%0 Journal Article
%T Clinical validation of the nursing diagnosis risk for disturbed maternal-fetal dyad in high-risk pregnancy: A case-control study.
%A Mendes RCMG
%A Morais SCRV
%A Pontes CM
%A Frazão CMFQ
%A França MS
%A Lopes MVO
%A Silva GP
%A Mangueira SO
%A Linhares FMP
%J Int J Nurs Knowl
%V 35
%N 3
%D 2024 Jul 24
%M 37615669
%F 1.15
%R 10.1111/2047-3095.12444
%X <B>OBJECTIVE: </B>To obtain evidence of the clinical validity of the nursing diagnosis (ND) risk for disturbed maternal-fetal dyad in high-risk pregnancy.<BR><B>METHODS: </B>Causal validation of the ND through a case-control study performed in a university hospital with 155 high-risk pregnant women: 31 cases and 124 controls. A causal association was found between the ND etiological factors and the occurrence of disruption of the symbiotic maternal-fetal dyad; an association was verified when the etiological factor presented a p-value <0.05 and odds ratio >1.<BR><B>RESULTS: </B>The risk factor absent-inadequate prenatal care; populations at risk, such as young-advanced maternal age and economically disadvantaged pregnant women; and association conditions, such as maternal conditions and compromised fetal oxygen transport, increased the outcome likelihood. The associated condition maternal illnesses appeared as a protective factor.<BR><B>CONCLUSIONS: </B>Evidence of clinical validity of the ND risk for disturbed maternal-fetal dyad was obtained, and an association between etiological factors and disruption of the symbiotic maternal-fetal dyad was found.<BR><B>CONCLUSIONS: </B>The results contribute to advance scientific knowledge in nursing teaching, research, and practice and support the nursing process in high-risk pregnancies.