Mujer gestante con trastorno adaptativo en la etapa final del embarazoA propósito de un caso

  1. Mª Eugenia Silva-Vera
  2. Mª Beatriz Parrado-Soto
  3. Laura del Pilar Oneto-Fernández
Aldizkaria:
Metas de enfermería

ISSN: 1138-7262

Argitalpen urtea: 2018

Alea: 21

Zenbakia: 6

Orrialdeak: 69-74

Mota: Artikulua

DOI: 10.35667/METASENF.2019.21.1003081264 DIALNET GOOGLE SCHOLAR

Beste argitalpen batzuk: Metas de enfermería

Laburpena

A multiple pregnancy makes women still more vulnerable to potentially stressful situations caused by the physiological changes in pregnancy. We present here a multiple pregnancy case in a woman with anxiety and suicidal ideation, and pregnancy termination wishes. After assessment and admission to the Mental Health Unit, it was decided to move forward the scheduled C-section and to facilitate the emotional balance between mother and children. Nursing assessment was conducted according to the 14 Needs of Virginia Henderson, and the main nursing diagnostics were identified (NANDA-I taxonomy), as well as the potential complications, from hospital admission to the period immediately after surgery. The Nursing Outcomes Classification (NOC) and the Nursing Interventions Classification (NIC) were used for the care process. With the aim to preserve the safety of mother and children, it was decided to evaluate the results associated with the diagnosis “0050 Risk of Suicide”, through NOC “1204 Emotional Balance”, and an improvement was achieved in all indicators. Specialized nursing care was addressed by the Mental Health nurse, the midwife and the Operating Room nurse. Specialized interprofessional team work, linked with the use of standard nursing language, promotes the development of nursing knowledge, and facilitates safe and effective nursing care.

Erreferentzia bibliografikoak

  • Franco C, Goikolea JM, García-Esteve L, Imaz ML, Benabarre A, Vieta E. Tratamiento de los trastornos mentales en la mujer embarazada. Jano. 2008; (1714):55-69.
  • Kjærgaard H, Wijma K, Dykes AK, Alehagen S. Fear of childbirth in obstetrically low risk nulliparous women in Sweden and Denmark. J Reprod Infant Psychol. 2008; 26(4):340-50.
  • Consejo de Salubridad General México. Guía práctica clínica. Diagnóstico y tratamiento de los trastornos de ansiedad en el adulto. Evidencias y recomendaciones. México: CENETEC; 2010.
  • Semergen. Ansiedad y depresión. Documentos clínicos Semergen. Madrid: Edicomplet; 2006.
  • O’Connor TG, Heron J, Vivette G. Antenatal anxiety predicts child behavioral/emocional problems independently of postnatal depression. Acad child adol Psichiatry. 2002; 41(12): 1470-7.
  • Talge NM, Neal C, Glover V. Antenatal maternal stress and long-term effects on child neurodevelopment: how and why? J Child Psychol Psychiatry. 2007; 48(3-4):245-61.
  • Littleton H L, Bye K, Buck K, Amacker A. Psychosocial stress during pregnancy and perinatal outcomes: a meta-analytic review. J Psychosom Obstet Gynaecol. 2010; 31(4):219-28.
  • Newport DJ, Pennell PB, Ragan K, Stowe ZN. Suicidal ideation in pregnancy: assessment and clinical implications. Arch Women Ment Health. 2007; 10:181-7.
  • Khalifeh H, Hunt IM, Appleby L, Howard LM. Suicide in perinatal and non-perinatal women in contact with psychiatric services: 15 year findings from a UK national inquiry. The Lancet Psychiatry. 2016; 3(3):233-42.
  • Appleby L. Suicide during pregnancy and in the first postnatal year. BMJ. 1991; 302(6769):137-140.
  • Grigoriadis S, Wilton SA, Kurdak PA. Perinatal suicide in Ontario. Canada: a 15-year population-based study. CMAJ. 2017; 89(34):e1085-e1092.
  • Kingston D, Tough S, Whitfield H. Prenatal and postpartum maternal psychological distress and infant development: a systematic review. Child Psychiatry Hum Dev. 2012; 43(5): 683-714.
  • Grupo de trabajo de la Guía de práctica clínica de atención en el embarazo y puerperio. Guía de práctica clínica de atención en el embarazo y puerperio. Guías de Práctica Clínica en el SNS: AETSA 2011/10. Ministerio de Sanidad, Servicios Sociales e Igualdad. Agencia de Evaluación de Tecnologías Sanitarias de Andalucía; 2014.
  • Nereu Bjorn MB, Neves de Jesús S, Casado Morales MI. Estrategias de relajación durante el periodo de gestación. Beneficios para la salud. Clínica y Salud. 2013; 24:77-83.
  • NANDA International. Diagnósticos enfermeros: definiciones y clasificación 2015-2017. 10ª ed. Barcelona: Elsevier; 2015.
  • Moorhead S, Johnson M, Maas ML, Swanson E (eds.). Clasificación de Resultados de Enfermería (NOC). Medición de resultado en salud. 5ª ed. Madrid: Elsevier; 2014.
  • Bulechek GM, Dochterman JM, Butcher HK, Wagner C (eds.). Clasificación de Intervenciones de Enfermería (NIC). 6ª ed. Madrid: Elsevier; 2014.
  • Aldrete JA. Criterios para dar de alta. El puntaje de recuperación post anestésica. Rev. Col. Anest. 1996; 24:305-12.