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Nursing mind map for women with complications during childbirth
This is a mind map for the care of women with complications during childbirth, uterine rupture, rupture of the uterine body or lower uterine segment that occurs in late pregnancy or delivery.
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Nursing mind map for women with complications during childbirth
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- Outline
Care for women with complications during childbirth
Section 2 Uterine rupture
concept
Rupture of the body or lower segment of the uterus that occurs during late pregnancy or delivery
Cause
scarred uterus
Obstructed descent of the fetal presenting part
Improper use of uterine contraction drugs
Obstetric surgical trauma
Those with uterine abnormalities or those who have had multiple uterine operations are prone to uterine rupture due to the thin local muscle layer of the uterus.
clinical manifestations
threatened uterine rupture
lower abdominal pain
Pathological uterine contraction complex ring formation
Difficulty urinating and hematuria
fetal heart rate changes
Uterine rupture
incomplete uterine rupture
complete uterine rupture
nursing assessment
health history
Pay attention to collect past and current medical history related to uterine rupture
Physical conditions
Assess the intensity of maternal uterine contractions, duration intervals, location and nature of abdominal pain; whether there is difficulty urinating or hematuria
psychosocial status
Assess the psychological status of the mother. The uterine rupture is critical and the pain is severe. The mother often feels restless, fearful, and anxious.
Diagnostic points
History and clinical manifestations
Patients with uterine rupture often have a history of scarred uterus, obstructive dystocia, improper use of uterotonic agents, etc.
Auxiliary inspection
laboratory tests
Decreased hemoglobin value and increased white blood cell count
other
B-mode ultrasound examination can help determine the location of uterine rupture and the relationship between the fetus and the uterus
Treatment points
threatened uterine rupture
Take immediate action to effectively suppress uterine contractions
Uterine rupture
While active infusion, blood transfusion, and oxygen inhalation are required to rescue shock, regardless of whether the fetus survives, surgery should be performed as soon as possible.
Common Nursing Diagnoses/Problems
Acute pain associated with tonic uterine contractions or uterine rupture with blood irritating the peritoneum
Risk of reduced cardiac output associated with massive bleeding after uterine rupture
Risk of infection associated with multiple vaginal examinations, compromised uterine integrity, heavy bleeding, etc.
Nursing measures
Prevent uterine rupture
Nursing care for parturients with threatened uterine rupture
Closely observe the progress of labor, promptly discover the triggers of milk powder, and monitor changes in fetal heart rate.
During labor, when excessive uterine contractions, tenderness in the lower abdomen, or pathological contraction rings appear in the abdomen, the doctor should be reported immediately and the use of uterotonics should be stopped, and the maternal vital signs should be closely monitored.
Nursing care for women with uterine rupture
Follow the doctor's instructions to quickly provide infusion, blood transfusion, and oxygen inhalation; timely supplement electrolytes and alkaline drugs, correct acidosis and electrolyte imbalance, and actively fight shock.
Quickly prepare for surgery
Closely observe and record vital signs and fluid intake and output
psychological support
Comfort mothers and their families
For mothers whose fetuses have died, listen carefully to their inner feelings. Help him adjust his emotions, accept reality, and get through the grief stage
Provide a comfortable environment for postpartum women, provide daily care and companionship, and encourage them to eat and regain their strength
Provide mothers with rest and recuperation plans during the lactation period and provide contraceptive guidance