Nursing care of pregnant woman with preterm labor pain : Two Case Studies

Abstract

     This study aimed to investigate nursing care for pregnant women experiencing premature labor. Two case studies were selected involving pregnant women who received delivery services and experienced premature labor at Phu Wiang Hospital from February 1, 2024, to September 30, 2024. Data were collected from medical records, patient and relative interviews, pathology studies, disease progression analyses, nursing practice planning, and evaluation of nursing outcomes using Gordon's 11 Health Models conceptual framework and Orem's conceptual framework.
     Results: Both case studies involved pregnant women with premature labor admitted to the delivery room. It was found that both women had risk factors for premature labor, including a history of premature labor in their first pregnancies. Additionally, both women had anemia, which increased their likelihood of infections. In case study 1, the woman frequently held her urine, leading to urinary tract infections—a known risk factor for premature labor. She received iron supplements, antibiotics, and labor suppressants while undergoing standard care. Despite complications from the medication, she received appropriate nursing care until she successfully suppressed her labor and was referred to a prenatal clinic for ongoing care. In case study 2, the woman also had anemia, and both she and her husband were identified as potential thalassemia carriers. She did not have any infections but was treated with iron supplements and labor suppressants. Similar to case study 1, she experienced complications from the medication but received standard nursing care; however, she was unable to suppress her labor and was safely referred according to established referral standards without any complications. These adjustments enhance grammatical accuracy and improve the overall flow of the content while maintaining its original meaning.