00208 Provision To Improve The Maternity Process

Domain 8: sexuality
Class 3: reproduction
Diagnostic Code: 00208
Nanda label: disposition to improve the maternity process
Diagnostic focus: maternity process
Approved 2008 • Revised 2013 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « disposition to improve the maternity process is defined as: Pattern of preparation and maintenance of a pregnancy, childbirth and care of the newborn healthy newborn, which can be reinforced.

Definite characteristics

During pregnancy

  • Expresses desire to improve knowledge about the maternity process
  • Expresses desire to improve the management of annoying symptoms during pregnancy
  • Expresses desire to improve the prenatal lifestyle
  • Express desire to improve the preparation for the newborn

During childbirth and birth

  • Expresses desire to improve the appropriate lifestyle for childbirth phase
  • Expresses desire to improve proactivity during childbirth and birth

After birth

  • Expresses desire to improve linking behavior
  • Expresses desire to improve baby care techniques
  • Express desire to improve baby feeding techniques
  • Express desire to improve breast care
  • Expresses desire to improve the safety of the environment for the baby
  • Express desire to improve lifestyle in postpartum
  • Express desire to improve the use of support systems

Suggestions of use

  • This is a diagnosis of good health. To obtain information about specialized care to favor healthy pregnancy, childbirth and birth, consult a book on the maternal-child relationship.

NOC Results

  • Behavior to promote postpartum maternal health: personal actions aimed at improving the health of a mother during the period after the birth of a child
  • Behavior to promote prenatal health: personal actions aimed at promoting health in pregnancy and newborn
  • Knowledge: degree of understanding expressed on labor and vaginal delivery
  • Knowledge: Care of the infant: scope of knowledge about the care of a baby from birth to a year
  • Knowledge: Pregnancy: degree of understanding expressed about the promotion of a healthy pregnancy and the prevention of complications
  • Knowledge: pregnancy and sexual function in postpartum: degree of understanding expressed about sexual function during pregnancy and postpartum
  • Knowledge: Postpartum maternal health: degree of understanding expressed about maternal health during the period after the birth of a child
  • Knowledge: maternal health prior to conception: degree of understanding expressed about maternal health before conception to guarantee a healthy pregnancy
  • Maternal status: Before childbirth: Degree in which maternal well -being is within normal limits, from conception to the beginning of labor
  • Maternal state: during childbirth: degree in which maternal well -being is within normal limits from the beginning of labor to birth
  • Maternal state: postpartum: degree in which maternal well -being is within normal limits from the expulsion of the placenta to the complete involution

Evaluation objectives and criteria

  • Demonstrates willingness to improve the maternity process, which is manifested by moderate or broad knowledge about: children’s care, childbirth and childbirth work, postpartum maternal health, maternal health prior to conception, pregnancy and sexual function during pregnancy and postpartum.
  • It demonstrates its disposition to improve the maternity process, which manifests itself as there is no deviation of the normal limits [of the maternal state: before delivery, during childbirth and after childbirth, the father-son attachment, the behavior to promote postpartum maternal health and behavior to promote prenatal health
  • Demonstrate knowledge: baby care, revealed by the following indicators (specify from 1 to 5: no knowledge, limited knowledge, moderate, substantial or broad):
    • Baby with normal characteristics
    • Hold the baby properly
    • Advantages and disadvantages of the different baby feed options
  • Demonstrate knowledge: labor and childbirth work, as manifested by the following indicators (specify from 1 to 5: no knowledge, limited knowledge, moderate, substantial or broad):
    • Different options to give birth
    • Signs and symptoms of labor
    • Effective breathing techniques
    • Effective placement techniques
  • Other examples

    before conception

    • The patient will express or prove to have knowledge about:
    • A healthy diet for women before conception
    • The environmental risks that should be avoided at work and at home
    • The importance of avoiding alcohol, tobacco and other drugs
    Prenatal Period

    • Look for timely prenatal attention; Go to your appointments
    • It maintains a healthy weight gain
    • Get dental care
    • Attendance classes for birth
    • Avoid the consumption of alcohol, tobacco and drugs for recreational use
    • Exercises regularly
    • Follow a nutritious diet
    during childbirth

    • Tolerates the discomfort of childbirth
    • Participate in techniques to reduce discomfort and facilitate childbirth
    • Vital signs do not deviate from the expected limits
    • Cervical dilation proceeds normally

    • Hug and caress the baby
    • makes visual contact; Place your face in front of the baby’s
    • makes positive comments about the baby
    • Comments on his resemblance to a relative (such as “has his father’s nose”)
    • Provides baby care (it changes the

    NIC Interventions

    • Advice before conception: detection and provision of information and support for people of fertile age before pregnancy to favor health and reduce risks
    • Care during childbirth: Surveillance and management of stages 1 and 2 of the birth process
    • Postpartum care: surveillance and management of the patient who has just given birth
    • Prenatal care: patient control and management during pregnancy to avoid complications and favor a healthy result for both the mother and the baby
    • Parent Education: Small Child: Instruction on food and the necessary physical care during the first year of life
    • Promotion of linking: facilitation of the development of the relationship with parents
    • Management of the environment: attachment process: manipulation of the patient’s environment to facilitate the development of the parents/infant relationship
    • Birth: Give birth to a baby
    • Preparation for childbirth: Offer of information and support to facilitate childbirth and improve the abilities of an individual to play the role of parent

    Nursing Activities

    • In general, nursing actions for this diagnosis are dedicated to the preparation, maintenance and consolidation of a healthy neonate, childbirth, childbirth. Many of the activities (and perhaps most) involve teaching, advice and surveillance. The details of the activities do not belong to the objective of this book; A specialized publication must be consulted in the relationship between the mother and the newborn. It is also recommended to consult the book Nursing Interventions
    • Classification (NIC) to find activities related to each of the aforementioned NIC interventions. Here only some examples are included.


    Previous period of childbirth

    • Determine if the parents had chosen children’s names
    • Explore Parent’s reaction to pregnancy
    • Establish a trust relationship
    • Investigate if there is physical abuse
    • Obtain a detailed sexual history

    Patient and family education

    • (NIC) Advice prior to conception
      • Teach ways to avoid teratogens (for example, management of cat excrement, quit smoking and use alcohol substitutes)
      • Talk about specific forms of pregnancy preparation, including the social, economic and psychological demands of motherhood and parenting
      • Instruct about the relationships between early fetal development and personal habits, the use of medicines, teratogens and the necessary self -care (for example, vitamins and prenatal folic acid)
      • Recommend the necessary self -care during the period prior to conception

    Collaboration activities

    • Channel to follow -up attention, if necessary
    • Channel to a genetic advisor if there are risk factors
    during childbirth

    • (NIC) Birth-, consult the treating doctor about the indicators of real or potential complications


    Previous period of childbirth

    • Allow parents to listen to fetal beat as possible
    • Show the parents the image of ultrasound and talk to them about it
    • (NIC) Advice prior to conception
      • Before conception, develop a profile on health risks for pregnancy, based on history, the use of prescribed medications, ethnic origin, work and home exposure factors, diet, specific genetic disorders and habits (for example, smoking, alcohol and drug use)
    during childbirth

    • Limit the number of people present in the delivery room
    • Encourage the most close relative to participate in childbirth and birth
    • (NIC) Birth
      • Offer privacy and quiet environment during childbirth
      • Help the patient be placed in childbirth position
      • Indicate the patient to breathe in a shallow way (for example, “panting”) when the child’s head comes out
      • Praise the mother’s efforts

    • (NIC) Environment Management: APEGE PROCESS
      • Create an environment that allows privacy
      • Maintain a low level of stimulation in the patient’s environment and her family
      • Allow the father or another relative to sleep in the room with the mother
      • Reduce interruptions of telephone calls and hospital staff
      • Allow visits from relatives, as they wish, (but) preventing visitors from interrupting the family