Nursing care of a patient with twin gestation and preeclampsia in the Gynecology Department of a Lima clinic

Preeclampsia is a public health problem and one of the main causes of maternal and perinatal morbidity and mortality, manifested by hypertensive disorders in pregnancy, early diagnosis is essential to reduce complications. With the objective of describing the nursing care in a patient with twin pregnancy and preeclampsia from the gynecology service of a clinic in Lima. The study was carried out with a qualitative approach, single case type, applying the nursing care process (PAE), the assessment guide of the 11 functional patterns of Marjory Gordon in a 33-year-old patient with a 30-year-old twin gestation was used as an instrument. weeks and with preeclampsia. In the results, eight altered functional patterns were identified, prioritizing the sexuality/reproduction pattern: Risk of alteration of the maternal-fetal dyad as evidenced by inadequate prenatal care associated with pregnancy complications. The applied interventions were effective, appreciating the decrease in the risks of preeclampsia; however, faced with the problem of complication of the prenatal period: Risk of malignant hypertension related to pregnancy, the clinical manifestations were stabilized. In conclusion, it was possible to identify the clinical characteristics of the patient with a twin pregnancy with preeclampsia, as well as the identification and description of the risk factors, which allowed highlighting the importance of nursing care, through the development of a care plan. individualized nursing care to reduce complications in the maternal-fetal dyad, framed in the nursing process that identified problems and risks of complications, and at the same time, allowed timely and quality care to be provided.