Kavitha, S (2022) An Experimental study to Evaluate the Effectiveness of Acupressure Shiastu on Enhancing Lactation among Primipara Mothers by Estimating Serum Prolactin Level at Selected Hospitals, Kanchipuram District. Doctoral thesis, The Tamil Nadu Dr. M.G.R. Medical University, Chennai.
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Abstract
Initiation of breast milk within the first hour after birth is found to be healthiest food for the newborn. The world health organization recommends exclusive breast feeding for the infant 0-6months. The exclusive breast feeding is defined as giving breast milk or no other food or drink, not even sips of water except oral rehydration solution and vitamin supplements for the first 6 months. A global target was set by world health assembly to increase the exclusive breast feeding rate globally to 50% by 2025. Breast feeding is also reduces the risk of diabetes, osteoporosis, breast, endometrium and ovarian cancer in later years of women’s life. Not only this the breast feeding is also got greater advantages like; breast milk is cheap, readily available for 24x7, no time is necessary for preparation available at correct temperature and safe for the newborn. The breast feeding helps in the reduction of baby’s risk for developing type 1 diabetes, sudden death syndrome, pneumonia, cough, cold gastro intestinal problems such as constipation, vomiting diarrhea, indigestion and prevents from other infections and diseases such as; urinary tract infections, ear infections, childhood cancers, celiac disease, chrohn’s disease, heart disease, liver disease, ulcerative colitis, meningitis etc., The inadequate breastmilk production will be major causes for the mothers to stop breast feeding or to start early weaning habits in newborn. The major issues which are cited for inadequate milk production are latching issues on feeding, infant health problems or inadequate calorie intake of the mothers during the process of lactation. STATEMENT OF THE PROBLEM AN EXPERIMENTAL STUDY TO EVALUATE THE EFFECTIVENESS OF ACUPRESSURE-SHIASTU ON ENHANCING LACTATION AMONG PRIMIPARA MOTHERS BY ESTIMATING SERUM PROLACTIN LEVEL AT SELECTED HOSPITALS, KANCHEEPURAM DISTRICT OBJECTIVES 1. to assess the pre test and post test level of knowledge on exclusive breast feeding and serum prolactin level among primipara mothers. 2. to evaluate the effectiveness of Acupressure-shiastu among primipara mothers in experimental and control group. 3. to find the association between the selected demographic variables and post-test level of serum prolactin among primigravida mothers 4. to find out the association between the selected demographic variables and Knowledge among primigravida mothers HYPOTHESIS H1: There will be a significant difference in pretest and post test level of serum prolactin level among primipara mothers in experimental group and control group. H2: There will be a significant difference in knowledge and practice on exclusive breast feeding among primipara mothers in experimental group and control group RESEARCH METHODOLOGY True experimental pre test post test design was adopted and probability Simple Random sampling was used to select the samples. Based on the sampling criteria totally 326 samples were selected for this study, out of this 163 samples were grouped in experimental group and treated with acupressure shiatsu and educational intervention and 163 samples were grouped in control group and treated with educational intervention regarding exclusive breast feeding. On 3 rd day pre intervention stage, LATCHES breast feeding assessment and charting system was used to identify mothers with insufficient breast milk production. The mothers blood samples had been collected in pre intervention stage then experimental group mothers received acupressure-shiastu, the control group received instructional module alone. On the 5" day, the mothers blood sample had been collected for sr. prolactin level on post intervention stage. RESULTS ACUPRESSURE — SHIATSU GROUP In experimental group pre test serum prolactin level shows the mean score was 68.6135, standard deviation of 12.45601 with the standard error mean of 0.97563. In post test the mean score was 103.9571,standard deviation of 10.20430 and the standard error mean was 0.79926. This proves that the serum prolactin level was increased and statistically significant with the t value 32.704 at p<0.001. EDUCATIONAL INTERVENTION GROUP In pre test shows the mean score was 69.295, standard deviation was 12.647 with the standard error mean of 0.99060. In post test the mean score was 98.896 with the standard deviation of 12.568 and the standard error mean was 0.984. This proves that the knowledge score in the control group was improved and statistically significant with the t value 33.505 at p<0.001. CONCLUSION The study concluded that acupressure shiatsu. was effective in enhancing lactation and educational intervention was also effective in improving the knowledge score on exclusive breast feeding and LATCHES score among primipara mothers IMPLICATIONS The findings of the study has several implications for nursing practice, nursing education, nursing administration and nursing research. The study findings helps to enhance the lactation and knowledge on exclusive breast feeding among the primipara mothers. The nursing professionals working in hospital and community knowing the self-help techniques of Acupressure-shiastu in enhancing lactation and helps in planning and implementation of health teaching. Nurse educators should formulate the educational intervention programme about lactation enhancement, complications of inadequate lactation and its management within institution by using the alternative therapies especially the technique of Acupressure shiatsu. Nurse administrator should plan of breast feeding programme and strategies about BHFI- Baby friendly Hospital Initiatives.
| Item Type: | Thesis (Doctoral) |
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| Additional Information: | 21073/2014 |
| Subjects: | NURSING > Obstetrics and Gynaecology Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 25 Dec 2022 15:36 |
| Last Modified: | 27 Dec 2023 16:00 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/21090 |
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