Nursing care in a patient with cesarean section due to premature rupture of membranes in the obstetrics and gynecology service of a hospital in Lima, 2022

Abstract

Premature rupture of membranes (PROM) is defined as the loss of continuity of the amniotic membranes with transvaginal amniotic fluid leakage, which occurs before the start of labor, where cesarean section is the surgical medical treatment with the purpose of avoid complications of neonatal maternal morbidity and mortality. The objective of the study was to manage the nursing care process for a patient with a cesarean section due to PROM. Under a qualitative approach, single case type and methodology, the nursing care process was applied, in which the five stages of the PAE were applied where the assessment was carried out applying Maryori Gordon's functional patterns assessment guide, three diagnoses were prioritized. nursing: acute pain, risk of surgical wound infection and anxiety, using the NANDA taxonomy. In planning, a care plan was developed considering the NOC, NIC Taxonomy and in the execution stage, interventions were carried out for each nursing diagnosis and the evaluation was carried out through the differentiation of the final and baseline target score, achieving change score +2, +2, +2. It is concluded that the PAE allows you to provide specialized care in a comprehensive and quality manner throughout the recovery process.