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Nurse case: pregnant women and newborn with neural tube defect

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How to cite this article:
Guzmán-Caridad I, Landin-Guerra RC, Rico-Aguilar MT. Caso clínico de enfermería: mujer embarazada y recién nacido con defecto del tubo neural. Rev Enferm Inst Mex Seguro Soc. 2016;24(1):65-74.

Nurse case: pregnant women and newborn with neural tube defect


Irene Guzmán-Caridad,1 Rosa Clara Landin-Guerra,1 Marisol Teresa Rico-Aguilar1


1Gineco-Obtetricia U-112, Hospital General de México, Secretaría de Salud. Distrito Federal, México


Correspondence: Irene Guzmán Caridad

Email: princeirene@hotmail.com


Date received: September 14th, 2015

Date judged: October 18th, 2015

Date accepted: November 16th, 2015


Abstract

The contribution of the nurse in the promotion and dissemination of neural tube defects, is rele-vant because the prevalence of congenital malformations in Mexico is 4.9 per 10 000 defects and 75% of the cases correspond to myelomeningocele. The purpose was to provide comprehensive nursing care and collaboration to the binomial mother and son from the income of the mother of the baby until discharge to home. The case of a pregnant woman is 33.6 weeks gestation with labor entering the service of Gynecology and Obstetrics in order to improve the fetal prognosis and terminate the pregnancy through the abdomen. At 19:08 hours, masculine product 2,200g, height 48 cm, 30 cm head circumference, Apgar 4/8, Capurro and 33.5 weeks in the presence of lumbar myelomeningocele about 5x4 cm and lower extremities without mobility is obtained. Data were recorded on the sheet of nursing structured stages of the nursing process and based on the requirements of development, health deviation and universal conceptual model of Dorothea Orem. The plan of nursing care possible to integrate mother-son, mother in their clinical evolution is favorable and the infant withdraws reactive to external stimuli, sucking and swallowing reflexes present oral tolerance and surgical scar in region lumbar.

Keywords: Nursing care; Pregnant woman; Meningomyelocele.


Introduction

In the last 50 years, the infant mortality rate has declined in much of the world due to the adoption of various measures in the areas of public health, preventative medicine, and medical care. However, this decline is not homogeneous: while the current mortality attributable to intestinal and lung infections is much lower today than a decade ago, mortality associated with premature birth and congenital malformations (CM) has increased; the specific mortality rate for CM went from 2.2 to 3.5 per 1000 births (b = 0.05; p < 0.001); the rate of infant mortality from spina bifida increased to 0.35 per 1,000 births in 1989 and decreased to 0.05 per 1000 births in 2005 (CM = -0.09; p < 0.0001).1

The high mortality and morbidity rates associated with CM negatively affect health systems and are a cause of great concern, not only for the resources they consume, but also for the social damage they cause, especially to the mother, father, and those close to the patient.2 As such, it is considered a devastating event for