Effect of structured teaching programme on knowledge regarding modified partograph among auxiliary nurse midwives in selected community health centers

Abstract

Maternal mortality remains one of the major problems in developing countries. In India the incidence of women dying while giving birth is among the highest in the world. The partograph has been considered as one of the valuable tool in the improvement of maternity services.Partogram serves an “early warning system” and assist in early decision on transfer, augmentation and termination of labour. It also increases the quality and regularity of all observations on the fetus and the mother in labour, and aids early recognition of problems with either. Partograph prevents prolonged labour effectively and thus reduces the risk of postpartum hemorrhage, sepsis uterine rupture, operative interventions and improving neonatal outcomes and reducing fetal mortality and morbidity. A pre-experimental one group pre-test, post-test design was used to observe the effect of structured teaching programe among Auxiliary Nurse Midwives regarding modified partograph. Reliability of the tool was tested by Karl Pearson (Correlation Coefficient) formula and it was found reliable r = 0.803. 60 samples were selected for the main study by non-probability convenient sampling technique. Highest percentage of Auxiliary Nurse Midwives (38.3%) were in the age group >35 years and (88.3%) were married. Highest percentage of Auxiliary Nurse Midwives (66.6%) were having high school basic qualification and (85%) were from 18 months revised auxiliary nurse midwives MPHW (F). Highest percentage of Auxiliary Nurse Midwives (58.3%) had 9 years and above total clinical experience, (41.6%) had 7 and above years of experience in labour room and (33.3%) Auxiliary Nurse Midwives had seldom used partograph in labour room. Highest percentage of Auxiliary Nurse Midwives (86.6%) had previous source of information during training. Highest percentage of Auxiliary Nurse Midwives (46.6%) agreed that partograph sheet is been supplied by the concerning department, (75%) agreed that use of partograph is allowed by medical officers / gynaecologists where (63.3%) are confident in using partograph.