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)

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Summary

Introduction

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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