Case study comparison Nursing care for those giving birth infected with COVID-19 HIV and syphilis who had a cesarean section.

Abstract

     This study is a case study of 2 cases. The objective is to study the nursing care of giving birth infected with COVID-19. HIV and syphilis and 2 pregnant women infected with Covid-19 who received comparative treatment using the concepts of the 11 Gordon Health Plans. and the nursing process in nursing planning.
     The results of the study found that Case Study 1, a 25-year-old pregnant woman, G2P0A1, had a history of HIV infection since she was 18 years old. and was infected with syphilis VDRL Positive 1:1 on June 15, 2021, received 3 injections of Benzathine penicillin for prenatal care at a hospital near her home. At 33 wks of pregnancy, the VDRL test was positive 1:4. The doctor gave treatment with Bienzathine penicillin 2.4 mu IM x3 needles. At 40 wks of pregnancy, she came to check ANC as per appointment. There was no labor pain, no water flowing. The doctor examined the internal organs. The cervix opens 1 centimeter. Thinness of the cervix 70%, leading section -1 FHS=142 times/minute. The doctor gave the first admission for PCR SAR CoV2= Detected. The doctor ordered an abdominal Cesarean section. after cesarean section The patient was sent to the chest x-ray= pneumonia isolation building. The doctor treated and followed up with chest x-rays until the patient's condition improved. Therefore allowed to return home. The infant went to the isolation room. neonatal crisis building Monitor symptoms and complications until a safe period is reached. The doctor then allowed her to go home. Case 2: Pregnant woman aged 32 years, G1P0A0, received prenatal care according to her rights, gestational age 38 wks, came for prenatal checkup as per appointment, no labor pains, no water flowing, PCR test SAR CoV2= Detected, history of infection from husband, doctor gave admission. Delivery room, observe chest x-ray = infiltration LLL, gestational age 38⁺⁵ wks, NST examination found uterine contractions at intervals of 7 minutes, duration of uterine contractions 35 seconds, uterine contraction was detected, doctor ordered a cesarean section. abdominally After the cesarean section is completed The patient was sent to the isolation building. Until symptoms improved, PCR test SAR CoV2= not Detected, internist considered transferring to care for the child. which the newborn baby The pediatrician gave orders to go to the isolation room. Monitor symptoms and complications until a safe period is reached. The doctor allowed him to go home.