RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, …



RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,

KARNATAKA, BANGALORE

ANNEXURE - II

PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION

|1. |Name of the candidate and address (in block letters) |SHIJI P.J. |

| | |FIRST YEAR M.Sc. NURSING |

| | |FATHER MULLER COLLEGE OF NURSING |

| | |MANGALORE |

|2. |Name of the Institution |FATHER MULLER COLLEGE OF NURSING, |

| | |KANKANADY |

| | |MANGALORE-575002. |

|3. |Course of study and subject |M. Sc. NURSING |

| | |COMMUNITY HEALTH NURSING |

|4. |Date of admission to course |31.05. 2007 |

|5. |Title of the Topic |

| |“ASSESSMENT OF RISK FACTORS AND EFFECTIVENESS OF LEARNING PACKAGE ON PREVENTION OF RISK FACTORS DURING PREGNANCY AMONG ANTENATAL |

| |WOMEN ATTENDING THE SELECTED HEALTH CARE CENTERS AT MANGALORE”. |

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| |Brief resume of the intended work |

| |6.1 Need for the study |

| |Pregnancy is a stress that may unmask a variety of medical conditions including hypertension, pre-eclampsia, metabolic syndrome, |

| |gestational diabetes and ischemic heart disease etc. Pregnancy is often associated with physiological alterations that, in other |

| |circumstances would be considered pathologic1. |

| |It is estimated that 5,85,000 women die each year because of high risk factors during pregnancy and child birth; of these 99 percent|

|6. |deaths are in developing countries (WHO). The high incidence of complications during pregnancy has increased the prenatal mortality |

| |considerably. Literature survey has shown that the cause for stillbirths and early neonatal deaths are: poor maternal gain, anemia, |

| |PIH, ante partum hemorrhage and lack of knowledge on risk factors during pregnancy2. |

| |Every minute of every day, some where in the world and most often in a developing country, a woman dies from complications related |

| |to pregnancy. It is stressed that 70% of all maternal deaths are caused by the factors like hemorrhage (24%), infection (15%), |

| |unsafe abortion (13%), high blood pressure (12%) and obstructed labour (8%).Nevertheless poverty, social exclusion, low levels of |

| |education and violence against women are powerful underlying causes of maternal death and morbidity3. |

| |The worldwide maternal mortality ratio reflects a women’s risk of dying each time she becomes pregnant. The maternal mortality rate |

| |(MMR) in India is 405 per lakh live births in 20074, where as in Karnataka is 195 per lakh live births in 20075 and in Dakshina |

| |kannada it is 90 per lakh live births in 20076. |

| |A survey was conducted to examine risk factors for falls during pregnancy. Research studies showed that falls account for 17 to 39% |

| |of all traumatic injuries. Trauma during pregnancy is associated with an increased risk of spontaneous abortion, placental |

| |abruption, foeto-maternal transfusing and still birth7. |

| |Mothers are classified as high risk during pregnancy when they have problems, which may influence the outcome of the pregnancy for |

| |herself, her infant or both. Today antenatal care is recognized as an important branch of preventive and therapeutic medicine |

| |throughout the world to improve the outcome of pregnancy8. |

| |Education play a vital role in creating the awareness among antenatal women who are attending health care centers regarding risk |

| |factors which brings changes in the bad outcome of pregnancy and leading tremendous increase in the prenatal as well as maternal |

| |mortality rate. So the researcher felt that assessing the risk factors and planning the learning package to the antenatal women can |

| |bring down the perinatal and maternal mortality rate as well as to have healthy mother with healthy baby. |

| |6.2 Review of literature |

| |A descriptive study was conducted in Belgaum to assess the knowledge and to evaluate perinatal care among high risk mothers. The |

| |sample comprised of 100 mothers, selected by purposive random sampling from KLE’s hospital. The investigator adopted non |

| |experimental descriptive study. The instruments used for the study are structured interview schedule and questionnaire. The results |

| |of the study showed that mothers were having inadequate knowledge as well as mothers had high risks for anemia (90%), PIH (30%), CPD|

| |(10%), APH (90%) and (71%) had received inadequate perinatal care9. |

| |A research case study was conducted in Ludhiana to assess the knowledge of urban mothers about high risk conditions during |

| |pregnancy. The sample comprised of 40 women out of 132 women in the reproductive age group was selected through random sampling |

| |technique. The tools used for collecting data are structured interview schedule. The study findings showed that mean knowledge score|

| |percentage was fairly high (70.62%) attributing to their good educational status. The highest mean percentage knowledge score (95%) |

| |was obtained on the knowledge of bleeding and pain in the abdomen and lowest (50%) mean percentage of knowledge score was obtained |

| |on pregnancy with fever as being high risk conditions during early pregnancy. Hence there was need of health education and advice |

| |for the women who are pregnant10. |

| |A cross sectional analytic study was conducted in Ethiopia to identify the risk factors for anemia among pregnant women attending |

| |antenatal clinic at Jimma University hospital southwest Ethiopia. The sample comprised of total of 168 pregnant women who came for |

| |their first antenatal care visit were enrolled in the Study. A structured interview schedule and questionnaire was used to collect |

| |data on the socio-demographic variables, dietary habit and gynecologic and obstetric history. The study findings showed that the |

| |prevalence of anemia was 64/168 (38.2%) and the mean Hb level was 11.3 mg/dl. So health education should be given to pregnant |

| |mothers on various risk factors during pregnancy11. |

| |An evaluative study was conducted in Manipal to determine the effectiveness of teaching using an informational booklet on warning |

| |signs in pregnancy for primigravida women attending selected maternal and child health clinics in rural areas of Karnataka. The |

| |study was done in two phases using an evaluative approach and one group pre test post test design. In phase one the learning need |

| |was identified on 30 primigravida mothers. The findings showed that the mean percentage knowledge scores below 25% in areas such as |

| |bleeding, severe vomiting, headache, blurred vision, pallor and sudden rupture of membrane and decreased fetal movements. Based on |

| |this a booklet was prepared and effectiveness was determined in phase two of study on 33 subjects. The data was collected using a |

| |structured knowledge Questionnaire (r=0.81). The findings revealed a significant difference in the pretest and posttest knowledge |

| |scores (t (32) =38.91 P ................
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