Risk Of Alteration Of The Maternal-Fetal Dyad

Risk Of Alteration Of The Maternal-Fetal Dyad



Nursing Diagnosis: Risk of Alteration of the Maternal-Fetal Dyad is a diagnosis term used in nursing. It is intended to describe any condition that may potentially cause an alteration in the relationship between a pregnant woman and her fetus. This diagnostic term focuses on identifying potential risk factors or environmental conditions that can lead to compromised fetal health.

Nursing Diagnosis Definition

The definition of Nursing Diagnosis: Risk of Alteration of the Maternal-Fetal Dyad is any condition that has potential to cause negative outcomes and compromise the maternal/fetal relationship.

Defining Characteristics


  • Risk Perception - Perception of inadequate ability to cope with the situation.
  • Altered Coping - Changes in behavior showing difficulty in responding effectively to expected demands.
  • Ineffective Health Maintenance - Inability or reduced ability to maintain desired health.
  • Altered Comfort - Feeling of unease or pain.


  • Decreased Social Interaction - Reduction in desired social activities.
  • Increased Blood Pressure - Blood Pressure elevated from baseline.
  • Unhealthy Eating Habits - Eating habits inadequate for desired health.
  • Anxiety - Increased feelings of apprehension or fear due to identified or unknown stimuli.

Related Factors

  • Maternal Factors - Mental, physical, and socio-economic state of the mother such as alcohol or drug use, chronic illness, financial strain, and stress.
  • Environmental Factors - Lack of resources, access to healthcare, or environmental toxins.
  • Fetal Factors - Unexpected illnesses or deformities of the fetus.

Risk Population

Risk of Alteration of the Maternal-Fetal Dyad is a risk due to any condition that can cause harm to the mother or baby. This includes those with high risk pregnancies, women of low socioeconomic status, increased age at time of pregnancy, high stress levels, substance abuse, and other high risk factors.

Associated Problems

Problems associated with Altered Maternal/Fetal Dyad include pre-term labor, low birth weight infants, poor or delayed development of the infant, and even fetal death.

Suggestions for Use

Nurses should utilize this Nursing Diagnosis when caring for pregnant women to identify potential risk factors that may be leading to an alteration in the maternal/fetal relationship.

Suggested Alternative Nursing Diagnosis

  • Knowledge Deficit - Lack of knowledge related to pre-pregnancy care, nutrition, or other pregnancy related topics.
  • Ineffective Coping - Difficultly in responding effectively to expected demands.
  • Powerlessness - Inability to influence a desired outcome.
  • Risk for Decreased Cardiac Output - Potential for reduced flow of blood and oxygen throughout the body.

Usage Tips

  • Perform appropriate assessments to identify any maternal and fetal risks.
  • Educate patients about different methods for identifying and managing potential risks.
  • Utilize collaborative interventions to promote and maintain a healthy maternal-fetal relationship.

NOC Results

  • Health Seek - Actively pursue and accept input and advice related to pre-pregnancy, pregnancy, and postpartum health.
  • Comfort Level - Individuals ability to experience a sense of comfort and relaxation.
  • Nutrition Status - Individual's ability to sustain adequate intake of vitamins and minerals to meet metabolic need.
  • Hygiene Status - Ability to maintain cleanliness and acceptable personal appearance.

NIC Interventions

  • Health Promotion - Education and guidance aimed at enhancing intrinsic and extrinsic recovery.
  • Family Processes - Assistance with issues related to family functioning and communication between family members.
  • Family Preservation - Intervention to help preserve the integrity of the family unit.
  • Social Network Enhancement - Facilitation of connection with an individual's existing social network and development of community relationships.


Nursing Diagnosis: Risk of Alteration of the Maternal-Fetal Dyad is an important diagnosis to consider when evaluating a pregnant woman for any potential risk factors that may lead to a disturbance in the maternal-fetal relationship. Utilizing appropriate assessments, nursing interventions, health education, and collaboration with the patient can help reduce any potential risks to the mother and baby.


  • What is a maternal-fetal dyad? A maternal-fetal dyad describes the relationship between a pregnant woman and her fetus.
  • What are some associated problems with Risk of Alteration of the Maternal-Fetal Dyad?Associated problems include pre-term labor, low birth weight infants, poor or delayed development of the infant, and even fetal death.

Isabella White

Hello to all nursing enthusiasts! I'm Isabella White and I'm thrilled to welcome you to this space dedicated to the exciting world of nursing. Let me share a little about myself and what we can expect together on this journey. About Me: Nursing is more than just a profession to me, it's a calling. When I'm not caring for my patients or learning more about health and wellness, you'll find me enjoying the great outdoors, exploring new trails in nature, or savoring a good cup of coffee with close friends. I believe in the balance between caring for others and self-care, and I'm here to share that philosophy with you. My Commitment to You: In this space, I commit to being your reliable guide in the world of nursing. Together, we'll explore health topics, share practical tips, and support each other on our journeys to wellness. But we'll also celebrate life beyond the hospital walls, finding moments of joy in the everyday and seeking adventures that inspire us to live fully. In summary, this is a place where nursing meets life, where we'll find support, inspiration, and hopefully a little fun along the way. Thank you for joining me on this exciting journey. Welcome to a world of care, knowledge, and connection! Sincerely, Isabella White

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