Page 96 - Critical Maternity & Newborn Health Nursing

 Teach deep breathing techniques to alleviate the pain. Use

diversional activities if possible.

 Check for abdominal pain, assess the abdominal area for signs

of internal bleeding (e.g. Cullen’s)

 If nausea and vomiting are present, make sure the patient would

not aspirate it.

 After D&C patient is at risk for infection. Make sure the patient

has good perineal hygiene.

 Administer all medications as ordered. Observe the 10 Rights

of drugs administration.

 Remember that this might very hard for the patient to accept,

make sure to provide emotional support. Explain to the patient

that it is not her fault this happened.

 Discussed the family planning methods available for her.

Remember to reiterate the importance of monitoring the HCG

level and follow-up

Evaluation

• Patient must be able to express her feelings effectively.

• Patient must acknowledge the situation and seek for appropriate

help.

• Patient must learn to look forward for the future step by step.

The pain a mother experiences at the loss of a pregnancy are never

comparable to any pain in the world. Expecting for an addition in the

family and losing it before it is even born is a difficult situation, but

somehow, we, as nurses, can give them comfort and reduce the pain they

are feeling through the knowledge that we have.

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