Parisuddha Rao, Koduri (2020) A Prospective study on Reporting of Critical Events of Low Risk Postnatal Women in the Postnatal Period who delivered in a teaching hospital in South India through Telephonic Conversation: An Observational study. Masters thesis, Christian Medical College, Vellore.
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Abstract
INTRODUCTION: Postnatally, the mother will be recovering physiologically from delivery. Some mothers can have problems like fever with foul smelling vaginal discharge, breast feeding issues, episiotomy wound pain, infection, issues related to personal hygiene, nutrition and issues regarding resuming sexual life. They may not seek medical help during postnatal period for minor illness. Though continuous postnatal medical and supportive care during postnatal period is the best for mother and the neonate, it is not provided adequately because of lack of medical personnel, lack of transport facilities and financial support. OBJECTIVE: To assess the prevalence of maternal and neonatal complications (reporting of critical events) in the low risk postnatal women in puerperal period. METHODS: This is a prospective observational study which was done in the department of Obstetrics and Gynecology at Christian Medical College, Vellore. Low risk postnatal mother and baby pairs up to postnatal day 4 at the time of discharge were invited to participate for study. The patients were contacted at 2nd and 4th week of postpartum by telephonic contact and advised patients to call whenever mother and baby has problem. The prevalence of maternal and neonatal concerns was assessed at the end of the study by its frequency. Comparison of quantitative variables were done by mean and median. RESULTS AND CONCLUSIONS: The incidence of maternal events at 2nd week vs 4th week of postpartum are, wound related events 57 vs 14, breast related 23 vs 14, secondary PPH 7 vs 1, UTI 11vs 4. The major events for mothers from our study are wound related concerns 26.19%, breast feeding related 13.65%, loose stools and constipation 7.40%, fever 6.27%, Urinary tract infection 5.53%, secondary postpartum hemorrhage 2.95% and miscellaneous 5.13%. The incidence of maternal events from the 2nd week to 4th week of postpartum reduced from 131 to 54 events. Babies had a total of 51 critical events by 2nd week. Out of which 25% events are for common cold, 23% events for excessive crying, 13% for umbilical discharge, 11% for loose stools and 25% events miscellaneous. Babies had a total of 22 events from the beginning of 3nd week to 4th week of postpartum. Most of the events for common cold, loose stools, excessive crying and miscellaneous. The total events for babies at the end of 2nd week is 51 and at the end of 4th week is 22. The incidence has reduced to more than half by the end of 4th week postpartum. The major concerns for babies from our study are common cold 6.64%, excessive crying 5.16%, discharge from the umbilicus 2.95%, loose stools 2.95%, and miscellaneous 6.21%. Bivariate analysis showed, there is no significant relation between socio demographic variables and critical events for mothers as well as for babies. Most of the critical events are happening in the second week for mothers as well as for babies. So, the mother-baby pair can have postnatal visit at 2nd week of postpartum in addition to visit at 6th week of postpartum. Follow up of the critical events will tell the magnitude of critical events.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221816408 |
| Uncontrolled Keywords: | Critical Events, Low Risk Postnatal Women, Postnatal Period, teaching hospital, South India, Telephonic Conversation. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 18 Feb 2021 15:12 |
| Last Modified: | 27 Jun 2021 12:44 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14306 |
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