Cesarean birth, also termed cesarean section, is the delivery of a neonate by surgical incision through the abdomen and uterus. The term cesarean birth is used in nursing literature rather than cesarean delivery to accentuate that it is a process of birth
rather than a surgical procedure. This method may occur under planned, unplanned, or emergency conditions. Indications for cesarean birth may include abnormal labor, cephalopelvic disproportion, gestational hypertension or
diabetes mellitus, active maternal herpes virus infection, fetal compromise, placenta previa, or abruptio placentae. Cesarean section is currently the most common major surgical procedure in the United States. However, it
carries risks to both the mother and the fetus. It also has a lengthy recovery period than vaginal birth. Some women may have difficulty attempting a vaginal birth later. Yet, many women can have a vaginal birth after a cesarean (VBAC). Hence, mothers need to work with health care providers to make the best decision for themselves and the baby. Here are 11 nursing diagnoses and
nursing care plans for cesarean birth: Deficient KnowledgeCesarean section (CS) is one of the most common major surgical procedures worldwide. Despite being a vital obstetric procedure that saves the lives of women and infants, it is not free of short and long-term adverse events for both. Childbearing women themselves, their relatives, and society might prefer delivery by a CS due to a lack of general knowledge about the advantages of vaginal delivery, fear from pain, widespread misconceptions about urinary and sexual functions after vaginal delivery, and the misbelief that a CS is safer for the baby (Wali et al., 2020). Nursing Diagnosis
May be evidenced by
Desired outcomes and goals
Nursing Assessment and Rationales1. Assess the client’s or couple’s level of understanding. 2. Appraise knowledge toward the procedure. 3. Assess the level of stress and whether the procedure was planned or not. Nursing Interventions and Rationales1. Provide accurate information in easy-to-understand terms and clarify misconceptions. 2. Encourage the couple to ask questions and verbalize their understanding of the matter. 3. Review indications necessitating
alternative birth methods. 4. Explain preoperative procedures in advance and present rationale as appropriate. 5. Review the necessity for postoperative measures. 6. Educate the client preoperatively and reinforce learning postoperatively, including demonstration of
leg exercises, proper coughing, deep breathing techniques, incentive spirometry, splinting, and abdominal tightening exercises. 7. Stress anticipated sensations
further during the delivery and recovery period. 8. Use visual aids during teaching if necessary. 9. Discuss and develop a postoperative pain management plan and review the use of the pain scale. 1. Deficient KnowledgeRecommended ResourcesRecommended nursing diagnosis and nursing care plan books and resources. Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy.
See alsoOther recommended site resources for this nursing care plan:
Other care plans related to the care of the pregnant mother and her baby:
Recommended Resources
References and SourcesRecommended journals, books, and other interesting materials to help you learn more about cesarean birth nursing care plans and nursing diagnosis:
Reviewed and updated by M. Belleza, R.N. Gil Wayne graduated in 2008 with a bachelor of science in nursing. He earned his license to practice as a registered nurse during the same year. His drive for educating people stemmed from working as a community health nurse. He conducted first aid training and health seminars and workshops for teachers, community members, and local groups. Wanting to reach a bigger audience in teaching, he is now a writer and contributor for Nurseslabs since 2012 while working part-time as a nurse instructor. His goal is to expand his horizon in nursing-related topics. He wants to guide the next generation of nurses to achieve their goals and empower the nursing profession. Which factor puts a client on her first postpartum day at risk for hemorrhage?Uterine atony is the most common cause of postpartum hemorrhage.
Which of the following findings would be expected when assessing the postpartum client?Which of the following findings would be expected when assessing the postpartum client? Fundus 1 cm above the umbilicus 1 hour postpartum. Within the first 12 hours postpartum, the fundus usually is approximately 1 cm above the umbilicus. The fundus should be below the umbilicus by PP day 3.
Which of the following physiological responses is considered normal in early postpartum period?General Physiological Changes
The temperature is slightly elevated up to 37.2C (99F) along with increased shivering, sweating, or diaphoresis in the first 24 hours and normalizes within 12 hours.
Which medication would the nurse anticipate might need to be administered if the uterus becomes boggy again?Oxytocin (Pitocin) can be given IV 10 to 40 units per 1000 ml or 10 units intramuscularly (IM).
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A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth
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