The nursing care among pregnancies women with prolonged preterm premature rupture of membranes with fetal distress: 2 Case studies

Abstract

Purpose: To study and compare nursing care among pregnant women with prolonged preterm premature rupture of membranes with fetal distress.            Methods: The method compared two case studies and purposive sampling of pregnant women who presented with premature rupture of membranes and premature labor pains. Data were collected using data recording forms, assessments, interviews, and observation between 20 July 2023 - 18 September 2023, in Chonnabot hospitals. Khon Kaen Province            Results: Case study number 1, initially received BT=37 ^๐C, P = 100 bpm, R = 20 bpm., BP 102/77 mm. Hg, BW 53 kg., Height 165 cms., SPO₂ Sat 95%, PV Cx. Fully dilate, Interval = 1 min Duration = 60 min, EFW 2,000 grams, FHS 60 bpm, IUR, on O2 Mask with bag 10 LPM, on 0.9% NSS 1,000 drip 120 ml/hr. Provide nursing care according to the treatment plan. The mother gave normal labor with a slight tear. The placenta was delivered with a complete cord. The female newborn weighed 1,800 grams, had an Apgar score of 6-6-7, had Birth asphyxia with preterm, was on an ET tube, and incubator, and referral to Khon Kaen Hospital.            Case study number 2, BT=36.5 ^๐C, P=92 bpm, R=20 bpm, BP 115/82 mm. Hg, BW 49 Kgs. Height 147 cms., SPO₂ 98%, Interval 6 min, Duration 30 min, FHS 130 bpm, EFM = Minimal variability, U/S EFW 2,100 grams, PV Cx. dilate 5 cms., Effacement 80% Station+1 ML, Cough test=positive, on O₂ mask with bag 10 LPM, on 0.9% NSS 1,000 120 ml/hr. After giving medicine according to the treatment plan and monitoring EFM, the doctor gave an inhibitor of labor and PV found Cx. Dilate 5 cms. Effacement 80% Station +1 ML, Interval 10 min, Duration 30 sec., FHS 138 bpm, EFM: Cat I, and referral to Khon Kaen Hospital.            Conclusion: Pregnant women receive continuous care according to the standards of obstetric nursing. Nurses should use the nursing process, which consists of assessment, planning, implementation, and nursing evaluation correctly and accurately. This is to increase nursing outcomes and reduce risks that may occur.