientific accuracy, efficiency, user-friendliness, and visual appeal.
Conclusion: The developed system provides an innovative and user-centered tool for improving decision-making skills and expediting the management process of postpartum hemorrhage in obstetric emergencies. Implementation of this technology can enhance the quality of maternal healthcare and reduce clinical errors in real-world settings.

Highlights

Sakineh Nazari: Google Scholar , PubMed

Shahla Mohamadirizi: Google Scholar , PubMed

Soheila Mohamaririzi: Google Scholar , PubMed

Keywords
Postpartum hemorrhage
Labor
Obstetric
Emergencies
Intelligent systems

Subjects

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Journal of Isfahan Medical School
Volume 43, Issue 843
3rd Week, February
January and February 2026
Pages 1751-1759

  • Receive Date 11 October 2025
  • Accept Date 19 January 2026