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Introduction: Normal vaginal delivery is the
natural process where as mother with LSCS face difficulty during postnatal
period due to surgical procedure; with a view to this, the study was conducted
to evaluate the effectiveness of video assisted teaching regarding practice on
selected postnatal exercises among LSCS mothers delivered in SVBCH, Silvassa
and Dadra & Nagar Haveli.
Methodology: Quasi experimental, pre-test and post-test control group
research design was adopted. Non probability, convenient sampling technique was
used to select 80 LSCS mothers (40 in controls and 40 in experimental groups)
falls in inclusion criteria. Checklist for selected postnatal exercises was
used for data collection.
Results: Homogeneity of the Experimental and control group was
assessed by Chi-square test which shows non-significant at 0.05 level of
significance except in family monthly income, religion and type of family. Effectiveness of Video assisted
teaching regarding practice on selected postnatal exercises was established by
unpaired ‘t’ test (t(78,0.05)=15.3966>1.96) shows significant. Association was assessed by Chi square test which shows no
significant association between pre-test practice score and selected socio
demographic variables except type of family and family monthly income.
Conclusion: Present study shows that video assisted teaching on
selected postnatal exercises among LSCS mothers was effective.
Keywords: Lower segmental
caesarean section, Video assisted teaching, Postnatal exercises, Observation
checklist, Unpaired ‘t’ test and Chi-square test
INTRODUCTION
The concept of women health has a
wider horizon. The health of the women actually represents the health of the
country she comes from. The women are the primary care taker, first educator
and blazers the next generation. They are the nucleus of our society [1].
Pregnancy and delivery is the normal physiological process and the outcomes of
the most pregnancies are good. The postnatal period or puerperium is
an adjustment after delivery. When the anatomical and physiological changes of
pregnancy are reversed and the body returns to the normal stage, it compared an
amazing variety of complex physiological and psychological adaptation. It
starts as soon as the placenta is expelled and extends up to the period of six
weeks. During this time women recover from the stress of pregnancy and
delivery. Studies show that physiological adaptation of post natal mother in
normal vaginal delivery is sooner than the caesarean section delivered mother
due to the wound in the uterus [2]. Care for postnatal mother with lower segmental caesarean section is
most important because the delivery is conducted by the surgical procedure
under the anesthesia. Post natal mothers to be given
essential care in terms of postnatal diet, personal hygiene, postnatal
exercises, family planning, care especially LSCS mothers of lower segmental
caesarean section wound, preparation of parental role, regular follow up, care
of new born, breastfeeding and immunization of the baby [2-4].
Women who have had lower segmental uterine
caesarean section usually need a long recovery period than those who had
vaginal birth. Factors such as blood loss, trauma during delivery, infection or
fatigue can place the lower segment caesarean section mother at risk or even
death.
OBJECTIVES
OF THE STUDY
·
Assess the pre-test practice
score on selected postnatal exercises among lower segmental caesarean section
mothers in experimental and control group.
·
Evaluate the effectiveness
of video assisted teaching regarding practice on selected postnatal exercises
among lower segmental caesarean section mothers.
·
Associate the pre-test
practice score on video assisted teaching regarding selected postnatal
exercises with selected socio-demographic variable.
MATERIALS
AND METHODS
Quasi experimental, pre-test and post-test
control group research design used to find out the effectiveness of the video
assisted teaching on selected postnatal exercises among Lower segmental
caesarean section delivered in Shri Vinoba Bhave Civil Hospital, Silvassa,
Dadra & Nagar Haveli was conducted. Target population: All Lower segmental
caesarean section mothers delivered at SVBCH, Silvassa. Sample size was 80 (40
for control group and 40 for experimental group) lower segmental caesarean section
mothers fulfills the inclusion criteria. Sample was selected by using non-probability,
convenient sampling technique. The collected data was analyzed by using
descriptive statistics and inferential statistics which includes 't’ test and
Chi-square test.
RESULTS AND
DISCUSSION
In this study majority (48.75%) of the
mothers belong to the age group of 18-24 years which shows that study
participants were in reproductive age. Similar findings reveal that 11.7% were
in <19 year, 51.7% were in 20-24 year [5].
As per the educational status, 30% of the
mothers had middle school education that reveals poor educational background of
the mothers in general. A descriptive study was conducted to assess the
knowledge and practice of the postnatal diet among the postnatal mothers which
shows that 16% of them had high school education [6].
Present study reveals that vast majority of
the mothers were unemployed in both experimental (100%) and control group
(96.25%), which reveals that poor women support and empowerment. This finding
was supported by the study conducted to assess the effectiveness of early
ambulation on selected aspects of post-operative recovery among the women who
have undergone LSCS Maximum percentage of the post LSCS women in the
experimental and control group were housewife, where the figure stood at 93.33
and 83.33, respectively [7].
Present study shows that 41.25% of the
mothers were having family monthly income of Rs. 10,357-15,535/- which was contradicted with the study
findings that shows that only 6% of the study participants have an
income of more than Rs. 10000/- [6]. It shows in general poor economic status
of the mothers.
Most of the mothers (41.25%) in the present
study were from rural area, there is a study finding which shows that
participants were from urban area (72%) [6]. It represents irrespective of
place of residence caesarean section rate is rising up nowadays.
In general, huge number of mothers (90%) was
Hindu that reveals the religious background of the mothers which was supported
by the parallel study findings that the maximum lower segmental caesarean
section mothers (90%) were belongs to Hindu religion [8].
Present study illustrates that the maximum
(85%) number of lower segmental caesarean section mothers were belongs to the
joint family that depicts good family value system which was supported by the
study conducted to assess the knowledge, practice and attitude of primigravida
mothers on new born care were from joint family (54%) [6].
Current study shows that majority (51.25%) of
them acquire information on postnatal care through family and relative with
similar study findings conducted to evaluate the effectiveness of structured
teaching programme on knowledge regarding home based care on postnatal care
among primi mothers shows that they received information from family maximum
(20%) [5].
The effectiveness of Video assisted teaching
regarding practice on selected postnatal exercises which was analysed by using
unpaired ‘t’ test. Calculated values of deep breathing exercise (t(78, 0.05)=9.7163,
1.96; p<0.05), leg and foot exercise (t(78, 0.05)=3.94471.96;
p<0.05), pelvic floor exercises (t(78, 0.05)=5.2948, 1.96;
p<0.05) and over all aspects (t(78, 0.05)=15.3966, 1.96;
p<0.05) shows significant. Hence research hypothesis is accepted at 0.05
level of significance which shows Video assisted teaching is effective.
A similar study conducted to evaluate the
effectiveness of structured teaching programme on postnatal exercises among
postnatal mothers. It was shown that the mean percentage of pre-test practice
score was 6.5% and mean percentage of post-test practice score was 78.08%. The
obtained “t” value of practice score 70.74 was grater then the table value at
0.05 level. So study shows that the teaching programme on postnatal exercises
was effective (Tables 1 and 2 and Figure
1) [9].
CONCLUSION
This study shows that there was
mothers have poor knowledge on postnatal care. The study concluded that the
video assisted teaching was effective to increases the practice of selected
postnatal exercises. With this teaching the mothers are improves their
knowledge and improve the quality of the life.
1. http://www.rguhs.ac.in/cdc/online.cdc/uploads/05_N236_1483.doc
2. (2004) D.C. Text book of Obstetrics. 6th Edn. Published by
Central Book Agency Calcutta, p: 145.
3. Jacob A (2012) A Comprehensive Text Book of Midwifery &
Gynecological Nursing. 3rd Edn. Jaypee Brothers Publication Pvt
Ltd., p: 198.
4. Elizabeth M (2013) Midwifery for Nursing. 2nd Edn. CBS
Publisher & Distributor: Pune, pp: 127-137.
5. http://localhost:8080/xmlui/handle/123456789/8353
6. http://localhost:8080/xmlui/handle/123456789/9033
7. Suvarna VM, Jyoti AS (2014) Assess the effectiveness of early ambulation
on selected aspects of post-operative recovery among the women who have
undergone LSCS at Krishna Hospital, Karad. IJHSR 4.
8. Jiji BD, Ranjita S, Bazil AB (2014) A descriptive study on new born care
among postnatal mothers in selected maternity centers in Madurai, Tamil Nadu.
IJAMSCR 2: 119-124.
9. Karasi V (2007) Effectiveness of structured teaching programme on
postnatal exercises among postnatal mothers.
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