Nursing Care in Cesarean with Complications

Página 61

Nursing care in cesarean section with complications is essential for the health and well-being of the mother and newborn. This article will discuss in detail the nursing care required in cesarean sections with complications, from the preoperative to the postoperative period.

Preoperatively, the nurse-midwife should perform a complete assessment of the patient, including a detailed clinical history and physical examination. This assessment should include information about the current pregnancy, past pregnancy history, existing medical conditions, allergies, medication use, and any potential complications. The nurse should also prepare the patient for the procedure, explaining what to expect during and after the surgery, and answering any questions the patient may have.

Intraoperative care involves monitoring the patient's vital signs, administering medications as needed, and assisting the physician during surgery. The nurse should also monitor the state of the fetus through cardiotocography, which monitors the fetal heart rate and uterine contractions. If complications occur during surgery, such as bleeding or shoulder dystocia, the nurse must be prepared to step in and provide emergency care.

Postoperatively, the nurse should continue to monitor the patient's vital signs and provide wound care. This includes cleaning the incision, changing dressings as needed, and monitoring for signs of infection. The nurse should also monitor the patient for signs of postoperative complications such as deep vein thrombosis, infection, bleeding, and anesthesia-related complications.

In addition, the nurse must provide care for the newborn, including assessing the baby's health status, performing routine checkups, and monitoring vital signs. If the newborn has complications, such as difficulty breathing or jaundice, the nurse must be prepared to provide emergency care.

Nursing care in cesarean section with complications also involves providing emotional support to the patient. A c-section can be a stressful and frightening experience for many women, and it is important that the nurse provides comfort and reassurance. This may include listening to the patient's concerns, offering words of encouragement, and providing clear and understandable information about what is going on.

Finally, the nurse should educate the patient about post-operative care at home. This may include information about how to care for the incision, signs of complications to look out for, when to resume normal activities, and how to care for the newborn. The nurse should also provide information about available resources, such as support groups or counseling services, if the patient needs additional support.

In conclusion, nursing care in cesarean sections with complications is a crucial part of maternal and neonatal health care. Through careful assessment, ongoing monitoring, emergency intervention, emotional support, and patient education, the nurse midwife can help ensure a positive outcome for mother and newborn.

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