Nursing diagnosis Ineffective childbearing process

Domain 8. Sexuality
Class 3. Reproduction
Diagnostic Code: 00221
Nanda label: Ineffective childbearing process
Diagnostic focus: Childbearing process

Table of Contents

Introduction to Nursing Diagnosis Ineffective Childbearing Process
Conclusion
5 FAQs

Introduction to Nursing Diagnosis Ineffective Childbearing Process

The NANDA Nursing Diagnosis lists Ineffective Childbearing Process as a nursing diagnosis related to any difficulty experienced by a woman during pregnancy, labor, delivery and early post partum period. During this stage of life, it is vitally important for women to feel safe and supported by their health care team. When nursing diagnosis of ineffective childbearing process is present, it is the nurse's responsibility to identify the patient and assess their risk factors, provide recommendations for further care, and monitor the effectiveness of interventions.

NANDA Nursing Diagnosis Definition

NANDA Nursing Diagnosis defines Ineffective Childbearing Process as the inability to manage physiologic, psychosocial and spiritual dimensions of the childbearing process in a manner sufficient to reach the expected outcome. The expected outcome is reaching the goal of the safe completion of a successful pregnancy and delivery.

Defining Characteristics

The defining characteristics of Ineffective Childbearing Process nursing diagnosis include, but are not limited to:

Subjective
- Fears about outcome of pregnancy and delivery
- Fear of childbirth or labor process
- Expressions of discouragement
- Concern about lack of assistance
Objective
- Signs of stress responses including increased pulse, sweating, shortness of breath, etc.
- Verbalizations of traumatic past experiences related to pregnancy and childbirth
- Unrealistic expectations
- Inadequate or improper nutrition

Related Factors

The related factors associated with Ineffective Childbearing Process nursing diagnosis can include any of the following:

Lack of knowledge of the process
Feeling of helplessness
Inadequate support systems
Insufficient self-care skills
Fears related to labor and delivery
Fear of maternal or fetal death
Cultural values and beliefs related to childbirth
Emotional instability
Inadequate access to prenatal care
History of previous traumatic birth experience
Unrealistic expectations based on personal standards

At Risk Population

Women at risk of developing Ineffective Childbearing Process nursing diagnosis may include those who are first time mothers, have poor nutritional status, teenagers, women with low socio- economic status, underweight women, those with poor relationship with significant family members, those with difficult pregnancies or physical disabilities, or those with inadequate or no prenatal care or visits.

Suggestions for Use

When assessing for Ineffective Childbearing Process nursing diagnosis, it is important for nurses to involve the woman in the assessment and decision making process as this will provide them with a more empowered role as directors of their own health outcomes. Listening and offering support is key when providing care for this diagnosis.

It is also important for nurses to assess for any underlying causes that may be contributing to the diagnosis such as socioeconomic, environmental, and cultural factors. Screening for depression and anxiety should also be completed.

Suggested Alternative NANDA Nursing Diagnoses

Other suggested alternative NANDA nursing diagnoses related to ineffective childbearing process include Powerlessness, Noncompliance, Anxiety, Readiness for Enhanced Comfort, and Fear.

Powerlessness - Defined as an individual’s feeling of being unable to initiate and/or sustain the necessary effort to take action or make needed changes in a given situation.
Noncompliance - Defined as the deliberate or unintentional disregard of medical regimen, advice or orders.
Anxiety - Defined as an uncomfortable feeling of dread accompanied by an autonomic response.
Readiness for Enhanced Comfort - Defined as an individual’s motivation to make positive changes for managing labor and delivery.
Fear – Defined as mental distress owing to apprehension of danger or other ominous events.

Usage Tips

When utilizing the Ineffective Childbearing Process nursing diagnosis in practice, nurses should ensure they are competent in understanding the diagnosis and have evidence to support its use. They should also have an interprofessional team available to develop a plan of care, provide resources and education when deemed necessary and ensure safety of the mother and fetus throughout the process.

NOC Outcomes

Nursing interventions to treat Ineffective Childbearing Process nursing diagnosis should be individualized and will focus on improved maternal and fetal outcomes, as well as promoting client comfort throughout the childbearing process. The Nursing Outcomes Classification (NOC) provides an outline of achievable outcomes related to this nursing diagnosis. These outcomes include, but are not limited to:

Comfort Level – Refers to the state of having relief from physical pain or emotional strain; feeling of ease in one’s body.
Knowledge of Childbirth Process – Refers to understanding of the events of labor and delivery.
Childbirth Self-Efficacy – Refers to the individual’s confidence in their ability to cope with the labor and delivery process.
Safety Management – Refers to the safe maintenance of medications, treatments, and procedures throughout the labor and delivery process.
Self-Care – Refers to the ability to perform activities of daily living and self-care activities, such as nutrition and exercise.

Evaluation Objectives and Criteria

To evaluate the success of nursing interventions related to Ineffective Childbearing Process nursing diagnosis, nurses should assess patient experience or feedback, changes in behavior and functioning of the mother, and newborn vitals. Other criteria that can be used to assess the patient’s response to interventions include, but are not limited to reduction in fear, improved comfort level, improved knowledge and self-efficacy, and knowledge gained of proper safety management and selfcare practices.

NIC Interventions

The Nursing Interventions Classification (NIC) provides an outline of interventions related to this nursing diagnosis. These interventions include, but are not limited to:

Counseling – Providing individualized and/or group counseling sessions which address the patient’s concerns related to the childbearing process.
Health Teaching – Providing verbal and written educational materials to the mother which promotes an increase in her knowledge of the childbearing process.
Risk Identification – Assessing all aspects of the mother's health for potential risks during pregnancy and delivery.
Emotional Support – Offering emotional support to the mother and her family prior to, during and after the labor and delivery process.

Nursing Activities

Nursing activities relevant to Ineffective Childbearing Process nursing diagnosis are dependent upon the individualized goals of the patient. The activities should be guided by evidence-based practice protocols and should account for the wishes patients have expressed. Examples of activities may include:

Encouraging the patient’s participation in decision-making related to their care.
Assessing for and offering pain management procedures.
Offering companionship to the mother and family.
Developing an individual maternity plan of care.
Providing guidance and referral for community resources.
Education on options for delivery, pain management, infant positioning and more.

Conclusion

Ineffective Childbearing Process nursing diagnosis is an important area of care in nursing. It is the responsibility of the nurse to assess and plan the care to ensure the best outcomes attainable by the mother and her baby. By understanding the associated risks, possible interventions and desired patient outcomes, nurses can better understand their roles when caring for women experiencing this diagnosis.

5 FAQs

1. What is Ineffective Childbearing Process nursing diagnosis?
Ineffective Childbearing Process is a NANDA nursing diagnosis related to any difficulty experienced by a woman during pregnancy, labor, delivery, and early post partum period. The expected outcome is reaching the goal of a successful pregnancy and delivery.
2. What are the defining characteristics of Ineffective Childbearing Process nursing diagnosis?
The defining characteristics include subjective signs such as fears about the outcome of pregnancy and delivery, expressions of discouragement, or concern about lack of assistance and objective signs such as signs of stress responses, verbalizations of traumatic experiences, or unrealistic expectations.
3. What populations are at risk of developing Ineffective Childbearing Process nursing diagnosis?
Populations at risk may include those who are first time mothers, have poor nutritional status, are teenagers, have low socio- economic status, are underweight, have poor relationship with significant family members, have difficult pregnancies or physical disabilities, or lack of access to adequate prenatal care.
4. What nursing interventions should be used for Ineffective Childbearing Process nursing diagnosis?
Nursing interventions should focus on improved maternal and fetal outcomes, as well as promoting client comfort throughout the childbearing process. The Nursing Outcomes Classification (NOC) and Nursing Interventions Classification (NIC) provides an outline of achievable outcomes and interventions related to this nursing diagnosis.
5. How should nurses assess the effectiveness of Ineffective Childbearing Process nursing diagnosis interventions?
To assess the effectiveness of the intervention nurses should look for patient experience or feedback, changes in behavior and functioning of the mother, and newborn vitals. Reduction in fear, improved comfort level, improved knowledge and self-efficacy, and knowledge gained of proper safety management and selfcare practices can also be used to assess the patient’s response.

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