Need help with Birth Care plans

  1. Hey there folks... Having a little trouble here.
    I need to do 2 seperate care plans:
    the first is for a vaginal birth

    and the second is for a c-section birth

    The "problems" that i need to list as something that i can do about need to be birth related..

    i.e. risk for infection is a possible goal, but it is not specific to the maternity patient. I need something specifically maternatity level.

    Thanks for any input you all have.
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    About Teon

    Joined: Apr '05; Posts: 10


  3. by   RN and Mommy
    Could be something like Risk for Infection related to surgical incision secondary to cesarean section delivery.
  4. by   Teon
    "i.e. risk for infection is a possible goal, but it is not specific to the maternity patient. I need something specifically maternatity level."

    I cant seem to get much past that one myself.. I think i'm going to have to put it on the c-section pt.

    ON the Vaginal pt i'm thinking 1) term pregnancy (dunno exactly what to put tho)
    2) vaginal delivery (again....?)
    3) episiotomy -- care, infection, stitches etc

    They're making this difficult on me..
  5. by   RN and Mommy
    I am sorry I can't help you. I don't know that any nursing diagnoses that are specific to OB. You have to modify them to fit your situation. I had the hardest time writing careplans for basically healthy individuals other than they are having a baby. Pain is usually true in deliveries. That was always one I saved for a day that I had nothing. Do you have any other information about the patients (real or scenarios). If they have some sort of pregnancy related problem, it's usually easier (pre-eclampsia, hyperemesis gravidarum, bleeding, gestational diabetes). If you have any more info, post it and I will see what I can do for you. Good Luck.
  6. by   Daytonite - this page will give you an outline of all the things you should be addressing in a postpartum patient. although this is designed for a physician you can use it to make you list of problems/potential problems in the normal vaginal delivery patient. - this page at the same website will give you an outline of all the things you should be addressing in a post-op c-section patient. - here is the link to education subjects that should be undertaken with the post-partum patient

    also, check out the links on this page - they may or may not be of interest to you in doing your care plan. i leave you to your own devices to get your care plans written up. these are just guidelines to help you in planning them out.
  7. by   MIA-RN1
    I looked these up in my Ackley book:
    Ineffective Protection r/t invasive procedures, traumatized tissue, stress of recent childbirth
    Pain, acute r/t uterine contraction, stretching of cervix and birth canal, surgical incision, manipulation of abdominal organs during surgery
    Anxiety r/t fear of the unknown
    Fatigue r/t childbirth
    Tissue integrity, impaired r/t passage of infant thru birth canal, episiotomy, surgical intervention
    Risk for injury, fetal r/t hypoxia
    Ineffective health maintenance r/t deficient knowledge regarding postoperative care
    Interrupted family process r/t unmet expectations from childbirth (csect)
    risk for imbalanced fluid volume r/t blood loss
    situational low self-esteem r/t inability to deliver vaginally
    RIsk for urinary retention r/t regional anesthesia
    Fear r/t labor and delivery
    Readiness for enhanced parenting r/t bonding or attachment evident
    Parenting, risk for impaired (your r/t wouldhave something to do w/ pain, infection, etc that would prevent mom from taking care of baby right away.)
  8. by   onduty23
    i may use these
  9. by   Teon
    Quote from onduty23
    i may use these
    k... but this was my post =P
  10. by   Daytonite
    I assume you guys know each other????

    Family Practice Notebook is a website that you should all become familiar with. Although it is designed and set up for doctors, it is nicely organized so that it is also a very good resourse for nursing. One of the things we nurses need to know and be aware of is the plan of treatment and orders to expect from a doctor. When you get into a page such as I linked you to above, a doctor's thinking on normal vaginal birth and C-section are laid out for you and give you an idea of what you can expect in the way of the physician's care. You should, however, not let it take over the importance of your nursing textbooks. Use this site as a supplement and additional information source.
  11. by   mom2michael
    All my instructors have encouraged us to take regular ol' nursing diagnosis and turn them into positive ones for OB (unless of course you have a specific issue during the pregnancy/delivery).

    Health seeking behavoris r/t.......AEB.......
    Anxiety r/t.......AEB.......
    Effective coping r/t.....AEB
    Pain r/t....AEB......

    Good luck!!!
  12. by   JaneyW
    OK, I seem to remember specific nursing diagnoses that had to do with breastfeeding and adapting to the extra-uterine environment (transition) that you can use for the baby. There are also usually fluid shift issues and mobility issues. DEFINITELY knowledge deficit issues. I know that as an RN, these are the ones that are used in real-life charting of care plans. Good Luck!