Abstract
Labor is one of the most painful events in a women's life. Many women would like to avoid pharmacological or invasive methods of pain management in labor, and this may contribute towards the popularity of complementary methods of pain management. This review examined the evidence currently available on manual methods, including frequent change in positions, massage and reflexology, for pain management in labor. The main aim of this study is to identify the level of knowledge on preparation and management of labor among primigravida women. A pre experimental one group pre and post test design was selected and adapted purposive sampling technique to recruit the samples. The total sample size was 30. Tools used like demographic variables, structured interview schedule and structured teaching program on preparation and management of labor. At the first day, pre test was conducted by using SIS and structured teaching on preparation and management of labor was administered as a group of antenatal women. After 7 days post test was conducted by using same tool. Data analysis was done by descriptive and inferential statistics. Highest percentage (50%) of the women were in the age group of 21-25 years. The overall mean score in pre test was 12.16±4.4 and the mean percentage 40.53 where as in post test the overall mean score was 22.76±7.26 and the mean percentage was 75.87. The calculated ‘t’ value was 10.18 at 0.05 level of significance. It depicts that structured teaching program on preparation and management of labor was highly effective. There was no significant association between the demographic variables with pre and post test knowledge scores.
Highlights
Labor is the process through which a fetus and placenta are delivered from the uterus through the vagina
Highest percentage (50%) of women were in the age group of 21-25 years
Majority of (53.3%) women were having family monthly income of Rs. 5001-10,000 and both half of the percentage (53.3 %) of women belongs to nuclear family and labour support through her mother and all of them had regular antenatal check up (53%)
Summary
Labor is the process through which a fetus and placenta are delivered from the uterus through the vagina. The first stage is further divided into two phases. Successful labor involves three factors, which include maternal efforts and uterine contractions, fetal characteristics, and pelvic anatomy. This triad is classically referred to as the passenger, power, and passage. Labor is typically monitored by multiple modalities. Serial cervical examinations are used to determine cervical dilation, effacement, and fetal position, known as the station. Fetal heart monitoring is employed nearly continuously to asses fetal well-being throughout labor
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