Nursing Care for Mothers after Caesarean Section due to Pregnant with Preeclampsia with Severe Feature and Twins Pregnancy.

Abstract

     The case study here aimed to investigate the nursing care for pregnant women who had a high risk and preeclampsia with severe features, through a case mother with twins pregnancy who was admitted to the inpatient department at the Rajvithi Hospital, Bangkok. The medical records including the health plan, pathology, nursing care, and health-risk factors were used as analysis tools.
     The postpartum study on a 37⁺³ weeks twins pregnant mother revealed that she had severe preeclampsia. There is a risk of postpartum hemorrhage after having a cesarean section, due to poor uterine contractions and low platelets, a chance for secondary infections, uncomfortable pain from the surgical wound, and a lack the knowledge for self-care and raising children because of her first pregnancy. Professional nurses play a role in caring for the twins pregnant mother with severe preeclampsia by using the knowledge and skills in the rapid evaluation, which leads to the fast diagnosis, action plan, and comprehensive treatment.The case study was re-evaluated and noticed that the case mother well-cooperate in postpartum treatments and take a good care of herself. Therefore, she safely went through the crisis and be able to return home with the babies within 4 days after giving birth.