Abstract
To validate the content of the diagnosis Risk for disturbed maternal-fetal dyad in high-risk pregnant women. Nursing diagnosis content analysis study in which 48 nurses evaluated agreement regarding title, definition, class, and domain of the studied nursing diagnosis, as well as the relevance of its antecedents. The items were considered relevant when the Confidence Interval of the Content Validity Index was 0.8 or higher. When lower, the item was modified or excluded according to the experts' suggestions. Out of 21 antecedents, 14 were considered relevant. The labels of five elements considered irrelevant were changed, and one item was excluded. The experts did not choose the title and definition proposed by NANDA-I, preferring instead the ones suggested in this study. The experts agreed with the class and domain proposed by the taxonomy. Ten risk factors, four populations at risk, and six associated conditions for this nursing diagnosis were maintained; these may provide a basis for nursing practice. The phase of clinical validation is suggested to be conducted to corroborate this study's results.
Highlights
The maternal-fetal dyad is characterized by symbiosis and the maternal-fetal bond
Early detection of high-risk pregnancies is required. Such pregnancies are characterized by maternal-fetal complications due to the pregnant woman’s pathologies or aggravated pre-existing clinical conditions
Participant evaluation was assigned a weight according to their expertise level[8]
Summary
Early detection of high-risk pregnancies is required. Such pregnancies are characterized by maternal-fetal complications due to the pregnant woman’s pathologies or aggravated pre-existing clinical conditions. Identification aims at preventing possible pregnancy complications, which are responsible for maternal and perinatal morbimortality[1]. When the possible interruption or rupture of this relation and/or bond occurs, the dyad may be compromised both physiologically and in their affective-emotional interactions. These may include, for example, compromised placenta and mothers’ emotions, respectively. The team must perform interventions to reduce risk of maternal and fetal intercurrences[2,3]
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