Nursing pregnant women with high blood sugar levels during pregnancy in the community: a case study

Abstract

      This study was case study aimed to study nursing for pregnant women. with high blood sugar levels during pregnancy in the community By comparing two case studies using the concept of case management. Gordon's Health Model Community participation concept INHOMES home visits provide a framework for education. This is study purposive selection, 6-step process of Pawell's case management in pregnant women with high blood sugar levels during pregnancy. that received service at Primary and holistic services Primary and Holistic Services Group Somdej Phra Yupparat Kranuan Hospital Data were collected from medical records. Interview patients and relatives together with observation Set nursing diagnoses, plan nursing actions, and evaluate nursing outcomes. Content analysis was done by comparing 2 case studies. Results: Case 1: Mother G2P1A0L1 with previous c/s with GDMA2 diagnosed with diabetes at 9 weeks 1 day of gestation, antenatal care 15 times, quality criteria met, blood results 2 times normal, cesarean section performed. Female infant weighing 3,230 grams, APGAR score 8-9-9, cesarean section on 22 May 2023. Case study 2, pregnant woman G2P1A0L1with GDMA1, 11 weeks of pregnancy, 12 prenatal care visits, quality criteria met, blood results 2 times normal, cesarean section performed by mouth. The uterus did not open on 1 September 2023. Female baby weighs 3210 grams. APGAR score 8-10-10. Diet controlled. No postpartum diabetes. The two case studies assessed similar results. There is close surveillance and monitoring of nursing care in the community with family participation. Until being able to give birth safely No postpartum complications were found for mothers and infants, and both case studies followed up with a 6-week postpartum visit. Case 1 checked for 75 gm ogtt postpartum and was diagnosed with diabetes and received treatment. Case 2 had normal results, no post-diabetes condition. Giving birth.