Nursing Diagnosis Help for postpartum patient

[JCon]

Hi everyone! I am making a care plan for a postpartum patient, and the mother I am making the care plan for is one that all of the staff is worried about. For instance, she showed no interest in holding her baby, did not want to perform any feedings, diaper changes, burping, skin to skin, breastfeeding, etc. She complained about her baby not being cooperative (baby and cooperative don't even go in the same sentence haha), constantly called her newborn a "brat" (her exact words). She also complained about how the baby is keeping her up all night, and that she thinks her baby is keeping her up more than a normal baby should. She is young, 23 years old, and has a high school level of education. Her and her husband did lots of research during her pregnancy and had this idea that their newborn would be a perfect, cooperative baby, and that nothing would change in their daily routines after having this baby. What would be a good nursing diagnosis for this patient? (In relation to all of this information)

[Purple_roses]

What do you think is causing her to have these feelings? Do you think hormones could play a role in her emotional response? Do you think her expectations are playing a role in her emotional response? Do you think lack of education about motherhood and the postpartum period are playing a role in her emotional response? Do you think her support system or lack thereof are playing a role? What pertinent information have you gathered from assessments and going through her H&P (without telling us information that could break HIPAA law; you may need to fudge details.)?

I doubt anyone here will tell you what her nursing diagnosis could be because we want you to understand how to come to that conclusion yourself. But I think this is a great topic! There's a lot that could be going on here, and it could lead to an interesting discussion.

When I'm having a hard time pinpointing what my client's nursing diagnosis should be, I list all of the client problems and the interventions I want to provide for that client as they come to mind. Then after it's written on paper, I draw lines and connect the dots, and the interventions that I want to provide end up leading me to the "technical" nursing diagnosis.