A Study to assess the effectiveness of Planned Teaching programmed in term of Knowledge and situation-based practice regarding partograph among midwives of selected community Health centre of Bhavnagar District

 

Jinal Patel

Nursing Tutor, Nootan College of Nursing, Vinagar, Dist; Mehsana.

 

ABSTRACT:

Objectives: The objective of this study were to assess pre-test knowledge regarding partograph among the midwives of selected community health centre of bhavnagar district. To assess pre-test practice regarding partograph among the midwives of selected community health center. To assess effectiveness of planned teaching programme about partograph among the midwives of selected community health center. Participants: The study was conducted among 30 midwives of community health center in vallbhipur, vartej, sihor, gogha, koliyak, umrala villages in bhavnagar district. Design: The research approach used in the study was quantitative research approach, pre-experimental research One group pre test post test design and the sampling technique was non-probability convenient sampling technique. Tool: The knowledge of the samples was collected, using the structured knowledge questionnaire and plotting and interpretation of partograpg practice. Result: The result of the study showed that knowledge score is 23.03 out of total score 30 and practice score is 14.23 out of total score 15. This value is significant associated between mean pre-test and mean post - test knowledge and practice score of midwives of selected community health center in bhavnagar district. In the analysis of data the difference between the initial and terminal measurement representd the effect of the independent variable.

 

 

 

INTRODUCTION:

"Child birth is more admirable than conquest, more amazing than self Self defense and as courageous as either one"

"Gloria steinem"

 

Skilled management of labour using a partograph, simple chart for recording information about the progress of the condition of a woman and her baby during labor is a key the appropriate prevention and treatment of prolonged labour and it's complication.¹

 

The reason being that although it is a natural process but complications can arise at any time during its course. One of the tool used to monitor labor and prevent prolonged and instructed labor is the partograph. The purpose of the partograph is to help health care providers record, interpret, analyze and use data to make clinical management decisions while labor is in progress.²

 

The paragraph provide information about deviation from normal progress of labor and about abnormalities of maternal or fetal condition during labor. It alerts providers when a woman may need an intervention and facilitates ongoing evaluation of the effect of those interventions.³

 

An important development in the management of labor was the introduction of the partograph. A partograph is a representation of the changes that occur in labor, including cervical dilatation, fetal heart rate, maternal pulse, blood pressure, temperature. It also shows a numerical record of features such as urine output and volume and type of intravenous infusions (including oxytocine drip). It is these for possible at a glance to identify deviations from normal in any of this variable.⁴

 

Globally, there were an estimated number of 2,87,000 maternal death in 2010. MMR of India 130 and Gujarat is 91(SRS 2014-2016). This means every day approximately 800 woman die from preventable cause related to pregnancy and childbirth. About 99% of these deaths occur in developing countries. While more than half of these occur due to not maintaining partograph, most could have been prevented.⁵

 

Prolonged Labor is a leading cause of deaths among mother's and newborn's in the developing world. If her labor does not progress normally, the woman may experience Serious complications such as obstructed labor, dehydration, exhaustIon, or rupture of the uterus etc. Prolonged labor may also contribute to maternal infection or haemorrhage and to neonatal infection. Obstructed labor results from a dis-proportion between the fetal presentation and mother pelvis. The most recent statistics from the WORLD HEALTH ORGANIZATION (WHO), show that 8% or 42,000 of all maternal deaths are caused by obstructed labor. The provision of quality care during child birth is believed to make difference between life and death for millions of women during child birth. One of the major components of quality care is the presence of skilled attendants at birth.⁶

 

OBJECTIVE:

·       To Assess the pre-test knowledge regarding partograph among the midwives of selected community health center in bhavnagar district.

·       To Assess pre-test practice regarding partograph among the midwives of selected community health center in bhavnagar district.

·       To Assess effectiveness of planned teaching programme about partograph among the midwives of selected community health center in bhavnagar district.

 

ASSUMPTION:

1      The mean post-test knowledge score of midwives attending planned teaching programme on partograph will be significantly higher than their mean pre-test.

2      The mean post-test practice score of midwives attending planned teaching programme on partograph will be significantly higher than their mean pre-test.

MATERIAL AND METHODS:

Pre-experimental one group pre-test, post-test research design and quantitative research approach are used to assess the knowledge and practice regarding partograph. Non-probability convenient sampling techniques were used. A structured knowledge questionnaire was selected to assess the knowledge and plotting and interpretation was selected to assess the practice regarding partograph.

 

MAJOR FINDINGS:

Regarding level of knowledge during pre- test mean 12.1 and practice during pre-test mean 4.47 had poor level of knowledge on partograph among midwives. During post- test knowledge mean 23.03 and practice mean 14.23 of moderate knowledge of partograph among midwives.

 

There was significant difference in the level of knowledge which led to a change in the category of level knowledge, some of them poor category during pre- test had moved to moderate category during post-test. The calculated ‘t’ value of knowledge was 27.48. And practic calculated 't'value was 20.33. this value is significant at p<0.05 level.

 

CONCLUSION:

The major conclusion from the study found that of sample had poor knowledge and practice, adequate knowledge and practice regarding partograph in pre-test and their level of knowledge and practice regarding partograph had improved to a great extent after structured teaching programmed which was relived in post-test. This shows the imperative need to understand to utilities of structured teaching programmed in improvement of knowledge and practice regarding partograph among midwives and it will be improve the knowledge and practice of partograph.

 

REFERENCE:

1.        Konar Hirala D.C. Dutta’s Text Book of Obstretric 8^th edition, Published by Jaypee brothers Pvt.Ltd. Pp: 606-607.

2.        Daftary and Chakravat I,’’Manuals of Obstetrics” 2^nd edition Published by Eleseiver, A Division of Reed Elesevier India PVT. Ltd. Pp.284-287.

3.        Sudha salhan,” Text Books of Obstetrics” 1^st edition -2007 Published by Jaypee Brothers Pvt.Ltd. Pp: 483-484

4.        Annama Jacob,” A Text Book of Midwifery and Gynecological -3^rd Edition Published by Jaypee Brothers Pvt.Ltd. Pp: 157-158.

5.        Hirala konar,’’Bed Side Clinical and Viva Voice Obstretrics and Gynecology 1^st edition Published by New Central Book Agency Pvt. Ltd. Pp: 169-176.

6.        Diane M Fraser and Marget A cooper,” Myles Textbooks for Midwives”15^TH Edition Published by Churchill livingstone Elseiver PP: 471-473

 

 

Received on 01.05.2020          Modified on 20.05.2020

Accepted on 04.06.2020     ©AandV Publications All right reserved