Nursing diagnoses in high-risk pregnant women in a maternity hospital in northeast Brazil

Abstract

Objective: To evaluate Nursing Diagnoses (ND) in pregnant women with high-risk prenatal care attended at a reference maternity hospital in a municipality in the state of Maranhão in 2022. Method: This is a descriptive, cross-sectional research with a quantitative approach. A form was used for data collection, based on Wanda de Aguiar Horta's theory of Basic Human Needs. Information was collected from medical records. Clinical judgment was based on the formulation of diagnoses from NANDA taxonomy II (2021/2023). Results: Thirty-two pregnant women between 18 and 41 years old participated in the study, with 31.3% between 30 and 35 years old. Of these, 46.8% were single, 78.1% were of mixed race, 46.9% had completed high school, 40.7% were housewives, 59.4% earned up to R$700, 53.1% were Catholic, 31.2% were 7 to 15 weeks pregnant, 50% had one child, 71.8% had not miscarried, and 84.3% had no underlying diseases. The most prevalent EDs were: sedentary lifestyle, risk of unstable blood glucose, fatigue, readiness for improved knowledge, sexual dysfunction, anxiety, readiness for improved self-concept, risk of spiritual distress, risk of falls in adults, and impaired comfort. Conclusion: Identifying EDs is a fundamental step in the care of high-risk pregnant women, as it supports the implementation of essential interventions based on their needs.