Successful Delayed-Interval Delivery In Monochorionic Diamniotic Twin Pregnancy: A Case Report

Assessment Nursing Rationale Planning Nursing Rationale Evaluation

Diagnosis Interventions
Objective data: Readiness for Readiness for Goal: Assess the patient This gives the After nurse-patient
• G2P1 enhanced enhanced • As many weeks and family’s level nurse information interaction, the
• Monochorionic, therapeutic therapeutic regimen AOG as the fetus of knowledge of as to what extent patient:
diamniotic regimen management refers and the patient can the treatment. do the patient and • Understands
pregnancy management to a pattern of sustain, the patient her family the whole
• Preterm related to regulating and will be able to understand the process of DID
premature delayed- integrating into daily deliver her fetus treatment. • Understands
rupture of interval living a program for safely and with less the importance
membranes at delivery treatment of illness complications. Explain and Making them of every
20 weeks AOG method and its sequelae Long-term objectives: supplement the understand the component of
• AFI satisfactory secondary to that is sufficient for • After days of nurse knowledge of the treatment more the treatment
• Close outpatient PPROM in meeting health- – patient patient and her promotes regimen
monitoring at 22 monochorionic related goals and interaction, the family regarding participation and • Proactively
weeks AOG diamniotic can be patient and her the treatment. adherence to the participates in
o On regular pregnancy strengthened. Since family will be able interventions. the treatment
fetal the occurrence of to demonstrate regimen
monitoring PPROM at 20 proactive Accept the This promotes • Is able to get
o On regular weeks AOG, the participation in: patient’s sense of self- rest periods and
serum patient has o Monitoring the evaluation of her esteem and relaxation while
inflammatory undergone several well-being of the strengths and confidence to on treatment
markers and measures to ensure mother and the weaknesses while continue efforts. It
rotating that the twins are baby working together also promotes
antibiotics well and safe o Adhering to the to improve her positivity which
• With threatened despite the early treatment and capabilities. contributes to
preterm labor at rupture of management in better outcomes
23 weeks and 2 membranes. Now preparation to of the treatment.
days AOG that she has already second delivery
• Delivered 555-g delivered her first Short-term objectives: Acknowledge the This provide
female infant by twin at 23 weeks, • Within 8 hours of patient and positive
spontaneous options have been the shift, the patient family’s efforts in reinforcement and
vaginal breech discussed with her and the family will participating in the encourages
delivery and her family and be able to: treatment. cooperation in the
they have decided treatment.
• Umbilical cord to go for DID for the o Verbalize Encourage the Rest periods and
was ligated high second twin in understanding of patient to get rest relaxation
in the vagina anticipation of DID method and and relaxation reserves the
• The family was improved and better its process while on patient’s energy
counselled outcomes. This o Verbalize treatment. and prevent any
regarding the indicates that the understanding of complications that
options for the family, especially importance of might disrupt the
second twin the patient, is ready every flow of the
Subjective data: and open for the component of treatment regimen
• The patient, with option of DID for her the treatment like infection.
the family, opted second twin. o Identify
for delayed- measures that Collaborate with This helps modify
interval delivery promote safety the health care and improve the
(DID) and improved team regarding treatment regimen
outcomes for the the patient and the for the well-being
treatment. fetus’ responses of the mother and
to the treatment. the fetus.

Administer These
medications as medications help
ordered. the mother and
the fetus sustain
the delay in the
interval of the
delivery of the
second twin.

Reference:
Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2008). Nurses pocket guide: diagnoses, prioritized interventions, and rationales (11th ed.).
Philadelphia: F.A. Davis.