Nursing care of maternity with Eclampsia : A case study

Abstract

     This study aimed to study nursing care process in patient maternity with Eclampsia
     Result : Pregnant women aged 31 years, 2nd pregnant, 38 weeks pregnant, antenatal care, 4 visits to the hospital on August 31, 2020 with headache, blurred vision, tightly under the epigastric, before coming to the hospital of 30 minutes. Doctors diagnosed Eclampsia in Labor at first, having two swollen legs, DTR 2+, blood pressure levels 210/130 mmHg. 1 time of seizure while waiting to give birth. The patient was received the nursing care for recurring seizures prevention, observed neurological symptoms, and monitored the hypothyroidism and the hypoxia. In addition, the patient was received magnesium sulfate (MgSO4) to
prevent complications from receiving medication. Before the surgery, the patient was not appeared the seizure symptoms. Then, the patient was received the Cesarean section due to Eclampsia with tubal resection. After surgery, the patient was still receiving the ventilator. The symptoms and blood pressure levels of patient were closely monitored and the complications after surgery, recurrence of seizures and postpartum hemorrhage were also monitored and prevented. The ventilator was removed after inserting
patient for 1 day. After stop the MgSO4 administration, the complications were not appeared after receiving the drug. The patient had not the postpartum hemorrhage. The patient has improved in order and can breast-feeding for baby. Then patient was discharged and received the suggestion for self-care and controlling postpartum blood pressure on 5 September 2020, totally 5 days of medical treatment.