Postpartum nursing care for premature rupture of membranes

Nancy Aquino-Risco, María Teresa Cabanillas-Chavez and Wilter C. Morales-García

SCT Proceedings in Interdisciplinary Insights and Innovations, 2024, vol. 2, 10.56294/piii2024207

Abstract: Introduction: Cesarean section is a surgical technique through an incision in the abdominal and uterine wall, before an unfeasible vaginal delivery or if there is maternal or fetal risk. The risk of bleeding in surgeries such as caesarean section does not allow early ambulation to begin, so it will be dependent on the care of the nurse. To recognize the role of nursing in the management of acute pain and uterine atony in a post-cesarean patient due to premature rupture of membranes in a National Hospital of Ayacucho, 2021. Methodology: Qualitative clinical case study, 29-year-old patient selected for convenience ; in which the Nursing Care Process (PAE) was applied as a methodology and the data collection instrument was the assessment sheet according to the eleven functional patterns of Marjory Gordon. Nine nursing diagnoses have been identified, of which, through the AREA model, acute pain related to injury by physical agent has been prioritized: operative wound. Nursing interventions were carried out according to the NOC and NIC taxonomy, obtaining favorable results for the patient. Regarding the risk of complication, uterine atony, it is not yet possible to specify the results since the risk will continue in the coming days. The identification of the clinical aspects of the post-cesarean patient due to premature rupture of membranes was carried out, the interventions achieved favorable results in the patient. However, care is still continued due to the risk of uterine atony and, consequently, postpartum hemorrhage.

Date: 2024
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