title: [Nursing practice in maternity intensive care units. Severe pre-eclampsia in a primigravida].
abstract: 39 year old woman, pregnant for 31+5 weeks, who came to our intensive care unit (ICU) referred from the emergency department of the hospital, having swollen ankles, headache and fatigue at moderate effort. We proceeded to take blood pressure (158/96 mmHg) and assess lower limb edema. The fetal heart rate monitoring was normal. Knowledgeable and user of healthy guidelines during her pregnancy, she did not follow any treatment. Single mother, she worried about her fetus (achieved through in vitro fertilization), her mother offered to help for any mishap. We developed an Individualized Care Plan. For data collection we used: Rating 14 Virginia Henderson Needs and diagnostic taxonomy NANDA, NOC, NIC. Nursing diagnoses of "fluid volume excess" and "risk of impaired maternal-fetal dyad" were detected, as well as potential complications such as eclampsia and fetal prematurity. Our overall objectives (NOC) were to integrate the woman in the process she faced and that she knew how to recognize the risk factors inherent in her illness. Nursing interventions (NIC) contemplated the awareness and treatment of her illness and the creation of new healthy habits. The work of nursing Maternal ICU allowed women to help maintain maximum maternal and fetal well-being by satisfying any of her needs. Mishandling of the situation leads into a framework of high morbidity and mortality in our units.
authors.affiliation: UCI Maternal del Hospital Regional Universitario Carlos Haya de Málaga, Málaga, España. Electronic address: anderp2@hotmail.com.
authors.forename: A J
authors.initials: AJ
authors.lastname: Carmona-Guirado
authors.affiliation: Urgencias del Hospital Clínico Universitario de Málaga, Málaga, España.
authors.forename: V
authors.initials: V
authors.lastname: Escaño-Cardona
authors.affiliation: UCI General del Hospital Regional Universitario Carlos Haya de Málaga, Málaga, España.
authors.forename: F J
authors.initials: FJ
authors.lastname: García-Cañedo
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D011225:Pre-Eclampsia / Q000451:nursing*; D011247:Pregnancy; D012720:Severity of Illness Index
keywords: Atención de Enfermería; Clasificación; Classification; Diagnóstico de Enfermería; Intensive Care Units; Maternal-fetal relations; Nursing care; Nursing diagnosis; Pre-eclampsia; Preeclampsia; Relaciones materno-fetales; Unidades de Cuidados Intensivos