Nursing diagnosis – READINESS FOR ENHANCED CHILDBEARING PROCESS

READINESS  FOR  ENHANCED CHILDBEARING  PROCESS

DEFINITION

A pattern of preparing for, maintaining and strengthening a healthy

pregnancy and childbirth process and care of newborn

DEFINING CHARACTERISTICS

During pregnancy

• 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

care)

• 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

After birth

• Demonstrates appropriate baby-feeding techniques; basic baby care

techniques

• Provides safe environment for the baby

• Reports appropriate lifestyle

• Utilizes support system appropriately

RELATED FACTORS

• Prenatal health status

• Obstetrical/medical history (including perinatal risks/complications)

• Cultural beliefs/expectations

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Behavior

• Knowledge

• Roles/relationships

EXPECTED OUTCOMES

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

knowledge deficits.

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

patient autonomy.

Teach childbearing family labor & delivery process and newborn

care. Understanding   expectations improves confidence and reduces

anxiety.

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.

Reference

Ward, S. L., & Hisley, S. M. (2009). Maternal–child nursing care: Optimizing

outcomes for mothers, children, and families. Philadelphia: F.A. Davis Com-
pany.

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