Background: Pregnancy is a special event. The labour & birth process is an exciting, anxiety provoking situation for the woman & her family. Each woman comes into labour room with her own set of expectation, fear, preparation, pain threshold, personality & behavioural make up & ways of experiencing what is happening to her, which has to be managed effectively. The pain involved in labour & birth can sometimes dominate a pregnant woman or a couple throughout child, particularly as the baby's due date approaches. The time of labour & birth, though short, in comparison with the length of pregnancy, is the most dramatic & significant period of pregnancy for the expectant woman.Method: Quasi experimental study, pre and post-test design with quantitative approach was used. Setting of the study was in Pravara rural hospital, Loni (Bk).Those primigravida women who are above 19 years of age and fulfilling the inclusion criteria and were available during study period were the samples for this present study. Sample size was total 60 (30 of them to study group I and 30 of them to study group II).Purposive sampling technique was used for the study. Structured questionnaire was used to assess demographic and obstetrical variables, labor pain of mother was assessed by visual analogue scale and anxiety of the mother was assessed by the state -Trait Anxiety inventory scale.Results: Analysis showed that comparison of mean and SD of pretest level and posttest level of labour pain in study group I & II was very highly significant at P=0.001 level and comparison of mean and SD of pretest level and posttest level of anxietyin study group I & II was very highly significant at P=0.001 level. The result depicted that, there was statistical significance found in labour pain of primigravida mothers in study group I & II at P=0.01 level. Regarding anxiety of primigravida mothers in study group I & II, there was significant difference found at P=0.01 level. Conclusion:Labour is very sensitive phase of a women, fear and anxiety may be high in primi mothers during process of labour. Pharmacological and non-pharmacological method of pain relief are complementary procedures which help a woman suffer less anxiety and pain during childbirth. Thus this study conclude that back massage and breathing exercises provided more persistent pain relief and reduce anxiety. It is effective,
Background: Pregnancy and child birth is one of the greatest event in the life of a woman which she aspires and longs for with great expectation. She has fantasies about pregnancy and motherhood but when confronted with reality, many of them doubt their ability to cope with this great event.A woman generally has notion that child birth is unbearable pain. This is formed as a result of the tales heard during adolescence or later in life. Child birth is a natural and universal phenomenon. Yet the knowledge of it among average women is haphazard, incomplete or distorted. So, researcher felt the need to assess the awareness and perception regarding birthing process among pregnant women. Methods: Descriptive cross sectional research design was used with evaluative approach. Setting of the study was in tribal areas of Bhandardara. Samples were all pregnant women those who were available during study period. Sample size computed was total 100. Non probability convenient sampling technique was used for the study. Data was collected with help of dichotomous questionnaire on awareness and through interview their perception was assessed regarding birthing process.Results: Percentage wise distribution of pregnant women according to their weeks of pregnancy in which majority (48%) were in 13-28 weeks of gestation, (36%) of pregnant women were grand multigravida. Majority (43%) of sample were of the age group of 19-21 years. The highest percentage (44%) of respondents had secondary education. Majority (37%) of samples were farming .The highest percentage (57%) of sample belonged to Hindu religion .The highest percentage (71%) of sample belonged to joint family The highest percentage (44%) of sample had a family income of 3001-5,000 rupees .Area wise Distribution of mean ,SD and mean percentage of awareness score regarding birthing process shows that overall mean knowledge score was (21.41± 9.25) which is 42.82% of max score indicate that pregnant women had poor level of awareness regarding birthing process. Pregnant women perceived that when there is an eclipse of the sun or solar, birthing process is very difficult to manage. Conclusion:Findings of the present study concluded that the pregnant women had average knowledge regarding child birthing process. In this regard health personnel's play a very important role as they have to educate the women about birthing process and have a healthier pregnancy.
Background: Lactation is the secretion of milk by the mammary glands. The action of suckling an infant. Early initiation of breastfeeding is the first step in the success of a baby to learn to suckle first early after birth so that breast milk remains in production. Breast feeding is one of the oldest practices known to mankind for all infant, breast feeding remains the simple. Healthier and least expensive feeding method that fulfills the infant needs. It is considering as the most complete nutritional source for infants because breast milk contains the essential fats, carbohydrates, protein &immunological factors early initiation of breast feeding with one hours of birth is associated with a reduced risk of neonatal mortality. Methods: A observational research study was undertaken in labor room of Pravara Rural Hospital Loni Bk. A total of 60 intranatal mothers was selected with the help of systematic random sampling technique was used to assess the lactation initiation practices among intanatal mothers and to assess the maternal and neonatal outcome Latch score and APGAR SCORE was used to assess the neonatal outcome. Observational checklist was used to assess the lactation initiation practices and maternal outcome. Study Findings: The result showed that (81%) new born had all essential newborn care after the birth only the 5% of it did not get enough new born care. in relation to LATCH score was assessed the score shows that mean score was (2±1.92) which indicates poor score of latching where as in audible swallowing mean score was (0.67±0.81) it also indicates poor latch score in type of nipple mean score was (2.41±7.71) it indicates moderate latch score comfortable position mean score was 1.91±0.86 it indicates poor score Holding position mean score (2.15±0.94) it indicates poor score. Frequency and Percentage wise distribution LACH Score neonatal shows that L-in that highest frequency and percentage i.e. score 0 shows 38(63%), score 1shows 35(58%),Score 2shows 34(17%), A-Audible swallowing in that 0score shows 20(33%),1score shows22(36%),2 score s19(31%), T-Type of nipple in that 0score shows that 43(18%) 1Score shows 18(30%) score 2 shows 16(26% ) C-Comfort level in which 0 score shows 56(38%) 1 score shows 63(38%) 2 score shows 63(35%) H-Holding position 0score shows 35(58%) 1score shows 43(17%) 2 score shows 42(70%).APGAR score after the delivery within 15min new born APGAR score 91% newborn were mild depression ,5%were moderately depressed, 5% were severe depression it interprets that no neonatal mortality and morbidity. Conclusion: The intranatal mothers have lack of knowledge about breast feeding practices. This problem significantly have impact on maternal and fetal outcome, it was evident that nursing interventions such as lactation initiation practices does have significant impact in enhancing the maternal and fetal outcome.
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