A Quasi Experimental Study to Assess the Effectiveness of Nipple Stimulation in the Progress of Labour among Primipara Women during First Stage of Labour in Selected Hospital of Jabalpur (M.P.)

Abstract

Background: Cost effective and benefit equations are important in health care. When discussing alternative options of care nipple stimulation can be a standardised methodology for induction of labour. In accordance to it, a quasi-experimental post-test only control group design, was carried out in selected hospitals in Jabalpur city to assess the effect of nipple stimulation. The basic purpose was to use nipple stimulation as a means of labour induction allowing greater control by mothers and has an advantage of being natural, inexpensive and non-invasive. Methods: Purposive sampling technique was used for study. 60 subjects were divided into two groups: control and experimental, each group 30 sample (primipara women). The experimental group was given nipple stimulation for 15 min alternatively during active phase. The result was determined by modified BISHOPS SCORE and DURATION of active stage of labour (4-7cm dilatation). Results: The principle result findings stated that, modified BISHOP score was satisfactory is 23(76.6%) in control group and 27 (90%) in experimental group. Partially satisfactory were 7 (23.4%) in control group and 3 (10%) in experimental group and none not satisfactory. The duration of labour in control group came to be 12(40%) subjects had frequency less than 4 hrs and 18 (60%) had had duration more than 4hrs.whereas in experimental group 19(64.3%) had duration less than 4hrs and only 11(36.6%) had duration more 4hrs. The effectiveness of nipple stimulation in experimental group was statistically proved by t test. Conclusion: Hence it could be concluded than, nipple stimulation was effective in early effacement and dilatation of cervix during first stage of labour in active phase among primipara women.