Nursing interventions in patients with incomplete abortion

Abstract

Introduction: Incomplete abortion is defined as the presence of placental remains or fetal residues inside the maternal uterus before 22 weeks of gestation, which manifests with pain and vaginal bleeding apart from severe complications such as hemorrhage if a surgical procedure is not performed. immediate. Objective: To expose Nursing interventions in patients with incomplete abortion. Methodology: Qualitative study type unique clinical case, which is based on the Nursing Care Process method, included a 37-year-old female patient, applied the evaluation guide by functional patterns of Marjory Gordon, NANDA taxonomy, NOC, NIC and the evaluation of results according to the difference between the final and baseline scores. Results: Nine affected patterns were found, of which six patterns were prioritized, which were: Perceived health management, Nutritional-Metabolic, Activity-Exercise, Cognitive-Perceptive, Self-perception-Self-concept and Sexuality-Reproduction. Six nursing diagnoses were identified, the main diagnosis was considered: Acute pain and risk of complication: Hemorrhage, following the Area Model. A change score of +2 and +3 was obtained, which improved after the application of care. Conclusions: Clinical manifestations and possible complications of the patient with Incomplete abortion were identified, which were pain and hemorrhage, nursing care was essential and the evolution and prognosis of the patient largely depended on them. Therefore, it is necessary to strengthen the skills and expertise of the professional specialist in Obstetrics and Gynecology, all to provide quality care such as executing a rapid individualized response to improve the patient's health.