NURSING PROCESS IN THE POSTPARTUM PERIOD AFTER DELIVERY BY CESAREAN SECTION

Abstract

In 2015, the World Health Organization (WHO) released a statement suggesting that national Cesarean section rates of not more than 19% were associated with lower maternal and neonatal mortality. At the same time, Cesarean section rates above a certain level have not been shown to provide additional benefits for the mother or the child; some studies have shown that a significant proportion of Cesarean sections in the total number of births may be associated with negative health outcomes for the mother and the child. Purpose of our study was to provide scientific rationale for the principles guiding the organization of nursing process, as well as its goals and structure. The results of the research study deepen the knowledge of the specific aspects of postoperative management after Сesarean section operation and the approaches of nursing personnel to organization of proper care for the puerpera. In course of the study, the investigator has defined the main objectives, the structure and the methods for implementation of the nursing process in postpartum management after Cesarean section, the typical problems in puerpera and the ways of their elimination. The most valuable conclusions were made during investigation: the general goals of follow-up in the postoperative period are as follows: the fastest possible return of the puerpera to her normal life, the formation of exclusively breastfeeding skills; prevention of postpartum complications; maintaining the health of and preventing disease in the newborn. The authors have defined the nursing approaches to organization of proper care for the puerpera after the Сesarean section operation: ensuring proper puerperal regimen and diet, control of the general condition of puerpera, the condition of mammary glands, involution of the uterus, bowel and bladder habits. The following five constituents are integral to nursing process: nursing assessment (collection of information), determination of puerpera’s problems, planning of nursing interventions, implementation of nursing interventions and evaluation of the efficacy of nursing interventions. Nursing process is a necessary condition to create a system of professional puerperal care.