Care for pregnant and postpartum woman with intrauterine fetal death in a full-term pregnancy

Abstract

Aim. The aim of the article is to present a care plan for a pregnant and postpartum woman who has experienced intrauterine fetal death, based on an individual case study.

Material and methods. The paper uses a case study method to describe a patient with intrauterine fetal death in a full-term pregnancy. The care plan includes interview techniques, medical documentation analysis, observation, clinical nursing indicators (C-HOBIC), and the Edinburgh Postnatal Depression Scale (EPDS). The case follows CARE guidelines and utilizes ICNP® terminology, integrated with WHO-FIC.

Results. The main problems the patient experienced due to intrauterine fetal death were emotional consequences of the loss, such as stress, despair, and helplessness. This created a need for support, calm communication and appropriate management of further treatment. Additionally, the woman struggled with physical labor pain, sleep problems and lowered mood, which made self-care difficult. The interventions provided alleviated these complaints.

Conclusions. The presented plan of care allows for the implementation of individualized interventions, significantly supporting the patient’s adaptation to her new reality and the grieving process. Collaboration between the midwife and the multidisciplinary team improved the patient’s and her family’s quality of life. The findings emphasize the need for compassionate, evidence-based care that addresses the complex needs of women experiencing loss.