์Nursing Care of the high risk postpartum mother with surgical site infection after cesarean section : case study

Abstract

     The purpose of case study was to study guidelines for caring of postpartum mother with a surgical site infection and develop a surveillance system for surgical site infection in high risk pregnancy who under go cesarean section. This is a common complication and one of the high risk factors for surgical site infection. By selecting postpartum mother who had diabetes and chronic hypertention during pregnancy along with preterm premature rupture of membrane. Data were collected by interviewing patients and caregivers, collected from medical records, and analyzed by jointly reviewing cases with interprofessional patient care team. Consult doctor about various treatment options, Analyzed according to Gordon’s health plan framework and practice nursing. Using the 5 - steps nursing process together with Orem’s theory of self-care.
     The result of the study found that this patient was treated by cesarean section because the doctor assessed that cervix was not ready to induce labour. The wating period for pre - operation , intra operation and post operation no complication were found for both mother and baby. 13 days after being discharge, this patient return to Re – Admitted witht symtoms of infection wound , swollen, the skin around wound was red , separated , and pus coming out of the wound. She was treated by opening the wound to debridement it and wet dressing once a day. Give antibiotics continuously for 6 days. So the wound become good. The doctor performs a re-suture and can be discharged home. No complication were found during care in hospital.