Nursing status and experience of abdominal pregnancy

Nursing status and experience of abdominal pregnancy

Abdominal pregnancy is a relatively rare ectopic pregnancy, which refers to the

unexpected growth and development of the fetus or embryo in the abdominal cavity

between the broad ligament, fallopian tube and ovary. Abdominal pregnancy is divided

into secondary abdominal pregnancy and primary abdominal pregnancy. Secondary

abdominal pregnancy often occurs after tubal pregnancy rupture or miscarriage, or in

patients with uterine defects; primary abdominal pregnancy refers to the direct

implantation of the fertilized egg in the abdominal cavity, which is extremely rare [1].

During the treatment of abdominal pregnancy, a certain degree of nursing measures are

abdominal pregnancy. Most patients with abdominal pregnancy have a history of tubal

pregnancy. The main clinical manifestations are amenorrhea and pregnancy reactions,

and the abdominal pain symptoms gradually worsen. Abdominal and pelvic examinations

will reveal that the fetal limbs are obvious and the fetal heart rate is clear, but the uterine

contour is unclear, the fetus is located on one side of the uterus, and the placental

murmur is large. This type of pregnancy has a very low survival rate. After the fetus dies,

the patient's pregnancy symptoms disappear and the physiological period resumes. As

time goes by, the dead fetus will gradually become a stone fetus or mummification.

Secondary infection will cause abscesses, and eventually the fetal bones will be removed

by the mother's bladder, intestines, catheter or surgery [2].

attachment position [2]. If the fetus grows and dies within less than four weeks, and the

placenta is attached to the mesentery or peritoneum, the placenta should not be touched

when the fetus is removed and should be left in the abdominal cavity for absorption by

the patient's body. The patient should be given appropriate antibiotics after surgery to

prevent infection, and the HCG index should be tested regularly to determine the degree

of placental absorption.

3 Current status of clinical nursing for abdominal pregnancy

In order to improve the clinical effect during the treatment of abdominal pregnancy

patients, most of them cooperate with the corresponding nursing model, including health

education, psychological care, perioperative care, and continued care. Different nursing

measures have different effects on the treatment effect of patients. The following analysis

is made according to different nursing measures.

3.1 Health education After the abdominal pregnancy patients are admitted to the hospital,

the nursing staff needs to provide them with corresponding disease health education

according to their cultural level and knowledge mastery, and inform the patients of the

process, and improve the patients' treatment compliance.

3.2 Psychological care Psychological care for abdominal pregnancy patients refers to the

nursing model can effectively reduce the possibility that patients will be affected by

psychological pressure and the treatment effect.

3.3 Perioperative care Perioperative care for abdominal pregnancy patients specifically

includes three parts: preoperative, intraoperative and postoperative. Preoperative nursing

staff must ensure that patients get enough rest, strictly monitor patients' vital signs such

as body temperature, pulse, heart rate, understand patients' vaginal bleeding and

abdominal pain, and inform patients of precautions such as fasting before surgery;

intraoperative nursing, in addition to monitoring patients' vital signs, also needs to pay

attention to temperature regulation in the operating room, pay attention to the accurate

placement of catheters, abdominal drainage tubes and other tubes, and carefully record

targeted rehabilitation training according to the patient's physical recovery level within a

period of time after surgery, such as aerobic exercise such as limb exercise in bed and

regular walking. The amount of exercise is carried out in a step-by-step manner. This

type of nursing model can effectively prevent the formation of lower limb venous

thrombosis in patients and promote the recovery of limb function after surgery.

developed by nursing staff to form a clinical pathway nursing team based on the

procedural and standardized nursing according to the clinical pathway table to ensure

that abdominal pregnancy patients receive effective and high-quality care from admission

to discharge. This nursing model can provide more rational, procedural and efficient

services to abdominal pregnancy patients, reduce the medical costs of patients and

hospitals, and improve the diagnosis and treatment effect [4]. 3.6 Dietary management

During the hospitalization of abdominal pregnancy patients, nursing staff need to provide

corresponding nutritional diet plans, mainly high-nutrition, high-vitamin, low-fat, easily

digestible, semi-liquid foods. Spicy, raw and cold foods are strictly prohibited. Diet can be

in the form of small meals. To prevent constipation, patients should be advised to drink

bleeding [5].

3.7 Complication prevention and care Common complications of abdominal pregnancy

unstable blood pressure and pulse, and abnormal body temperature, the attending

physician should be informed in time, and the attending physician should be cooperated

with to effectively treat the complications of the patient. This nursing model requires

nursing staff to pay close attention to the patient's vital signs to ensure the patient's good

development after surgery.

3.8 Extended care outside the hospital When the patient is discharged from the hospital,

the nursing staff should remind the patient to rest in bed for a period of time, pay

attention to personal hygiene care, change clothes frequently, strengthen diet and

physical exercise, and return to the hospital for regular check-ups. In addition, the

nursing staff should regularly call or visit the patient to understand the patient's physical

mortality rate is as high as 5%, which is 7.7 times that of ordinary ectopic pregnancy

patients and 89 times that of intrauterine pregnancy. It is a rare ectopic pregnancy that is

extremely harmful to the mother. This article analyzes the different nursing models

currently adopted in the treatment of abdominal pregnancy and concludes that effective

nursing models can serve abdominal pregnancy patients more thoroughly and

comprehensively, improve the prognosis of patients, alleviate patients' pain, and reduce