Nursing Care for Mothers after Caesarean Section due to Severe Preeclampsia and Twins Pregnancy with Postpartum Hemorrhage

Abstract

Severe preeclampsia is the most serious complication which can lead to seizure if it isn’t treated. Prompt, there is an elevation of liver aminotransferases, liver infarction or hemorrhage. Severe preeclampsia/eclampsia has grave consequences for both maternal and neonatal health, as well as serious fetal and neonatal morbidity and mortality. Especially, pregnant women have an increased risk.

The case study of a woman who was 37 weeks twin pregnant presented with severe preeclampsia after caesarean section with postpartum hemorrhage. Magnesium sulfate as an anti-seizure medication, antihypertensive, uterotonic agents, blood, and blood components had been given to the patient. Nursing care management covers knowledge and skill, nursing assessments which are intensive monitoring and quality of nursing care. After reassessment, the blood pressure can be controlled, normal uterine contraction, and no complication. The cooperation of the patient and self-care helped her to pass the crisis safely.  Afterward, the patient and the baby can return home within five days.