Nursing Care for Mothers After Cesarean Section Who Have Hemorrhage and SLE Comorbidities.

Abstract

Nursing cared for mother after cesarean section who had hemorrhage and SLE comorbidities. Mother after cesarean section had postpartum hemorrhage, having a respiratory infection, risk of relapse of SLE and had the amniotic sac broken before birth along with opaque amniotic fluid. Baby were risked choking on amniotic fluid and may be died during and after havig birth. A case studying from the first admission until the discharge of one case. This case study of a 32 years old Thai woman who was pregnant for the second time and has always received prenatal care at Rajavithi Hospital, and had SLE. She had symptoms 6 hours before coming to the hospital, such as fever, labor pains, tight stomach, no amniotic fluid pouring. The doctor diagnosed G2P0A1 GA 39wk. by LMP with Maternal SLE with anti-Ro, Anti La positive with URI with Labor pain treated by surgery. The general symptoms had normal, no fever, vital signs normal. The amniotic fluid had faded orange and little pouring, breasts were tight and flow well. An infectious disease medicine doctor came to evaluate the symptoms and was able to discharge. From the case study, this mother was at a high risk of complications during pregnancy and having birth. Because of the mother has SLE and had labor pain before the time of having birth, having a respiratory infection, after having birth, the mother still had a high fever. She was diagnosed Acquired Pneumonia, treated by antibiotics and had postpartum anemia, faded after having birth, blood transfusions and blood nourishment. Because the good treatment the patient recovered well, no serious complications, and was allowed to return home. The baby after birth had difficulty breathing and must be put on a ventilator and be transferred to receive treatment from specialized doctors and in the NICU unit where doctors and equipment ware ready to save lives. The proper care of the baby's conditions, the gradually improved, take off the ventilator and was able to breathe on his own and was able to leave the NICU and went home safely. Therefore, the roles of the nurses must use knowledge and ability and specialized skills to take. care both in terms of body, psychological counseling for mother and baby during the postpartum periods and the prevention of complications and recurrence of SLE in order to keep mothers and babies be safe.