00221 Ineffective Maternity Process

Domain 8: sexuality
Class 3: reproduction
Diagnostic Code: 00221
Nanda label: ineffective maternity process
Diagnostic focus: maternity process
Approved 2010 • Revised 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « ineffective maternity process is defined as: inability to prepare or maintain a healthy pregnancy and delivery process, as well as the care of the newborn to ensure well -being.

Definite characteristics

During pregnancy

  • Failure in the use of social support
  • Inadequate linking behavior
  • Inadequate prenatal care
  • Inadequate prenatal lifestyle
  • Inadequate preparation of newborn care objects
  • Inadequate preparation of the home environment
  • Inappropriate respect for the baby not born
  • Ineffective management of discomfort during pregnancy
  • Non -realistic expectations about birth and childbirth

During childbirth and birth

  • Decreased proactivity during childbirth and birth
  • Failure in the use of social support
  • Inadequate linking behavior
  • Inappropriate lifestyle for childbirth stage
  • Inappropriate response at the beginning of childbirth

After birth

  • Failure in the use of social support
  • Inadequate linking behavior
  • Inadequate baby care techniques
  • Inadequate infant dress
  • Inappropriate baby power techniques
  • Inappropriate breast care
  • Inappropriate lifestyle
  • Insegurous environment for an infant

Related factors

  • Domestic violence
  • Inappropriate knowledge about the maternity process
  • Inadequate mental preparation for parenting
  • Inadequate parental role model
  • Inadequate prenatal care
  • Inadequate social support
  • Inconsistent prenatal health visits
  • Low maternal trust
  • maternal malnutrition
  • Maternal impotence
  • Maternal psychological distress
  • Inappropriate use of substances
  • Non -realistic lighting plans
  • Insegurous environment

Risk population

  • People who experience unplanned pregnancy
  • People who experience unwanted pregnancy

Suggestions of use

Some of the defining characteristics of this diagnosis can also be risk factors for diagnosis risk of attachment of attachment or symptoms of attachment deterioration. The ineffective maternity process is a broader diagnosis that is related to pregnancy in general (knowledge, nutrition, prenatal medical visits), and not only with the relationship between the mother and the child.

Suggested alternative diagnostics

  • ATTENGE, Risk of deterioration of
  • Inephic maternity process, risk of

NOC Results

  • Noc results have not yet been formally associated with this diagnosis, although the following could be useful:
  • Knowledge: Care of the infant: degree of understanding expressed about the care of a baby from birth to its first year of life
  • ATTENGE PARENTS-SON
  • Behavior to promote postpartum maternal health: personal actions aimed at improving the health of a mother during the period after the birth of a child
  • Behavior to promote prenatal health: personal actions aimed at promoting health in pregnancy and newborn
  • Knowledge: Pregnancy: degree of understanding expressed about the promotion of a healthy pregnancy and the prevention of complications
  • Knowledge: Postpartum maternal health: degree of understanding expressed about maternal health during the period after the birth of a child
  • Knowledge: maternal health prior to conception: degree of understanding expressed about maternal health before conception to guarantee a healthy pregnancy
  • Knowledge: labor and childbirth work: degree of understanding expressed on labor and vaginal delivery
  • Maternal status: Before childbirth: Degree in which maternal well -being is within normal limits, from conception to the beginning of labor
  • Maternal state: during childbirth: degree in which maternal well -being is within normal limits from the beginning of labor to birth
  • Maternal state: postpartum: degree in which maternal well -being is within normal limits from the expulsion of the placenta to the complete involution

Evaluation objectives and criteria

  • demonstrates an effective maternity process, as manifested by moderate or broad knowledge about: child care, labor and childbirth work, postpartum maternal health, maternal health prior to conception, pregnancy, and pregnancy and sexual function during the pregnancy and postpartum.
  • It demonstrates an effective maternity process, which manifests itself as there is no deviation from the normal limits of the maternal state: before childbirth, during childbirth and after childbirth, parent-son attachment, behavior to encourage health postpartum maternal and behavior to promote prenatal health
  • Demonstrate knowledge: baby care, revealed by the following indicators (specify from 1 to 5: no knowledge, limited knowledge, moderate, substantial or broad):
    • Baby with normal characteristics
    • Hold the baby properly
    • Advantages and disadvantages of the different baby feed options
  • Demonstrate knowledge: labor and childbirth work, as the following indicators show (specify from 1 to 5: no knowledge, limited knowledge, moderate, substantial or broad):
    • Different options to give birth
    • Signs and symptoms of labor
    • Effective breathing techniques
    • Effective placement techniques
  • Other examples

    • See maternity process, disposition to improve the.

    NIC Interventions

    • NIC interventions have not yet been formally associated with this diagnosis, although the following could be useful:
    • Advice before conception: detection and provision of information and support for people of fertile age before pregnancy, to favor health and reduce risks
    • Care during childbirth: Surveillance and management of stages 1 and 2 of the birth process
    • Postpartum care: surveillance and management of the patient who has just given birth
    • Prenatal care: patient control and management during pregnancy to avoid complications and favor a healthy result for both the mother and the baby
    • Parent Education: Small Child: Instruction on food and the necessary physical care during the first year of life
    • Promotion of linking: facilitation of the development of the relationship with the father
    • Management of the environment: attachment process: manipulation of the patient’s environment to facilitate the development of the parents/infant relationship
    • Birth: Action to give birth to a baby
    • Preparation for childbirth: Offer of information and support to facilitate childbirth and improve the abilities of an individual to develop and play the role of parent

    Nursing Activities

    • Consult the maternity process nursing activities, willing to improve the. Many of the nursing activities (or perhaps all) are related to teaching, advice and surveillance.
    • In general, nursing actions for this diagnosis are concentrated in the related factors present in each particular patient.
    • For example, if the problem is caused by the lack of knowledge, the important thing would be to educate the patient; If it is due to the lack of cognitive preparation, support systems must be used. Valuations include the identification of related factors, as well as the evaluation of the signs and symptoms of the diagnosis to assess the patient’s progress.
    • The details of the activities are beyond the scope of this book; A specialized publication must be consulted in the relationship between the mother and the newborn. You could also consult the book Nursing
    • Interventions Classification (NIC) to find activities related to each of the NIC interventions above.

    Suggestions of use