ASUHAN KEPERAWATAN POST PARTUM SECTIO CAESAREA PADA Ny. SH DENGAN PREEKLAMPSIA BERAT DI RUANG ARAFAH 2 RUMAH SAKIT UMUM DAERAH dr. ZAINOELABIDIN BANDA ACEH

Abstract

Preeclampsia is a pregnancy disorder characterized by
hypertension accompanied by proteinuria or signs of other
organ dysfunction such as renal, hepatic, hematological, or
neurological dysfunction. The purpose of this case study is to
apply nursing care using a nursing process approach to
postpartum caesarean section patients with severe
preeclampsia in Room Arafah 2 of RSUDZA Banda Aceh. The
nursing diagnoses established were acute pain, ineffective
breastfeeding, ineffective peripheral perfusion, risk of
ineffective cerebral perfusion, and risk of infection. The
nursing diagnoses established were acute pain, ineffective
breastfeeding, ineffective peripheral perfusion, risk of
ineffective cerebral perfusion, and risk of infection. The
nursing interventions applied based on evidence-based
practices (EBP) included pharmacological and nonpharmacological pain management, such as deep breathing
relaxation, health education related to breast milk
expression, demonstration of oxytocin massage, wound care,
progressive muscle relaxation, monitoring of vital signs, and
education on high-protein diets. The results of the nursing
problem evaluation are as follows: blood pressure 145/90
mmHg, pain scale 2 NRS, dizziness and neck pain reduced,
abdominal pain scale 2 NRS, breast milk is flowing, the wound
appears dry, no edema or exudate. Healthcare workers are
advised to provide nursing care for postpartum mothers who
have undergone a cesarean section and have severe
preeclampsia in accordance with evidence-based practices by
implementing progressive muscle relaxation interventions as
recommended, as well as adding interventions to address
mothers who have family coping problems, such as deep
breathing relaxation interventions, breastfeeding education,
and education on high-protein diets to support the mother's
recovery.