Nursing Care of Pregnant Woman Having Preeclampsia with Severe Feature and Obesity and Meconium Stained Amniotic Fluid: A Case Study

Abstract

The objective of this study was to provide nursing care for the pregnant woman who had preeclampsia with severe feature, obesity and meconium stained amniotic fluid. A case study of a pregnant woman who was admitted in the Labor room unit, Chaiyaphum Hospital from 12-15 April 2022.  Data were collected from inpatient medical records, observations, interviews with a pregnant woman and her relatives. The data were analyzed and compared with the theory in terms of risk factors for preeclampsia with severe feature, obesity and meconium stained amniotic fluid, symptoms, signs, treatment and nursing problems. The nursing process as a systemic guide for pregnant woman care with 5 sequential steps; assessment, nursing diagnosis, nursing planning, nursing practice and nursing evaluation for use in caring for the pregnant woman.

The result : revealed that after the pregnant woman was given an anti-seizure drug with magnesium sulfate and antihypertensive drugs, her blood pressure was controlled. The obstetrician gave a vaginal birth by giving drugs to stimulate the contraction of the uterus. Labor was progressing well. The pregnant woman was able to deliver a normal vaginal birth.

Therefore, A maternity care nurse must made quick and accurate during assessment based on knowledge, skills and work experience of the nursing process. The nurse had to re-evaluate, build good relationship with the pregnant woman and her relatives. It was also very important to provide information on preeclampsia with severe feature, obesity and meconium stained amniotic fluid and the progress of labor to the pregnant woman and her relatives periodically which made the pregnant woman and her relatives understand and cooperate in medical treatment very well. Thus, the pregnant woman had a normal delivery without any complications. The woman and her child were discharged within 3 days after the delivery.