PATHOPHYSIOLOGY: PRE-ECLAMPSIA, PRE TERM BIRTH, LSCS

Etiology: Unknown

Congestion of the placenta
Increase Uterine Pressure
Decreased delivery of
oxygen and essential
nutrients
Decreased fetal circulation
Decreased placental perfusion
Placental Hormone Imbalance
Emergency LSCS
Shrinking of placenta
Nursing Diagnoses
1. Acute pain r/t mechanical tissue trauma secondary to s/p LSCS
Subjective data: Nagsakit iti sugat ko
Obj. Data: rated pain as _over_, facial grimacing noted, guarding at the
operation site noted
2. Impaired tissue integrity r/t incisional wound
3. Risk for infection r/t mechanical tissue trauma

Affects maternal Circulation
Pre-term birth
Premature labor pains
Tissue trauma
Release of Pain
mediators: Kinins,
Prostaglandins
Predisposing factors:
Family History of
Hypertension (mother side)

Precipitating factors: Diet and Nutrition (
High in Sodium and Fat), Pre-existing Hx
of HPN, AOG: 31 1/7 weeks , Hormonal
Changes, Uterine effects
Decreased cardiac output
Endothelial cell
vasospasm
Vascular effect
Kidney effect
Interstitial effect
Decreased GFR and
increased permeability
of glomeruli membranes
Decreased urine
output and
proteinuria
Edema
Diffusion of fluid
from blood stream
into interstitial tissue
Increased blood
pressure
Poor organ perfusion
Vasoconstriction
U.A. result revealed
proteinuria +1
Urine output: 120 ml
Weight: ______
(of baby





















PRE- ECLAMPSIA
Nursing Diagnosis:
1. Risk for ineffective tissue perfusion related
to vasoconstriction secondary to elevated
BP
Vital signs: BP__mmhg; CR:___bpm; RR:___cpm:
T:__degrees Celsius
Signs and symptoms:
-cold clammy skin
-capillary refill of 4 seconds
-dizziness
-blurred vision
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