Abstract
to analyze the NANDA-I taxonomy "maternal-fetal dyad" concept in high-risk pregnancy. an integrative literature review based on the Conceptual Analysis model proposed by Walker and Avant. It was conducted at PUBMED, CINAHL, SCOPUS, LILACS and SciELO, with the descriptors: Complications of pregnancy, Risk Factors, and Pregnancy, High-Risk (from 2008-2020). the sample consisted of 44 articles, which identified two attributes and 21 antecedents of the concept. concept analysis allowed to identify the attributes and antecedents of the "maternal-fetal dyad" concept in high-risk pregnancy, in addition to raising and clarifying ideas. It was possible to identify 12 antecedents that are not included in NANDA-I as well as the need to review the definition of the diagnosis proposed by the taxonomy.
Highlights
OBJECTIVEThreat to the well-being of the maternal-fetal dyad in the gestational period arises from several clinical, obstetric, and social conditions that can cause maternal and/or fetal complications and compromise their outcome
The nurse, as well as the doctor, discusses this situation with M.V., providing information about her condition that contributes to the risk for disturbed maternal-fetal dyad and the potential adverse effects on her health and that of her child[16]. It is observed in the model case how the concept“maternal-fetal dyad” is defined through the attributes found in the literature
It was possible to identify 12 antecedents that are not included in NANDA International (NANDA-I)
Summary
OBJECTIVEThreat to the well-being of the maternal-fetal dyad in the gestational period arises from several clinical, obstetric, and social conditions that can cause maternal and/or fetal complications and compromise their outcome. Pregnancy that occurs with complications corresponds to 20% of the total pregnancies and is called high risk[1]. Due to the unexpected conditions associated with pregnancy, there is a real or potential risk to the health and well-being of the mother and/or the child. Risk assessment is necessary to identify any condition that may impact the dyad. In assisting high-risk pregnancy, nurses must provide proper care and act in promoting the health of women and the child[1,2]. NP assists nurses in noticing individuals’ health problems, planning and implementing their actions, as well as assessing the results[3]. NP consists of data collection, nursing diagnosis, planning, implementation, and assessment[4]
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