Nursing care for a pregnant woman with chorioamnionitis and cervical isthmus incompetence: experience report

Authors

DOI:

https://doi.org/10.33448/rsd-v11i12.33871

Keywords:

High Risk Pregnancy; Chorioamnionitis; Cervical incompetence; Case reports.

Abstract

Chorioamnionitis (CA) is an acute inflammation of the placenta, chorion, and amnion, and is a common cause of adverse maternal and fetal complications whose etiology cannot always be identified. It is characterized by maternal fever, maternal and fetal tachycardia, maternal leukocytosis, and a fetid odor of the amniotic fluid. When associated with ismo-cervical incompetence it brings risk of abortion. Given the above, this study aims to report the experience of nursing students in the nursing care in a case of chorioamnionitis and isthmus cervical incompetence in hospital practice. This is a descriptive study, experience report type, developed in the months of October/November 2019, by six students and a field preceptor, in a maternity hospital in the sector of rooming-in, during internship practice located in the urban area in a city in the metropolitan region of Cariri Ceará. A search was conducted in the journal portal in the Scielo and Lilacs databases, to support a better understanding of the investigated phenomenon. The data analysis occurred through the steps of the nursing process, discussion of the complete clinical case obtained during data collection. The experience in the assistance to the case of subsidized the knowledge about the presented disease and an opportunity to learn the assistance aligning the theory from the practice during the care to the high-risk pregnancy.

References

ACOG. (2014). Cerclage for the management of cervical insufficiency. Practice Bulletin No. 142. American College of Obstetrics and gynecology, 123, 372–9. Recuperado de https://doi.org/10.1097/01.AOG.0000443276.68274.

Araujo, C. P., Dornelas. A. C. V. R., Sousa, A. M. (2018). Abordagem Terapêutica no Processo de Esvaziamento Uterino. Rev. baiana enferm, 32, 1-11. https://doi.org/10.18471/rbe.v32.24857.

Borges, B. K. A., Dos Santos, Q. F., De Souza, S. C. G., Dos Santos. T. A. X. (2021). Diabetes gestacional em gravidez gemelar: relato de caso. Revista Saúde, 15(1-2), 18-22. http://dx.doi.org/10.33947/1982-3282-v15n1-2-4366.

Castro, I., Hugo Filho, A. F. (2021). A Relação entre PCR e EAC: Associação de Proteína C Reativa para Proporção de Albumina em Pacientes com Ectasia Isolada da Artéria Coronária. Minieditorial. Arq. Bras. Cardiol, 116(1), 55. https://doi.org/10.36660/abc.20200580.

Conselho Federal de Enfermagem. Resolução Nº 358 do Conselho Federal de Enfermagem. (2009). Brasília-DF: Manoel Carlos Neri da Silva. http://www.cofen.gov.br/resoluo-cofen-3582009_4384.html.

Coutinho, A. R. T. S. S., Ferreira, E. V. F., Carvalho, J. B. M., Oliveira, K.P., Mendes, L. F. P., Sanos, M. O. (2020). Vaginose bacteriana: fator de risco no parto prematuro. Revista Cadernos de Medicina, 2(3), 80-85. https://www.unifeso.edu.br/revista/index.php/cadernosdemedicinaunifeso/article/view/1670.

Daltro, M. R., Farias, A. A. (2019). Psicologia clínica e psicanálise Relato de experiência: Uma narrativa científica na pós-modernidade. Estudos e Pesquisas em Psicologia, 19(1), 223-237. https://www.e-publicacoes.uerj.br/index.php/revispsi/article/view/43015.

Golbasi, C., Golbasi, H., Bayraktar, B., Sever, B., Vural, T., Ekin, A. (2022). Effectiveness and perinatal outcomes of history-indicated, ultrasound-indicated and physical examination-indicated cerclage: a retrospective study. BMC Pregnancy Childbirth, 217 (22), 1-7. https://doi.org/10.1186/s12884-022-04557-7.

Hall, M., Hutter, J., Suff, N., Zampieri, C. A., Tribo, R. M., Shennan, A., Rutherford, M., Story, L. (2022). Antenatal diagnosis of chorioamnionitis: A review of the potential role of fetal and placental imaging. Prenatal Diagnosis, (42) 8, 1049-1058. https://doi.org/10.1002/pd.6188.

Instituto brasileiro de geografia e estatística (IBGE). (2018). Território e ambiente. https://cidadesh.

Lee, J. E. (2022). Plasma proteomic analysis to identify potential biomarkers of histologic chorioamnionitis in women with preterm premature rupture of membranes. Plos One, (17)7, 1-22. https:// doi.org/10.1371/journal.pone.0270884.

Li, Y., Lee, F., Wang, P. (2022). Prophylactic or emergent cervical cerclage for women with different medical indications for cervical cerclage. Taiwanese Journal of Obstetrics & Gynecology, (61), 193-194. https://doi.org/10.1016/j.tjog.2022.02.001.

Machado, J. R., Rocha, L. P., Barrilari, S. E. G., Pucci, K. R. M., Reis, M. A., Castro, E. C. C., Corrêa, R. R. M. (2012). Influência das intercorrências maternas e fetais nos diferentes graus de corioamnionite. Rev. Bras. Ginecol. Obstet, 34(4), 1-8. https://doi.org/10.1590/S0100-72032012000400003.

Montenegro, A. A. B., Rezende Filho, J. (2017). Rezende Obstetrícia, 13, 530-536.

Rodríguez‐Trujillo, A., Cobo, T., Vives, I., Bosch, J., Kacerovsky, M., Posadas, D., Ángeles, M., Gratacós, E., Jacobsson, B., Montse, P. (2016). Gestational age is more important for short‐term neonatal outcome than microbial invasion of the amniotic cavity or intra‐amniotic inflammation in preterm prelabor rupture of membranes. Acta obstetricia et gynecologica Scandinavica, 95(8), 926-933. https://pubmed.ncbi.nlm.nih.gov/27061307/.

Rêgo, S. C., Martins, A. G., Mesquita, F. A. S. (2020). Incompetência istmocervical: cerclagem de emergência versus conduta expectante. Revista Eletrônica Acervo Saúde, 45(45), 1-7. https://doi.org/10.25248/reas.e3383.2020.

Vellamgot, A. P., Salameh, K., Habboub, L. H. M., Pattuvalappil, R., Elkabir, N. A., Sião, Y. S., Khatib, H. (2022). Suspected clinical chorioamnionitis with peak intrapartum temperature <38ºC: the prevalence of confirmed chorioamnionitis and short term neonatal outcome. BMC Pediatria, 22(197), 1-12. https://doi.org/10.1186/s12887-022-03239-9.

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Published

10/09/2022

How to Cite

MOREIRA, A. E. A.; BACURAU, A. E. dos S. .; SIDRIM, A. C.; LEONEL, A. C. G. .; MOURA, V. A. de; OLIVEIRA, C. D. de; CRUZ, R. de S. B. L. C. . Nursing care for a pregnant woman with chorioamnionitis and cervical isthmus incompetence: experience report . Research, Society and Development, [S. l.], v. 11, n. 12, p. e06111233871, 2022. DOI: 10.33448/rsd-v11i12.33871. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/33871. Acesso em: 16 nov. 2024.

Issue

Vol. 11 No. 12

Section

Health Sciences

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Copyright (c) 2022 Antonia Elizangela Alves Moreira; Airla Eugênia dos Santos Bacurau; Antonio Coelho Sidrim; Ana Camila Gonçalves Leonel; Vitória Alves de Moura; Claudio Dourado de Oliveira; Rachel de Sá Barreto Luna Callou Cruz

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