Proceso de atención de enfermería en paciente con oligohidramnios severo.

Abstract

INTRODUCTION.- Amniotic fluid is clear yellowish its antibacterial properties help maintain a sterile environment also is intrauterine essential for normal growth and development of the fetus is considered oligohydramnios to decreased volume of less than 5cm amniotic fluid, and when severe oligohydramnios is less than 3 cm, severe oligohydramnios has been associated with an increased risk of neonatal morbidity and mortality as wHO data on the "2015, approximately 303,000 women died of factors related to pregnancy and consequences because only 64% of women receive prenatal care. The general objective of the present investigation is to analyze the case of severe Oligohydramnios of a patient by means of the valuation of the model of Virginia Henderson, evidencing through the investigation of scientific articles and Clinical History. Presentation of the Case: A 19-year-old patient is referred from the Hualtaco Subcenter to the Huaquillas Basic Hospital to perform a follow-up ultrasound, which showed decreased amniotic fluid (0 cm); reason for which she was admitted by emergency and then given to the area of gynecology with pregnancy diagnosis of 20 weeks plus severe oligohydramnios, with stable vital signs, losing amniotic fluid in a small amount. During the first 3 days of hospitalization, special examinations and ultrasounds were performed, which was seen in the affected fetus with bilateral multicystic renal dysplasia, pulmonary hypoplasia, with which it was compatible with the definitive diagnosis of Potter II Syndrome. Method: A literature search was conducted in the following databases, EBSCO, Scielo, Scopus, ScienceDirect and NNNConsult.PubMed Central (PMC), Lilacs, ELSEVIER, ScienceDirect, medlineplus, revistasochog, WHO, PAHO, MSP, apjhs, NCBI, ijpediatrics, journalcra, nutricionhospitalaria, revenfermeria, Results: Several risk factors mainly, nutritional status, age, environment, psychological state, self-medication, which leads to the most important causes with renal dysplasia multicystic bilateral, taking this even severe oligohydramnios because were found not will be producing amniotic fluid or damper leading to have mechanical trauma and fetal malformations, most complications is pulmonary hypoplasia, abnormal contractures of the hands and feet and fetal facial compression, by failing to properly lungs the risk of neonatal mortality developed is higher Conclusions: The Natural History of the Disease, raised by Leavell and Clark, was taken as a basis for a better understanding of severe oligohydramnios, its risk factors, its causes and complications. The model of V. Henderson was perfectly adapted to the present case to be able to perform nursing diagnoses and care plans based on the needs required by the patient, through the search of standardized plans of NANDA, NIC, NOC, what satisfies the general objective stated.