READINESS FOR ENHANCED CHILDBEARING PROCESS
A pattern of preparing for, maintaining and strengthening a healthy
pregnancy and childbirth process and care of newborn
• Reports appropriate prenatal lifestyle, physical preparations; man-
aging unpleasant symptoms in pregnancy
• Demonstrates respect for unborn baby
• Reports a realistic birth plan
• Prepares necessary newborn care items
• Seeks necessary knowledge (e.g., of labor & delivery, newborn
• Reports availability of support systems
• Has regular prenatal health visits
During labor & delivery
• Reports lifestyle that is appropriate for the stage of labor
• Responds appropriately to the onset of labor
• Is proactive in labor & delivery
• Uses relaxation techniques appropriate for the stage of labor
• Demonstrates attachment behavior to the newborn baby
• Utilizes support systems appropriately
• Demonstrates appropriate baby-feeding techniques; basic baby care
• Provides safe environment for the baby
• Reports appropriate lifestyle
• Utilizes support system appropriately
• Prenatal health status
• Obstetrical/medical history (including perinatal risks/complications)
• Cultural beliefs/expectations
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
The patient/childbearing family will
• Demonstrate a willingness to maintain/modify his or her lifestyle
for optimal prenatal health.
• Convey conﬁdence and knowledge of pregnancy, the labor &
delivery process, and newborn care.
• Express appropriate self-control and readily cooperate with recom-
mendations of the healthcare team during labor & delivery.
• Exhibit parent–newborn attachment after delivery.
• Meet the newborn’s physical, social, and nutritional needs.
SUGGESTED NOC OUTCOMES
Prenatal Health Behavior; Knowledge: Pregnancy; Knowledge: Labor
& Delivery; Knowledge: Newborn Care; Parent Infant Attachment.
INTERVENTIONS AND RATIONALES
Determine: Assess baseline knowledge of prenatal self-care, labor &
delivery process, and newborn care to identify and resolve
Perform: Provide written literature on prenatal wellness, labor &
delivery expectations, and newborn care. Providing written materials
allows adequate time to synthesize and understand new information.
Inform: Teach self-care for common prenatal discomforts to promote
Teach childbearing family labor & delivery process and newborn
care. Understanding expectations improves conﬁdence and reduces
Attend: Assist childbearing family with development of a birth plan.
This allows childbearing family to participate in managing the birth
experience and promotes communication with the healthcare team.
Encourage and support childbearing family throughout the course
of the pregnancy to improve self-conﬁdence and promote patient
compliance with health recommendations.
Manage: Refer to certiﬁed childbirth educator for classes on prenatal
care, labor & delivery (to include Cesarean birth), breast-feeding,
and newborn care. Advanced knowledge of the childbearing process
promotes empowerment and positive maternal outcomes.
SUGGESTED NIC INTERVENTIONS
Anticipatory Guidance; Childbirth Preparation; Emotional Support;
Parent Education: Infant, Prenatal Care.
Ward, S. L., & Hisley, S. M. (2009). Maternal–child nursing care: Optimizing
outcomes for mothers, children, and families. Philadelphia: F.A. Davis Com-