Nursing Care for Pregnant Women Over 35 with Hypertension and Gestational Diabetes: A Case Study

Abstract

Background and significance Pregnant women over 35 years old with hypertension and gestational diabetes are considered to be at high risk of complications affecting both the mother and the fetus. These conditions are common medical complications during pregnancy and may increase the risk of serious complications, including mortality rates for both the mother and the fetus.

Objectives 1) To study the nursing process and care for pregnant women over 35 years old with hypertension and gestational diabetes through a case study. 2) To provide nursing procedures for nurses in the antenatal care unit when caring for pregnant women over 35 years old with hypertension and gestational diabetes. 3) To develop practical nursing instruction for caring of high-risk pregnant women who attending to antenatal clinics.

Study method Select 1 case study specifically for pregnant women over 35 years old with hypertension and gestational diabetes. Start by collecting data from medical records, interviewing patients along with observation, reviewing literature and related research. The collected data were analyzed to plan nursing care that covers physical, mental, emotional, social and economic aspects.

Results of the study From the case study of pregnant women over 35 years old with hypertension and gestational diabetes Received quality prenatal care according to prenatal care standards. Was screened for specific disease risks. Able to carry out pregnancy up to 37 weeks of pregnancy. Prevented premature birth and dangerous complications for pregnant women and infants. Duration of care: 7 months, 1 week, 3 days

Summary Nursing process and care for pregnant women over 35 years old with high blood pressure and gestational diabetes to enable pregnant women to act correctly and be safe from serious complications during pregnancy until they can carry out their pregnancy up to 37 weeks or as close to the due date as possible. Nurses must have good relationships with pregnant women and their families, be intentional, sincere, friendly, and motivated by providing alternative information that leads to overcoming hesitation and making decisions that are right for them, by motivating pregnant women. To feel confident that you can take care of your health correctly and safely, which requires conversation techniques to create motivation. (Motivation Interviewing : MI) To support pregnant women to change their health behavior, reduce complications and death of pregnant women and infants, and nurses must have knowledge and skills in providing nursing care to pregnant women at high risk. Quality prenatal care according to prenatal care standards, holistic nursing, assessment skills covering risk factors, including assessment of past obstetric history, current pregnancy history, illness history, body mass index level. Weight gain, blood sugar levels and blood pressure