RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
BANGALORE, KARANATAKA
SYNOPSIS FOR REGISTRATION OF SUBJECT FOR DISSERTATION
|1 |NAME OF THE CANDIDATE AND ADDRESS |MRS.VAISHALI .P.ATRE |
| | |I YEAR M. SC. NURSING |
| | |SHRI B.M.PATIL INSTITUTE OF NURSING SCIENCES, BIJAPUR-586103 |
|2 |NAME OF THE INSTITUTION |SHRI B.M.PATIL INSTITUTE OF NURSING SCIENCES, BIJAPUR -586103 |
|3 |COURSE OF THE STUDY AND SUBJECT |I YEAR M. Sc. NURSING |
| | |OBSTETRICS AND GYNECOLOGICAL NURSING |
|4 |DATE OF ADMISSION TO THE COURSE |04/07/2011 |
|5 |TITLE OF THE STUDY |
| |“A STUDY TO ASSESS THE KNOWLEDGE REGARDING THE SELECTED MINOR AILMENTS OF PREGNANCY AND ITS MANAGEMENT AMONG PRIMIGRAVIDA |
| |MOTHERS ATTENDING ANTENATAL CLINICS OF SELECTED MATERNITY HOSPITALS AT BIJAPUR WITH A VIEW TO DEVELOP AN INFORMATION BOOKLET.”|
| | |
|6. |BRIEF RESUME OF THE INTENDED WORK |
| |INTRODUCTION |
| |The news of pregnancy excites a woman; she plans everything for the arrival of the new baby with a lot of care and |
| |happiness. She plans to eat healthy and also alters her lifestyle to suit her baby best1. The wait to bring a new life |
| |surfacing out of our own body is the one that all of us aspire to experience at least once in our life time. This period is |
| |called pregnancy 2. Pregnancy is not a disease but it is true to say that a pregnant woman does not feel as normal as when |
| |not pregnant: there are some pregnancy related complaints which, when excessive need to be treated most of the common minor |
| |ailments can be treated3. |
| | |
| |Giving life is powerful. It is vital. Therefore we prepare our body to become a suitable environment for the baby to grow in|
| |while staying happy and healthy emotionally and mentally as well. Each week of pregnancy brings with it new changes and |
| |feelings that may require some explanation and support1. The anatomical physiological and biochemical adaptations to |
| |pregnancy are profound. These changes that the female body undergo during pregnancy begin soon after fertilization and |
| |continue through gestation. These changes occur in response to physiological stimuli provided by the foetus and placenta3. |
| | |
| |These changes may be unpleasant as well as worrying but they are rarely a cause for alarm as most of these changes are |
| |usually normal. These so-called minor disorders or ailments of pregnancy can be troublesome on a day to day basis. |
| |Nevertheless these minor ailments are considerably improved by offering a proper explanation and with simple treatments4. |
| |Minor ailments are common during pregnancy and non-pharmacological therapies should be considered as the first-line |
| |treatment, if appropriate. However, Medication may be required to ensure. The well-being of the mother and prevent Secondary|
| |adverse effects to the fetus5. |
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| |6.1 NEED FOR THE STUDY |
| |Midwifery care is strengthened through the world; even then there is a rise of maternal morbidity mortality rate, because |
| |the mothers did not come forward to obtain the care.7 Minor symptoms are very common in pregnancy. The symptoms should be |
| |properly assessed in case they represent more serious health problems in the pregnancy7. |
| | |
| |Nausea occurs in 80-85% of all pregnancies during the first trimester, with vomiting an associated complaint in |
| |approximately 50% of women.8 A minor ailment is very common, and is reported by 50% - 80% of pregnant women. More |
| |specifically, 28% of pregnant women experience nausea only, while 52% experience nausea and vomiting. 20% of pregnant women |
| |will have no symptoms at all. The symptoms commonly start 5 weeks after conception and end by week 15 in 60% of affected |
| |women. 9% of affected women have symptoms persist beyond week 18 of pregnancy8.Back pain in approximately 80% of women who |
| |are pregnant, back pain is prevalent. Back pain and the causes in pregnant patients are not entirely understood9. Heartburn |
| |is one of the most common gastrointestinal symptoms in pregnant women, with an incidence in pregnancy of 17% to 45%. In some|
| |studies, the prevalence of heartburn has been found to increase from 22% in the first trimester to 39% in the second |
| |trimester to between 60% and 72% in the third trimester10. |
| | |
| |The prevalence of pica in pregnant women has been reported from as low as 0% to as high as 68% in the various groups |
| |studied. In general, pica behavior is probably underreported because the ingestion of nonfood items may be seen as either |
| |shameful or merely unimportant and “normal11. Constipation is common in pregnant women, and can develop or increase in |
| |severity during pregnancy. The prevalence of constipation in pregnancy is reported to be between 11% and 38%12. |
| | |
| |Many women experience unpleasant and painful leg cramps during pregnancy. They will be woken in the middle of the night in |
| |severe pain as their calf muscles tighten. These are brought on by the physical and physiological changes that occur during |
| |pregnancy and unfortunately there are no guaranteed cures for them. However there are steps that can be taken that may |
| |reduce their incidence and severity.14 Leg cramps have been reported in up to 30% of pregnant women, most commonly in the |
| |second and third trimester. They usually affect the calves and occur at night in 75% of cases14. |
| | |
| |Prevalence of varicose disease during pregnancy is high, affecting almost 70% of pregnant women. The high prevalence of |
| |varicose disease and the associated risk factors suggest the need of providing the health professionals involved in women's |
| |health care, especially during the fertile period, with information on this disease15. |
| | |
| |Mothers can manage minor events occurring during normal antenatal period, but the mothers need to get appropriate |
| |information from the health care providers. Sometimes the mothers will receive information but they do not try to get |
| |information even if it is available. For all these what is needed? It is an instinct that comes from them to do all these, |
| |that is what is self motivation5 Hence There is a need to identify and assess knowledge regarding minor ailments of |
| |pregnancy and its management among primigravida mothers and provide the information. |
| | |
| |6.2 REVIEW OF LITERATURE |
| |A Review of literature is a body of text that aims to review the critical points of current knowledge and |
| |methodological approaches on a particular topic, the role of the literature review is to formulate and clarify the research |
| |problems, to ascertain what is already known in relation to problem of interest, for developing a broad conceptual context, |
| |facilitate cumulating scientific knowledge for interpreting the result of the study16 |
| | |
| |The review of literature is classified under following subheadings:- |
| |Review of Literature related to selected minor ailments during the pregnancy. |
| |Review of Literature related to knowledge regarding minor ailments among primigravida mothers. |
| | |
| |1. REVIEW OF LITERATURE RELATED TO SELECTED MINOR AILMENTS DURING THE PREGNANCY. |
| |A study was conducted to assess the women’s awareness of minor disorders of pregnancy and danger signs of obstetric |
| |complication in a rural district in Tanzania A total 1118 women were interviewed, result reveals that more than 98% of women|
| |attend antenatal care at least once half of the women knew about at least one obstetric danger sign and few women knew one |
| |or two minor disorders. It shows that the women had low awareness of danger signs of obstetric complication and minor |
| |disorders of pregnancy17. |
| | |
| |A study was conducted to determine the effect of ginger in nausea and vomiting of pregnancy in Isfahan. It was a single |
| |blind clinical trial study. The subject included sixty seven pregnant women who complained of nausea and vomiting from |
| |Isfahan city hospital. The participants were randomly assigned to two groups an experimental group and a control group. The |
| |experimental group received ginger 250 mg capsules for four days and the control group received placebo with the same |
| |prescription form. The gingers was demonstrated a high rate of improvement than the placebo users (85% versus 56% :P ................
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