The Nursing care for pregnancys after caesarean section with obesity

์Nursing care for pregnancys, Caesarean section,Obesity

Abstract

NURSING CARE FOR  PREGNANCYS AFTER CAESAREAN SECTION WITH OBESITY 

: 2 CASE STUDIES

                                                                                         Achara Pornluxanapimol¹

ABSTRAC

          This case study report aimed to compare the nursing diagnosis  between two nursing care for pregnancys after caesarean section  with obesity. Case 1 with previous uterine scar in labor with emergency low transverse cesarean section with tubal Sterilization with single live birth and obesity, complication is  uterine atrony without PPH and Case 2 with previous uterine scar in labor with elective low transversecesarean section with single live birth and obesity, no complication. The research instrument was Gordon^’s Function Health Patterns Assessment.The same nursing diagnoses were as follows: 1) Anxiety about surgery. 2) Risk from postpartum obesity. 3) Risk of uterine rupture. 4) Risk of dehydration and food shortages. 5) Risk of infection in the abdominal surgery wound. 6) Discomfort from abdominal surgery wound pain. 7) Risk of urinary tract infection.  8) Anxiety about low supply milk. 9) Unable to do daily activities after surgery 10) Can't rest much because of take care of my child.The difference nursing diagnoses were as follows: Case 1: 1) Risk of postpartum hemorrhage . Case 2: 1) Constipation.The impotant nursing care for both case studies included nursing to relieve anxiety about surgery, prevent surgical wounds from becoming infected, reduce wound pain, prevent infection from inserting a Foley's catheter, prevent complications during surgery and after surgery from obesity,receive adequate fluids, daily activities after surgery and  produce enough milk to feed children,In terms of the differences in nursing care,for Case 1,  prevent postpartum hemorrhage,while in Case 2,normal bowel movements.The results of this study suggest that nurse can use the finding todevelop nursing practice guidelines and support nursing care standards for  nursing care for pregnancys after caesarean section with obesity.

Key words: Nursing care for pregnancys, Caesarean section, Obesity

     

¹Registered  Nurse. Professional  Level. Nurse Organization, Khon Kaen Hospital