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Constipation related to Pregnancy (Hyperemesis Gravidarum)

Hyperemesis gravidarum is vomiting occur until 20 weeks gestation, so great, where all that is eaten and drunk vomited thereby affecting the general condition and daily work, weight loss, dehydration, there is acetone in the urine.

Nausea and vomiting are the most common disorders in the first trimester of pregnancy or approximately 6 weeks after the last menstrual period for 10 weeks. Approximately 60% -80% primigravida and 40% -60% multigravida experience nausea and vomiting. However, these symptoms become more severe in only 1 in 1000 pregnancies. Hyperemesis gravidarum began to occur in the fourth to the tenth week of pregnancy and then will be improved in general at the age of 20 weeks, but in some cases can be continued through the next stage pregnant. Gadsby, et.al (1993) reported that almost 10% of clients found the symptoms persist hyperemesis gravidarum during pregnancy.

Constipation is a digestive condition where you can bowel movement fewer than three times a week. Constipation is a common problem experienced by pregnant and postpartum women. High pregnancy hormones make muscles in the bowel movements slowed. in addition, a growing fetus will push the large intestine that interfere with their normal activities. Postpartum, constipation caused by episiotomy (cutting and suturing the vaginal lips back), or at cesarean delivery, which temporarily paralyzed colon because of the anesthesia. Have a variety of symptoms such as constipation hard bowel movements, bloating, or form a hard dirt and small. so you should already feel the urge to defecate, get to the bathroom because it would hold a bowel movement make constipation worse.


Nursing Diagnosis and Interventions for Constipation

Goal: constipation resolved

Expected outcomes:
  • Perform regular defecation.
  • Mushy stool consistency.
Intervention:
  1. Teach the importance of a balanced diet.
  2. Review the list of foods that contain lots of fresh fruits in shell, husk, beans, breads and cereals, fruits and cooked vegetables, fruit juices, including nearly 800 grams of fruits and vegetables every day for normal defecation.
  3. Gradually increase fiber foods.
  4. Encourage fluid intake 2 liters (8-10 glasses) unless there are contraindications.
  5. Encourage drinking a glass of warm water 30 minutes before breakfast.
  6. Teach how to memasase lightly on the lower abdomen while on the toilet.

Rational:
  1. The balance of dietary intake to minimize the incidence of constipation eat.
  2. Consuming foods that contain lots of fiber will prevent the client from constipation.
  3. Maintaining a balance of fiber in the body of the patient to meet the needs of fiber body.
  4. Consuming enough fluids to maintain adequate metabolic status.
  5. Drinking warm water can induce intestinal stimulation for defecation.
  6. Doing abdominal massage can stimulate the intestinal peristaltic causing defecation desire.

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