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SCIENTIFIC EXPLANATIO N Low self esteem adversely affects an individual’s outlook towards themselves, others and their existence. Low self esteem fosters a sense of unworthiness, inferiority and lack of purpose in an individual. It is uncontrollable in nature. People with low self esteem feel insecure. They are not sure what normal is, and they are not comfortable with themselves or with others.


IMPLEMENTATI ON Independent: Assess degree of perception of client in regard to situation.



SUBJECTIVE DATA: “Nakakahiya naman, may mga iba pang tao..” as verbalized by patient

SITUATIONAL LOW SELF ESTEEM related to lack of privacy as evidenced by hesitance to remove gown.

OBJECTIVE CUES  Uncomfortabl e positioning  Restless  Anxious  Not positioned properly  Reluctance to remove gown

After one hour of nursing intervention, the client will be able to: -participate positively in the process of birth giving as manifested by proper pushing and proper positioning of the body -demonstrate positive behaviors as manifested by following the health provider’s instructions during birth giving

Asceratin sense of control client has over self and the situation.

Some people may view a major situation as manageable, while other person may be overly concerned about the situation. Locus of control is important in determining whether the client believes he or she has control over the situation, or whether is at the mercy of fate or luck. Nonverbal cues may indicate the reluctance to some manner of the situation. This affects the mother’s understanding and compliance of the health teachings prior to childbearing.

Note nonverbal body language.

Identify previous adaptations to birth giving.

Encourage expression of feelings or anxieties.

After one hour of nursing intervention, the client: • participat ed positively in the process of birth giving by proper pushing and proper positionin g of the body • demonstr ated positive behaviors by following the health provider’ s instructio ns during birth giving

Often the woman is so involved with the coming birth that she does not hear. This may pertain to the pain regarding the infant coming out. This also promotes patients’ coordination and preservation of self-esteem. Provide instructions regarding time of pushing and panting. they are generally uncomfortable. Many women perceive stirrups as unnatural position for performing an episiotomy or for viewing the perineum to detect lacerations or other problems at the borth. Instructions should be repeated as necessary. During birth. 535) Client may feel the control over the situation when given proper privacy. (Pilliteri. .Provide instructions regarding proper positioning such as lithotomy. Provide privacy such as closing the cubicle or only health care provider responsible should stay in the room.

.women may be asked to pant deliberately so that she does not only push during contraction. This helps to avoid head of infant to be expelled and prevent perineal lacerations.