[Care plan for women with cesarean section and pre-eclampsia]

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine
• Nursing Science

Background:

• Pre-eclampsia is a significant multisystem disorder affecting 7-10% of pregnancies, characterized by hypertension.
• It results from reduced systemic perfusion due to vasospasms and coagulation system activation.
• Management typically occurs in post-anesthesia recovery and hospitalization units.

Observation:

• A clinical case involving a patient diagnosed with pre-eclampsia undergoing a cesarean section is presented.
• The immediate post-surgery period highlighted the need for structured nursing interventions.
• Marjory Gordon's functional patterns and NANDA-NOC-NIC taxonomy guided the nursing care plan development.

Findings:

• Six key nursing diagnoses were identified: Risk of infection, excess fluid volume, risk of bleeding, insufficient knowledge, severe pain, and anxiety.
• The nursing care plan directly addressed these identified risks and patient needs.
• Implementation of the care plan was linked to improved patient management.

Implications:

• Effective nursing care plans are crucial for managing pre-eclampsia patients in the postpartum period.
• Utilizing standardized nursing taxonomies (NANDA-NOC-NIC) enhances care quality and organization.
• This case demonstrates the positive impact of evidence-based nursing interventions on maternal health outcomes.