need Postpartum Nursing Diagnosis for 13 year old

belle87RN · Oct 1, 2009

I think you are headed in the right direction with the Impaired parenting, but I would be a little little leary of using "AEB patient is only 13 yrs old." You may be able to just say "AEB age of patient."

Also I think you are going in the right direction with the breastfeeding. I don't have my Nursing Dx handbook with me, but I do remember there being diagnoses involving breastfeeding in the book. I would consider using one of those.

It's crazy to think that you have a 13 year old postpartum patient....16 and 17 yr olds I've seen. But 13!!! That's just crazy, her child could be her little brother or sister.

Skyfel · Oct 3, 2009

Thanks for replying. I think you are my first reply I've ever had on the All Nurses boards. Thank you. I haven't gotten any feedback for that care plan yet but I hope I did well. Yea, she's 13 and it blows my mind. I have a 13 year old daughter who is 4 months older than this new mother. I can't imagine my daughter having a baby right now. They are in the same grade and go to the same school even but I didn't say anything to my daughter for patient confidentiality so no worries. I have a sister who got pregnant at 14 and now her son is the same age as my oldest (her and I were pregnant at the same time). So, my sister is 29 and her son is going to be 14 in a couple months. Crazy isn't it? She's happy though that she got her kids out of the way young. She's totally not statistical though cause she never had anymore children after she got pregnant with her baby at 14. I just hope this mom being only 13 is actually going to help her grandparents raise the baby and not neglect it and force other family members to raise the baby. Also, I hope she doesn't go back out and get pregnant again. Scary thought!

sharpeimom · Oct 3, 2009

:offtopic:while i was being born, a woman my dad had gone to school with was in the waiting room waiting for her second grandchild to be born. she and both of my parents were 28. :eek:

sharpeimom:paw::paw:

kristak · Oct 3, 2009

Breastfeeding diagnoses are only for people who are breastfeeding, or attempting to do so. Risk for impaired parenting r/t young parental age is fine. Knowledge seeking behaviors would be a nice positive diagnosis, if appropriate.

Skyfel · Oct 3, 2009

Thanks so much. Yea, I didn't use any breastfeeding diagnosis. I was saying that she's not breastfeeding so you guys knew that would not be an appropriate nursing diagnosis to use and wouldn't ask me if she was breastfeeding or trying to. However, she did say right when I was leaving that she wanted to try one more time to breastfeed but her family was trying to steer her away from it because she was going to go back to school, for one, secondly she had her DEPO shot the day before (one day after delivery) because she told the nurses and doctor that she was only going to bottle feed. See, I think they "jumped the gun" on that one (sort of) because she's only 13 and didn't have a lot of time to think about pros and cons of breastfeeding and discuss this with the nurses.

Yea, she probably talked about it with her family for the past 9 months (if they knew for that long) but she hadn't really thought it over well. Her breasts were busting at the seems, so to speak, and the nipples were flat because the breasts were so full. I don't know how she ended up dealing with that whole situation. I really wanted to help her express some of the colostrum/milk and try to latch the baby on so she could at least "try" to breastfeed like she desired but I had to leave the unit with my instructor at that time. I'll think about her for the rest of my life, I'm sure. she's the same age as my oldest child and she was my first 13 year old and my youngest post partum mother I've ever cared for.