Affiliation:
1. Nursing Department Federal University of Pernambuco Recife Pernambuco Brazil
2. Nursing Department Federal Institute of Pernambuco Abreu e Lima Pernambuco Brazil
3. Nursing Department Federal University of Ceará Fortaleza Ceará Brazil
Abstract
AbstractPurposeTo obtain evidence of the clinical validity of the nursing diagnosis (ND) risk for disturbed maternal–fetal dyad in high‐risk pregnancy.MethodCausal validation of the ND through a case–control study performed in a university hospital with 155 high‐risk pregnant women: 31 cases and 124 controls. A causal association was found between the ND etiological factors and the occurrence of disruption of the symbiotic maternal–fetal dyad; an association was verified when the etiological factor presented a p‐value <0.05 and odds ratio >1.FindingsThe risk factor absent–inadequate prenatal care; populations at risk, such as young‐advanced maternal age and economically disadvantaged pregnant women; and association conditions, such as maternal conditions and compromised fetal oxygen transport, increased the outcome likelihood. The associated condition maternal illnesses appeared as a protective factor.ConclusionsEvidence of clinical validity of the ND risk for disturbed maternal–fetal dyad was obtained, and an association between etiological factors and disruption of the symbiotic maternal–fetal dyad was found.Implications for nursing practiceThe results contribute to advance scientific knowledge in nursing teaching, research, and practice and support the nursing process in high‐risk pregnancies.
Subject
Fundamentals and skills,Research and Theory
Reference25 articles.
1. Determinants of preterm birth among women delivered in public hospitals of Western Ethiopia, 2020: Unmatched case‐control study;Abadiga M.;PLoS One,2021
2. Maternal predictive factors for preterm birth: A case–control study in Southern Iran;Alavi A.;Journal of Education and Health Promotion,2021
3. Relationship between gestational risk and type of delivery in high risk pregnancy;Antunes M. B.;Revista da Escola de Enfermagem da USP,2020
4. Diabetes na gestação de alto risco e desfechos perinatais: Estudo caso‐controle;Backes G. M.;International Journal of Development Research,2019
5. Gestational growth trajectories derived from a dynamic fetal–placental scaling law