[Nursing experience in helping a primipara with intrauterine fetal death adapt to labor induction in hospital].
This article describes the experience of nursing an outpatient primipara in the 26th week of pregnancy who was not conscious of fetal movement and whose fetus was confirmed by sonography as having suffered intrauterine fetal death to adapt to labor induction as a hospital inpatient. The nursing care lasted between March 21 and March 28, 2002. I (the researcher) tried to use the well established Roy Adaptation Model of Nursing to collect information through observation, interview, and physical assessment. The subject's nursing problems included: 1.The sadness of losing child. 2. The frustration of not being able to take on the mother's role. 3. Feeling evil and sorry when facing her husband. 4. Doubting her course of medication. 5. Pain due to labor induction. In accordance with the situation, the main nursing strategies were: 1. To reduce the shock and pressure for the subject case and her family due to the loss of a child. 2. To help the subject accept the fact of loosing her child. 3. To help the subject and her husband to communicate well and establish support systems. 4. To help the patient to be receptive to medical treatment. 5. To reduce discomfort from labor induction. During the hospitalization, the researcher helped the subject case to face stress and adapt to physiological accommodation, develop a concept of herself, her functional role and interdependence and then accept the fact of losing child and maintain a healthy body image.
Shih
Hui-Chuan
HC
Department of Nursing, Kaohsiung Military General Hospital, Taiwan, ROC. arden.shih@msa.hinet.net
D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D005313:Fetal Death; D006760:Hospitalization; D006801:Humans; D007751:Labor, Induced / Q000451:nursing / Q000523:psychology*; D011247:Pregnancy