Effectiveness of Self -Care Instructional Guideline on Maternal and Neonatal Outcomes Among Pregnant Women After Bariatric Surgery

Abstract

Background: Maternity nurses had an important role in caring of post bariatric surgery pregnant women in order to reduce different maternal and neonatal risks including nutritional deficiency, anxiety and intrauterine growth retardation. Aim of the current study was to evaluate the effect of self-care instructional guideline on maternal and neonatal outcomes among pregnant women after bariatric surgery. Design: Pre-test post-test nonequivalent groups quasi-experimental design. Setting: The study was conducted in outpatient clinic affiliated at Obstetrics and Gynecological Department at Alnamas General Hospital affiliated at Alnamas city at Aseer Region in Kingdom of Saudi Arabia during the period from the beginning of December 2018 till the end of August 2019. Subjects: A purposive sample of total 120 of Primigravida women after bariatric surgery “were recruited in the current study, they were allocated into two groups: control group included (60) Primigravida women they had ordinary nursing care. Study group included (60) Primigravida women they had self-care instructional guideline.” Tools: four tools were used for data collection, “General Characteristic Interviewing Questionnaire& Knowledge Tool, Pregnant Women Self-Care Practice Assessment Tool, Maternal Outcomes Measurements Tool and Neonatal Outcomes Measurements Tool” Results of the study showed a highly statistically significant differences regarding knowledge and self-care practice between study and control groups regarding self-care of pregnancy after bariatric surgery (p < 0.000) and there was a statistically difference between two groups regarding maternal and neonatal outcomes including anemia, antepartum hemorrhage, gestational diabetes, and postpartum hemorrhage among mother and between intrauterine growth retardation, low birth weight and the Apgar score at the 5th minute among neonates . Conclusion: self-care instructional guideline had a positive effect on maternal and neonatal outcomes measurements. Recommendation: self-care instructional guideline should be provided for all post bariatric pregnant women.