cesarean birth, postpartal
(also refer to postpartal period)
risk for impaired parent/infant Attachment: risk factors may include developmental transition/gain of a family member, situational crisis (e.g., surgical intervention, physical complications interfering with initial acquaintance/interaction, negative self-appraisal).
acute Pain/[Discomfort] may be related to surgical trauma, effects of anesthesia, hormonal effects, bladder/abdominal distention, possibly evidenced by verbal reports (e.g., incisional pain, cramping/afterpains, spinal headache), guarding/distraction behaviors, irritability, facial mask of pain.
risk for situational low Self-Esteem: risk factors may include perceived “failure” at life event, maturational transition, perceived loss of control in unplanned delivery.
risk for Injury: risk factors may include biochemical or regulatory functions (e.g., orthostatic hypotension, development of pregnancy-induced hypertension or eclampsia), effects of anesthesia, thromboembolism, abnormal blood profile (anemia/excessive blood loss, rubella sensitivity, Rh incompatibility), tissue trauma.
risk for Infection: risk factors may include tissue trauma/broken skin, decreased Hb, invasive procedures and/or increased environmental exposure, prolonged rupture of amniotic membranes, malnutrition.
Self-Care Deficit [specify] may be related to effects of anesthesia, decreased strength and endurance, physical discomfort, possibly evidenced by verbalization of inability to perform desired ADL(s).
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