A Case Report of Nursing Intervention for a Patient with Uterine Incarceration at 14th Weeks of Gestation Complicated by Acute Urinary Retention

Chong Yang; Yadan Wang; Yuhong Liu; Longhai Song

doi:10.26689/aogr.v3i5.12701

Chong Yang Affiliated Hospital of Hebei University, Baoding 071000, Hebei, China
Yadan Wang Affiliated Hospital of Hebei University, Baoding 071000, Hebei, China
Yuhong Liu Affiliated Hospital of Hebei University, Baoding 071000, Hebei, China
Longhai Song Department of Urology, Affiliated Hospital of Hebei University, Baoding 071000, Hebei, China

DOI: https://doi.org/10.26689/aogr.v3i5.12701

Keywords: Pregnancy, Uterine incarceration, Manual reduction, Nursing

Abstract

This paper summarizes the management and nursing experience of a rare case involving uterine impaction with acute urinary retention in mid-pregnancy (14^th week). Following the failure of conservative treatment, a multidisciplinary team (comprising obstetricians, sonographers, and specialist nurses) collaborated to perform manual reduction under real-time ultrasound guidance, achieving successful resolution. Nursing priorities spanned three phases of manual reduction: pre-, intra-, and post-procedure stages. Comprehensive measures encompassed clinical observation, positioning interventions, bladder management, psychological support, and infection control, yielding favourable maternal and neonatal outcomes. This case underscores that early recognition of entrapment signs and tailored, precision nursing management according to the patient’s condition are pivotal for favourable outcomes.

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