Symptoms And Treatment Of Pregnancy

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A.M. was a 29-year-old mother who gave birth at 0836 on 11/20/14. Upon beginning the shift, she was being prepared for her cesarean section (c-section) at 0800. She was a G4P1PT2AB2L1 and was 36 weeks and one day at the beginning of the shift. A.M. had no known allergies and no latex allergy. She was O+ and Rubella immune. Her husband was present throughout the day supporting her at her bedside. M.A. had a history of type II diabetes, depression, hypertension, previous right cornual ectopic pregnancy, previous c-section, cholecystectomy, and salpingectomy. She was having a c-section due to the possible risk of tearing and bleeding from the previous ectopic pregnancy*. Mother planned on breastfeeding her baby with minor supplements of…show more content…
Erythromycin and Vitamin K were given in the Neonatal Intensive Care Unit. Baby’s blood sugar was thrity-nine and she was given 15cc of formula in NICU at 0900. A.M. attempted to breastfeed at 0900 but baby had difficulty latching. Back stimulation and skin to skin contact was used to encourage breastfeeding, but was unsuccessful. Due to A.M.’s size, mother struggled finding position in which baby could latch.
Nursing Diagnosis
Ineffective breastfeeding r/t prematurity and knowledge deficit AEB infant inability to latch and neonate remained asleep despite back stimulation and skin to skin contact
Journal Application
Nagulesapillai, McDonald, Fenton, Mercader & Tough (2013) examined and compared breastfeeding difficulties that were attributable to the baby and mother/milk and exclusive breastfeeding between a group of late preterm (LP) infants and term infants. The results show that mothers of late preterm infants need increased support to establish successful breastfeeding outcomes and to ensure that these neonates receive the full benefits of breast milk. Also, late preterm infants were less likely to report exclusive breastfeeding at four months who were breastfeeding discharged, and late preterm status was an independent risk factor for breastfeeding difficulties attributable to the baby. This article relates to the diagnosis because the article analyzes infants that are
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