Nursing Care for Preeclampsia with severe features : Two Case Studies

Abstract

Purposes : To study guidelines for using the nursing process in births with severe pre-eclampsia during labor.

Materials and Methods : This was a comparative study of 2 births diagnosed with severe pre-eclampsia who received birth nursing services at Phon Hospital, Khon Kaen Province. Health status was assessed using Gordon's 11 health plans and the nursing process was used as a framework for birth education covering the prenatal period. Birth and postpartum period (first 2 hours after birth) including newborn nursing.

Main findings : It was found that case study number 1, a pregnant woman aged 20 years, second pregnancy, 36+3 weeks of pregnancy, did not receive prenatal care. Came with a headache, blurred vision, and vomited 1 time. While receiving care at the Accident and Emergency Department, there was 1 seizure. The doctor diagnosed Eclampsia and gave treatment by giving anti-seizure medication. Magnesium sulfate and blood pressure medicines Transferred to the delivery room to prepare for emergency cesarean section. As for the second case study, a 31-year-old pregnant woman, her third pregnancy, 38 weeks of pregnancy, came for prenatal care as per her appointment. Detected to have high blood pressure The doctor diagnosed Preeclampsia with severe features and sent him to the delivery room for treatment. By giving the anti-seizure drug magnesium sulfate. And blood pressure medicine and terminating the pregnancy by cesarean section. The two case study deliverers and their newborns were safe and had no complications.

Conclusions and recommendations : This study shows that if pre-eclampsia was not treated, it will increase the severity of the disease. Causes harm to the mother and fetus. And cause death Therefore, delivery room nurses must have the knowledge and skills to quickly assess risk. Report to the doctor in a timely manner Have knowledge about drug administration. This will reduce the severity and prevent complications from severe preeclampsia, resulting in the safety of mothers and babies.