Authors

Mª Eugenia Silva-Vera1, Mª Beatriz Parrado-Soto2, Laura del Pilar Oneto-Fernández3

Position

1Enfermera. Doctora en Ciencias de la Salud. Unidad de Gestión Clínica de Obstetricia y Ginecología. Servicio de Quirófanos. Hospital de Jerez. Cádiz2Enfermera. Especialista en Salud Mental. Especialista en Enfermería Obstétrico-Ginecológica. Unidad de Gestión Clínica de Obstetricia y Ginecología. Servicio de Quirófanos. Hospital de Jerez. Cádiz  3Enfermera. Especialista en Enfermería Obstétrico-Ginecológica. Servicio de Partos. Hospital de Puerto Real. Cádiz

Contact address

Mª Eugenia Silva Vera. C/ Hijuela de la Canaleja, 13. 11406 Jerez (Cádiz).

Contact email: marugeniasil@hotmail.com

Abstract

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.

Keywords:

pregnancy; anxiety; C-section; pregnant woman; risk of suicide; adjustment disorder; case report

Versión en Español

Título:

Mujer gestante con trastorno adaptativo en la etapa final del embarazo. A propósito de un caso