Nursing Care for Pregnant Women with Preterm Labor : 2 case studies

Abstract

     This study was case study with the objective of providing nursing guidelines for 2 pregnant women with premature labor who received services at the delivery room of Sam Sung Hospital, Khon Kaen Province. The study compared 2 pregnant women with premature labor by applying the Gordon 11 Health Models concept and nursing care planning according to Orem's framework.
     The results of the study found that Case 1, a 32-year-old pregnant woman, G2P1-0-0-1, ANC at Sam Sung Hospital, first antenatal care at 10+3 weeks of pregnancy, LAB I Hct. 28%, received Folic acid to eat 1 tablet per day, followed up with blood test results, LAB II Hct increased to 35%, attended the antenatal care appointment at 33+5 weeks of pregnancy, labor pain, received uterine contraction inhibition, successfully inhibited labor pain and continued pregnancy until 39 weeks of pregnancy. Case 2, a 28-year-old pregnant woman, G1P0-0-0-0, ANC at the antenatal clinic, first antenatal care at 11 weeks of pregnancy, attended the antenatal care appointment at 33+3 weeks of pregnancy, labor pain and water broke 4 hours before coming to the hospital, could not successfully inhibit labor because the cervix was dilated and water broke. Normal delivery via vagina, infant weight 2,120 grams, APGAR Score = 9-8-8, infant with deep breathing The doctor then referred the baby to a tertiary hospital in the province for treatment.