Effectiveness of selected nursing intervention on maternal and newborn outcome among primigravida mothers at selected hospitals

Abstract

Back ground : Labour is one of the most common stressed and painful situations which adversely affect the maternal and new born outcome leads to many complications. Objective : To assess the effectiveness of selected nursing intervention on maternal and newborn outcome among primigravida mothers. Design : One group true experimental post test only design was adopted for the study. Setting : Government Hospital, Cheyyur, Participants : 20 primigravida mothers completed thirty six weeks of gestation fulfilling the inclusion criteria were selected by simple random sampling. Methods : Nursing interventions like Breathing exercise, massage, position changes implemented during intrapartum period and level of pain perception assessed with universal pain assessment tool during uterine contractions of first stage of labour. Followed by early initiation of breast feeding done through breast crawl technique. Maternal and newborn outcome assessed with ongoing assessment tool. Collected data was analyzed by using descriptive and inferential statistics. Results : In post test the mean score for the level of pain perception in experimental group was 6.5 (SD=1.58) and the control group was 9.1 (SD=0.88) with paired t' value of 4.55. The mean score of experimental group maternal outcome was 23 (SD =3.13) and the control group outcome was 27.4(SD=4.62) with paired t' value of 2.49. In experimental newborn outcome the mean score was 7.7 (SD=1.06) and control group newborn outcome score was 6.8(SD=0.92) with paired t value of 2.04. This showed that the selected nursing interventions were effective for good maternal and newborn outcome during labour. There was a statistically no significant association found between the post test score of the sample with their demographic variables. Conclusion : The findings imply the need for non pharmacological methods of nursing interventions were effective management during labour among primigravida mothers.