What is the main focus of nursing care for a woman in labor with cardiovascular disease?

The main focus of nursing care for a woman in labor with cardiovascular disease is monitoring maternal and fetal well-being. This is critical because women with cardiovascular conditions are at a higher risk for complications during labor and delivery, both for themselves and their babies. Continuous assessment of vital signs, fetal heart rates, and any signs of distress or complications allows for timely interventions.

Monitoring helps to ensure that both the mother and the fetus are stable and that any signs of compromised health can be addressed promptly. It is essential not only to monitor the mother for any signs of heart failure or severe hypertension but also to closely observe the fetus for any indications of distress, which could arise from decreased uteroplacental circulation if the mother's condition deteriorates.

While other aspects of care, such as comfort measures, fluid management, and patient education, are also important, they become secondary to the paramount concern of ensuring the safety and well-being of both mother and child during this critical period. This approach helps minimize risks and improve outcomes for women with underlying cardiovascular diseases during labor.