Nursing care of preterm labor pain with Coronavirus 2019 infection : Case study

Abstract

Abstract

            The objective of this study is to investigate the nursing care of pregnant women with preterm labor and concurrent COVID-19 infection at the delivery room of Prathai Hospital in Nakhon Ratchasima Province in 2023. Data was collected from patient records, interviews with patients and relatives, and nursing assessments at three stages: before delivery, during delivery, and after delivery. The data was analyzed using Gordon's Health Pattern model, focusing on medical history, symptoms, treatment, nursing diagnoses, and nursing outcomes.

            The study revealed that a pregnant woman arrived at the hospital with symptoms of preterm labor, amniotic fluid leakage, fever, and headache. She was a G2P1A0L1 at 35 weeks and 6 days of gestational age, with a cervical dilation of 5 centimeters and 80% effacement. The fetal presentation was cephalic, at station 0, with ruptured membranes. A Covid-19 rapid test showed a positive result. She was transferred to the isolation room for COVID-19 negative pressure. After being in the hospital for approximately 3 hours and 40 minutes, she gave birth normally at 8:35 pm. An RML episiotomy was performed, and the placenta and membranes were intact. She experienced a blood loss of 100 milliliters during delivery. Vital signs were stable, and she remained hospitalized for 3 days. The male infant weighed 2,690 grams, had jaundice and an infection, but did not contract COVID-19 from the mother. The infant received appropriate care for 7 days. Therefore, it is essential for professional nurses to have the knowledge and skills to assess the mother during labor, conduct the delivery process, and provide postpartum care to ensure the safety of both the mother and the newborn, reducing severe complications and mortality rates.

Keywords : Case study, Premature labor, Coronavirus disease 2019