preterm labor pain 분만실 케이스스터디

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2018.5.1. This 37yr old primiparous woman whose LMP was the end of september in 2017 was admitted to our OBGY Dept. due to IUP 31/1 wks c pain, vag. spotting, short CL.

의학진단명: Preterm labour without delivery, 22weeks or more and less than 34weeks pregnant.

병태생리 : Preterm labor is defined as the presence of uterine contractions of sufficient frequency and intensity to effect progressive effacement and dilation of the cervix prior to term gestation. Occurring at 20-37 weeks’ gestation, preterm labor precedes almost half of preterm births and is the leading cause of neonatal mortality in the United States.

증상 및 징후 : 대상 환자에게 나타나는 모든 증상 및 징후를 하이라이트한다.
- IUP 31/3wks
- A(s.a 2 a.a 0 )
- vag. spotting
- breech
- EBW: 1300gm(=28/5wks in size)
- TVUSG- CL 14mm
- Pelvc exam- 70% effaced
- abnormal lab figure(risk for urinary tract infection, side effect of Lavopa)
- side effect of Lavopa(Tachycardia)

참고 자료

김정애, 장은정 (2009). NANDA 간호진단별 간호중재 가이드북. 서울: 수문사.
박정숙, 고은, 고자경 (2013). 성인간호학 II. 서울:엘스비어코리아.
이영숙, 박재순 외 (2014). 여성건강간호학 2. 서울: 현문사.
차영남, 장효순, 한혜실 외 (2013). NANDA 간호진단과 중재 가이드. 서울: 현문사.