Nursing care of maternity with gestational diabetes mellitus class A 1 with shoulder dystocia: case study

Abstract

Pregnant woman with 40 years old, first pregnancy history, was admitted to hospital on 6 September 2021 with pain after pregnancy pain before coming to the hospital for 3 hours. In prenatal stage, the patient had discomfort from pregnancy pain and risk of complications from receiving uterine stimulants. In birth stage, patient had shoulder dystocia for 1 minute, patient was received Rt episiotomy and give baby girl. APGAR score at 1, 5, 10 minute were 8, 9, 9 respectively. The weight of baby was 3,650 gram. The right arm of baby cannot move. After giving birth, it showed full normal placenta and total blood loss was 800 cc. The patient had postpartum hemorrhage and then patient was received stimulate uterine contractions drug and stretching the uterus and 1 unit of PRC blood. In postpartum, the uterine of patient showed contractions well and the patient is safe without shock. Doctors sent the baby to the hospital for further treatment. Patient was discharged on 9 September 2021, total hospital admission for 3 days. From follow-up treatment, the patient had no postpartum complications. Infant's brachial nerve injury was improves, right arm of infant can be lifted off the ground horizontally.