Shenbagavalli, S (2016) Effectiveness of Selected Nursing Intervention on Maternal and New Born Outcome among Primigravida Mothers at Selected Hospitals, Tamilnadu. Doctoral thesis, The Tamilnadu Dr.M.G.R. Medical University, Chennai.
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Abstract
Pregnancy and childbirth are universally celebrated events, yet childbirth is one of the most common stressed and painful situation which adversely affect the maternal and child health. If a woman is healthy, she can go through pregnancy and childbirth with minimum discomforts and complications. STATEMENT OF THE PROBLEM: Effectiveness of selected nursing intervention on maternal and new born outcome among primigravida mothers at selected hospitals, Tamilnadu. OBJECTIVES: 1. To assess the maternal and new born outcome in experimental and control group among primigravida mothers. 2. To evaluate the effectiveness of selected nursing intervention on maternal and new born outcome among experimental and control group of primigravida mothers. 3. To find out the association between post test scores on maternal outcome among experimental and control group of primigravida mothers with their selected demographic variables. 4. To find out the association between post test scores on new born outcome among experimental and control group of primigravida mothers with their selected demographic variables. HYPOTHESES: Hi: There is a significant difference in effectiveness of selected nursing intervention on maternal outcome among primigravida mothers in experimental and control group. H2: There is a significant difference in effectiveness of selected nursing intervention on new born outcome among primigravida mothers in experimental and control group. H3: There is a significant association between post test scores of maternal outcome among experimental and control group of primigravida mothers with their selected demographic variables. H4: There is a significant association between post test scores of new born outcome among experimental and control group of primigravida mothers with their selected demographic variables. RESEARCH METHODOLOGY: A true experimental design was used in this study. The sample size of the study was 231 primigravida mothers from 37-42 weeks of gestational age, the instrument used for data collection were a visual analogue scale, observational check list and Apgar score chart and structured interview to collect demographic variable. Selected nursing interventions (Experimental group) and routine labour care (Control group) was given to primigravida mothers on individual basis. Effectiveness of Selected Nursing Intervention on Maternal and New born Outcome among primigravida mothers was measured by Visual Analogue Scale (VAS), observational check list and Apgar score chart. RESULTS: • Selected nursing interventions are effective in reducing pain level and maternal and new born outcome. The ‘t’ test value for experimental group level of pain perception significantly reduced, during latent phase of labour was 5.70 (p<0.05), active phase of labour was 7.63 (p<0.05) and transitional phase of labour was 8.61 (p<0.005) than the control group. • In experimental group, the maternal outcome ‘t’ test value was 10.69 (p<0.005 significant), Apgar score ‘t’ test value was 3.14 (p<0.005 significant), new born outcome ‘t’ test value was 8.95 (p<0.005 significant) than control group. • There is no significant association between post test scores of maternal and new born outcome with demographic variables of primigravida mothers in experimental and control group. • There is significant association between post test scores of maternal and new born outcome with demographic variables of primigravida mothers control group with income and antenatal check up. IMPLICATIONS: The study has major implications for nursing practise, nursing education, nursing administration and nursing research. CONCLUSION: Selected nursing interventions of slow-paced breathing exercise, sacral massage, position changes and breast crawl were an effective intervention to reduce the level of pain perception, and promote maternal and new born outcome among primigravida mothers. Selected nursing interventions were effective than routine labour ward care among primigravida mothers. The result of the study showed that routine practice of these selected nursing intervention would be beneficial in reducing the level of pain and promote maternal and new born outcome.
| Item Type: | Thesis (Doctoral) |
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| Additional Information: | 29180/2013 |
| Uncontrolled Keywords: | Selected nursing intervention, Primigravida mothers, Maternal and Newborn outcome. |
| Subjects: | NURSING > Obstetrics and Gynaecology Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 11 Jan 2022 02:14 |
| Last Modified: | 10 Apr 2022 14:07 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13193 |
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