Nursing care for pregnant women with severe pre-eclampsia: a Comparative case study of two cases

Abstract

Preeclampsia, with its severe features, is a condition found in pregnant women. Caused by high blood pressure from pregnancy It occurs after 20 weeks of pregnancy with blood pressure higher than 160/110 mmHg. measuring blood pressure 2 times at least 4 hours apart, along with headaches, blurred vision, pain, or tightness under the epigastrium. There is a danger of more complications, and it can cause abnormal bleeding, kidney or liver dysfunction, seizures, or even the death of a mother and baby. This study was aimed at pregnant women with preeclampsia.

            This result found that case 1, pregnant woman, age 39 years, mother G4P2A1L2, last child     3 years, LMP 27 April 2022, EDC February 1, 2023 GA 38 weeks, came with labor pains, no water,        1 hour before coming to the hospital. First, vital signs were measured: HR 100 /min, RR 20 /min, BP 174/105 mm.Hg, Pain Scor 7 points, no headache. no blurred vision Diagnosed Preeclampsia with feature;   case 2, pregnant woman, age 31 years, mother G3P1A1L1 last child 2 years, LMP 24 May 2022, EDC February 28, 2023 GA 35+6 weeks came with a normal pregnancy test, found BP 158/105 mm.Hg, 2nd BP measurement 164/111, no headache. no blurred vision diagnosed preeclampsia with a feature.           

            Conclusion: This study shows that nurses play an important role. To assess and find patient problems from the beginning of pregnancy, to monitor for complications during pregnancy. until birth Evaluate vital signs when coming for a pregnancy test. patients came for birth and postpartum, and as a result, they received prompt and timely medical treatment. To keep patients safe It also encourages pregnant women to learn about caring for and observing the symptoms of pre-eclampsia. Come for a pregnancy check as per the appointment. Observe headaches, blurred vision, and swollen hands and feet. Can be used to monitor for complications from severe preeclampsia.