Nursing care for women with gestational diabetes together with preeclampsia : Case study

Abstract

     This study was case study aimed to study guidelines for nurses in the outpatient work group. Obstetrics and gynecology department Nursing students provide nursing care to women with gestational diabetes. and have preeclampsia and develop the quality of nursing work in caring for pregnant women with complications to keep both mother and baby safe. Tools used in the study include Health status assessment using Gordon's health model framework and patient medical records were collected in the study method. observational data Interviewing patients and relatives Analysis of patient data using the analytical study results writing format. Compare general information, health plans, treatments, nursing diagnoses. From the prenatal period, the birth period, and the postpartum period.

     The results of the study found that a case study of a 33-year-old Thai woman who came to F/U ANC for an appointment had a headache. Nausea or vomiting 3 days before coming to the hospital First antenatal care on 12 December 2022, GA 8 wks, delivery date 29 September 2023. Laboratory test results at the first antenatal visit. VDRL, HIV, HbsAg test results normal, blood concentration 38%, blood group O Rh+. Coordinate referrals for families and communities to participate in care. Follow up to come for prenatal care according to appointment. Receive medicine exactly as the doctor ordered. Follow up to receive laboratory tests according to the doctor's treatment plan. According to continuous follow-up care, this pregnant woman is at full term. I gave birth at Ang Thong Hospital. The treatment received followed the postpartum visit. Recommend follow-up treatment and refer to a general practitioner. Total 5 days of hospital stay, with postpartum follow-up appointment at postpartum clinic. Outpatient work on October 17, 2023. After giving birth, the mother and baby are healthy. Monitor blood sugar levels for 1 month, FBS 118 mg/dl, internist does not schedule repeat follow-up.