Nursing care postpartum mother with HIV infection: A case study

Abstract

The objectives of this study were to correct and appropriate nursing care postpartum mother with HIV infection. A case study of Thai woman with 33 year of age who was 36+3 weeks pregnant. She was Uterine contraction, no vaginal bleeding, no water flowing and baby was moving well. The doctor admitted her to stay in the hospital and monitor her symptoms. The doctor examined the patient and found fetal left CHD with liver herniate with HIV infection with chronic HBV infection. The doctors done a cesarean section and a baby boy was born. The nursing care postpartum mother to applied Holistic Nursing of Maternal and Infant theory with Gordon’s functional health pattern and Orem’s self-care theory.
The results of nursing care found that the postpartum mother was feel good, a little help for herself. She was a transverse surgical wound, no blood seeping and numbness in both legs. The 24 hours after cesarean section, she could eat soft food, no bloated stomach. The patient had a slight burning sensation when urinating initially and red amniotic fluid and her general physical condition was still exhausted but she was able to self-help. After giving birth on the 2nd day, she was still pain and surgery wound tightness. The uterus was at the level of the navel with intermittent pain in the stomach, cramping pain. She received Pain reliever, her symptoms improved. The patient had an infection, so the doctor prescribed Septic workup and gave more disinfectant. After received medicine, her fever down to normal, no infection complications and no postpartum depression from anxiety about a baby that needed surgery and had to stay in the intensive care unit for a long time.