Primigravida Mothers Research Articles

Effectiveness of educational intervention on awareness and attitude regarding minor aliment of pregnancy and its management among primigravida mother attending antenatal clinics of Pravara Rural Hospital Loni (BK)

Effectiveness of educational intervention on awareness and attitude regarding minor aliment of pregnancy and its management among primigravida mother attending antenatal clinics of Pravara Rural Hospital Loni (BK)

' Lived Experience' of Pregnancy as reported by Primigravida Mothers during 3rd Trimester of Pregnancy and On-Hand Help to Mothers Coping with Pregnancy in Nainital

This study aimed to explore the ‘Lived experience’ of primigravida mothers during 3rd trimester of pregnancy, to identify the health status of primigravida mothers and foetus and to provide on-hand health instruction to primigravida mothers based on identi ed needs for improving physical health, health of foetus, improvement in nutrition pattern and day-to-day activity modi cation in selected block of Haldwani, Nainital, (Uttarakhand). Qualitative perspective, phenomenological research design was used and data collected from 30 mothers through structured interview schedule for personal pro le, health assessment for mothers and foetus and unstructured interview and analysed. The experiences of the primigravida mothers were described under various major categories such as Self and Pregnancy, Changes in Activities during Pregnancy, Foetus and Self, Coping related to Pregnancy, Support System during Pregnancy, Self and Outcome of Pregnancy. The on-hand health instruction was rendered to all the mothers whenever they reported physical problems. Women require help from family members during pregnancy to cope with physical and emotional changes. The entire study was cost effective, simple and carried out in an acceptable way to explore the ‘Lived experiences’ of primigravida mothers during 3rd trimester of pregnancy.

Hubungan Tingkat Kecemasan dengan Lama Kala I di Bidan Praktek Mandiri Belakang Pondok Kota Bengkulu

Anxiety is a normal condition that may be felt by every woman in dealing with labor process, but this condition causes psychiatric problems that inhibit labor process. The aims of this study was to determine relationship between level of anxiety with prolonged stage I on labor mother at Midwife Practice Bengkulu City. The design of this study was cross sectional study. Population in this study were all primigravida mothers with prolonged stage I of who labored at Midwife Practice Bengkulu City with the amount of 30 people. The data analysis technique was performed by the Exact Fisher’s test. The results of this study showed there is a relationship between level of anxiety with prolonged stage I on labor mother primigravida at Midwife Practice Bengkulu City (p = 0.001 <0.05) with a close relationship category. It is expected that primigravida labor mothers will further increase the desire to find out about information so that with good knowledge will reduce the level of anxiety during labor process.

GAMBARAN TINGKAT PERBANDINGAN KECEMASAN IBU PRIMIGRAVIDA DENGAN MULTIGRAVIDA PADA KEHAMILAN TRIMESTER III DI RSKDIA SITI FATIMAH MAKASSAR TAHUN 2012

Pregnancy is a dramatic episode in biological condition or psychological that need adaptation from a woman who experiences it. In Indonesia, there are 373.000.000 expectant mothers and there are 107.000.000 expectant mothers (28,7%) who have an anxiety to face the childbirth. The Number of anxiety case of expectant mother tent to increase, and even the anxiety can be developed into psychosis or schizophrenia and the worst potential in pregnancy can cause abortion. This research aims to find out the description of the comparison of the anxiety between primigravida and multigravida in trimester III pregnancy at RSKDIA Siti Fatimah Makassar in 2012. This Research is held from May, 22 until June, 5 2012. The type of this research is an observational with descriptive approach, the number of population is 73 and the obtained sample is 62 respondents who is selected by purprosive sampling based on inclusion criteria and use primary data. The obtained result of the research find that for primagravida mother the most widely suffered anxiety is medium anxiety. It's 14 respondents (22,6%) and for multigravida the most widely suffered anxiety is slight anxiety. It's 23 respondents (37,1%). The conclusion of this research result is primigrivida mother suffers anxiety more serious then multigravida. It's recommended to health workers that they are more intensive in providing counseling for the expectant mother especially for primigravida mother and more comprehensive in providing treatment for all the expectant mothers both of the physiological needs and psychological, so that the pregnancy can be passed healthier.

Effect of Lamaze method on pain perception, anxiety, fatigue and labour outcome among primi mothers during labour process

Background: Labour pain is the most severe pain a woman might ever experience in her life. Severity of pain and duration of labour psychologically affects a mother. It may lower the confidence, self-esteem and increase the level of anxiety and fatigue. The main purpose of the study was to evaluate the effectiveness of video based Lamaze Nursing care intervention on pain perception, anxiety, fatigue and labour outcome among Primigravida women admitted during childbirth. The conceptual framework for the study was developed based on Ernestine Wiedenbach’s helping art of clinical nursing theory.
 Materials and methods: Quantitative Post-test only control group design was used. The sample size was 200 primigravida mothers, 37 to 40 weeks of gestation (100 in each group) and the study was conducted in first stage of labour room cosmopolitan hospital, Trivandrum.
 Results: The study findings shows that Lamaze method and the techniques used in it were effective in reducing the pain, anxiety and fatigue during child birth and leads to a fine labour outcome Pain perception in experimental group was less when compared to control group, t=4.11(.01), anxiety in experimental group was lower when compared to control group, t value=6.44(.01), Fatigue was less among the experimental group when compared to control group, t value=9.09(.00) was significant. It was inferred that labour outcome in experimental group was better when compared to control group. t=5.17 significant at 0.01level. It was also depicted that there was association between pain perception, anxiety and fatigue and selected demographic variable like age, education duration of marital life, onset of labour
 Conclusion: The findings of this study indicated that Lamaze nursing care intervention helped the women to cope up with the birthing process. It is a simple, easy to implement and most acceptable way to tackle pain, anxiety and fatigue among parturient mothers. Nurses and childbirth educators must be willing to provide comprehensive childbirth education that introduces women to a variety of pain management options. The excavator results supported that the incorporation of Lamaze method in nursing care is one of the best intervention to cope up with labour process.

Faktor-Faktor Yang Mempengaruhi Ruptur Perineum Pada Ibu Bersalin Normal di Rumah Sakit Bhayangkara Mappaouddang Makassar Tahun 2014

Background: Perineal rupture is a problem in labor and the second cause of bleeding after uterine atony. According to WHO in 2014 there were 2.7 million cases of Perineal Rupture in maternity mothers. Factors that can cause perineal rupture are parity, distance of birth, baby's weight, birth management is not as it should be, age, extraction, vacuum extraction, and episiotomy. Objective: For Factors Affecting Normal Perineal Rupture. Research Methods: This study is an analytic observational with a "cross sectional study" approach. The population, namely primigravida mothers who were treated in Bhayangkara Mappaouddang Makassar Hospital in 2014, amounted to 230 people. Sampling with purposive sampling technique amounted to 120 samples. Data using Chi-Square statistical test with P value 0.05). Results: There was an effect of maternal age on normal perineal rupture (P-Value = 0.003 0.05), there was an effect of infant birth weight on normal perineal rupture (P-Value = 0.003 0.05) ) and there is an influence of the recommended position to treat normal perineal rupture of primigravida mothers (P-Value = 0.004 0.05). Conclusion: There is an effect of maternal age, birth weight and recommended position with normal perineal rupture. Keywords: maternal age, baby's birth weight, , perineal rupture

HUBUNGAN ANTARA DUKUNGAN SUAMI DENGAN KECEMASAN SELAMA PERSALINAN PADA PRIMIGRAVIDA DI PUSKESMAS MLATI II SLEMAN

Background: Labor is the process of delivering a baby that occurs in full-term pregnancy (37-42 weeks). One of the efforts to reduce anxiety during labor is to provide support from a significant person, a husband. Husban’s support in labor process is a source of strength for woman who cannot be replaced by health personnel.
 Objective: To identify the relationship between husband’s support and anxiety level during labor on primigravida at Mlati II Health Center Sleman.
 Methods: This study was descriptive quantitative, with cross sectional approach. The samples were 20 respondents who were selected withaccidental sampling technique. Research employed questionnairesto measure husband’s support and mother’s anxiety level. Study used univariable and bivariable analysis.
 Result: Most of the husband's support during labor on primigravida at Mlati II Health Center Sleman were at high category (75.0%). The majority of mothers experienced mild anxiety (50.0%). The relationship between husband’s support and anxiety during childbirth in primigravida mother at Mlati II Health Center Sleman district was at strong category; r = -0.632 (.600 to .799).
 Conclusion : There was a relationship between husbands’ support andprimigravida mothers’ anxiety level during labor at Mlati II Health Center Sleman.

Effects of ‘STOP’ Mindfulness on Decreasing Cortisol in Primigravida Mothers

<p><strong>Background: </strong>Stress in pregnant women may give different effects on the development of pregnancy. Mindfulness is an intervention which can be practiced independently by primigravida mothers for stress management. Stress is indicated by a biological parameter of cortisol levels. </p><p><strong>Purpose</strong><strong>:</strong> This study aimed to analyze the effects of mindfulness on decreasing cortisol levels in primigravida mothers. </p><p><strong>Method</strong><strong>s</strong><strong>:</strong> This study used a pretest-posttest quasy experimental design with a control group. The samples were 30 primigravida mothers who experienced stress in the area of public health centers in Semarang city. A consecutive sampling technique was used to select the samples. Mindfulness with STOP technique (Stop-Take a breath-Observe-Proceed) was given for four meetings for 60 minutes each. Before and after the implementation of mindfulness, 3 ml of blood was taken from the samples for the cortisol examination. Data were analyzed using a paired t-test.</p><p><strong>Results:</strong> The results showed that the majority of women (46.7%) were in the second trimester of pregnancy, and aged 20-35 years old (86.7%). The mean of cortisol level before and after the intervention was 180.60 and 152.50, respectively. There was a decrease in the level of cortisol after the implementation of mindfulness with a p-value of 0.000 (? <0.05).</p><strong>Conclusion:</strong> Mindfulness is effective in decreasing cortisol levels in primigravida mothers. Mindfulness can be used as an intervention to increase the self-reliance of pregnant women for stress management.

Pemberdayaan Ibu Primigravida Melalui Upaya Promosi Kesehatan Untuk Deteksi Dini Pra Eklamsi Dalam Mengurangi Angka Kematian Ibu

Deteksi dini berkaitan dengan klasifikasi atau kegiatan untuk mendapatkan informasi mengenai ibu hamil sangat membantu persiapan pengendalian resiko terjadinya komplikasi kehamilan. Walaupun timbulnya pre-eklamsi tidak dapat dicegah sepenuhnya, namun frekuensinya dapat dikurangi dengan melakukan deteksi dini. Ketidakpatuhan ibu hamil dalam pemeriksaan kehamilan dapat menyebabkan tidak dapat diketahuinya berbagai komplikasi kehamilan sehingga tidak segera diatasi, sehingga diperlukan strategi promosi kesehatan dengan upaya pemberdayaan masyarakat dalam hal ini adalah ibu primigravida. Hal ini memungkinkan masyarakat dan petugas kesehatan untuk melakukan perawatan yang memadai dan berhasil menurunkan kematian ibu. Penelitian ini bertujuan menganalisis pemberdayaan ibu primigravida untuk deteksi dini pre-eklamsi di Kabupaten Jember. Metode penelitian yang digunakan adalah Quasi Experimental Design dengan rancangan Pre-Post Test Control Group Design. Sampel dalam penelitian ini diambil secara probability/ random dengan teknik cluster random sampling. Analisa dilakukan secara univariat dan bivariat. Hasil penelitian menunjukkan skor rerata perubahan perilaku pada kelompok intervensi maupun kelompok kontrol. Pada hasil uji Mann Whitney didapatkan nilai p-value<0,05 sehingga dapat disimpulkan bahwa program pemberdayaan ibu primigravida berpengaruh secara signifikan terhadap perubahan perilaku dalam melakukan deteksi dini pre eklamsi. Program pemberdayaan ibu primigravida efektif meningkatkan perilaku deteksi dini pre eklamsia sehingga program ini disarankan dapat diterapkan pada ibu hamil sebagai bagian dari program kesehatan ibu dan anak.

Waardenburg syndrome: a rare genetic disorder in four generations of a family

Waardenburg Syndrome (WS) is a rare autosomal dominant disorder manifesting with sensorineural deafness, pigmentation defects of the skin, hair and iris and various defects of neural crest derived tissues. A primigravida mother delivered a full term, appropriate for gestational age, 2530 gm female child, by emergency LSCS. Baby was admitted in the NICU in view of features suggestive of Waardenburg syndrome, like white forelock of hair, broad nasal root and hypopigmented patches on the skin for further work up and management. Several members in the family were affected in the last 4 consecutive generations. Our baby was feeding well and discharged home after an uneventful hospital stay. Early diagnosis, detection of findings of hearing loss and the characteristic ophthalmic findings as well as regular follow up is necessary to enable the patient to lead a better quality of life.

KAJIAN METODE PERSALINAN NORMAL DENGAN BANTUAN CERMIN PADA PERSALINAN KALA II IBU PRIMIGRAVIDA

The success of labor is influenced by several factors, namely maternal factors (power, passage, psychology), fetal factors (placenta) and helping factors. Using mirror aids in the process of progress in labor at a second time can increase maternal motivation psychologically and emotionally, this preventing and or decreasing pathological labor prevalence. The purpose of this study was determining the difference in time in mothers who had labor in the second time using a mirror and who did not use a mirror. The design of this study used True - experiment with post test only Control design, the sample of study were 40 physiologically 20 primigraphic delivery mothers who were treated, 20 were not treated and taken randomly. The purpose of this study was determining the time difference in labor mothers when second uses a mirror and does not use a mirror. Observation data collection techniques, it used unpaired T test. This research was conducted in 2018 in the Poncokusumo Malang Health Center. The results showed that labor with the help of a mirror could accelerate the second stage of labor in primigravida mothers. This is evidenced by the average time used by maternity in group I (using mirrors) is 7.05 minutes and the average time used by group II maternity women (without using a mirror) is 16.15 minute . The use of a mirror aid can be used as an instrument complement labor in order to reduce maternal morbidity and mortality in Indonesia.

Level of Anxiety, Intensity of Labour Pain and duration of first stage of Labour in the Primigravida Mothers

Level of Anxiety, Intensity of Labour Pain and duration of first stage of Labour in the Primigravida Mothers

Effectiveness of Patterned Breathing Technique on Pain During First Stage of Labour-A Narrative Review

Introduction: Labour pain is a complex, personal, subjective, multifactorial phenomenon which is influenced by psychological, biological, socio-cultural and economic factors. The result of breathing and relaxation techniques on labour pain was were found to be the most helpful means for helping the mother during labour to reduce pain and discomfort. Aim: The aim of this narrative review is to find information on the effectiveness of Patterned Breathing Technique on labour to reduce the painful experience of the mothers. Methodology: Intervention-Patterned Breathing Technique. Types of studies- Quasi experimental, Pre experimental, True Experimental study. Types of participants- Primigravida mothers. Setting- Labour room of maternity hospital. Outcome- This narrative review result has appeared that Patterned Breathing Technique will be effective on labour.

Knowledge on Selected Natural Pain Relief Methods During Labour Among Primigravida Mothers

Child birth is a natural biological process and therefore the pain associated with it also received as normal and natural. Both pharmacological and non-pharmacological methods are used to reduce the pain perception during labour. Midwife should work with mothers during the prenatal period to identify the personal coping strategies and encourage make efficient and effective use of these resources. The objective of the study is to assess the level of knowledge regarding selected natural pain relief methods during labour and is to associate the level of knowledge with selected demographic variables. A descriptive research design was used. Purpose sampling technique was used. Data was collected through semi structured knowledge questionnaire. Data was analysed by descriptive and inferential statistics. The finding reveals that 36% of the subjects had adequate knowledge, 48% of them had moderate knowledge and only family income and place of residence had significant association with knowledge

Effectiveness of structured teaching programme on knowledge regarding management of self among primigravida mothers with pregnancy induced hypertension

Effectiveness of structured teaching programme on knowledge regarding management of self among primigravida mothers with pregnancy induced hypertension

Level of Anxiety, Intensity of Labour Pain and duration of first stage of Labour in the Primigravida Mothers

Level of Anxiety, Intensity of Labour Pain and duration of first stage of Labour in the Primigravida Mothers

PF330 MODE OF DELIVERY IN NEWBORNS WITH HEMOPHILIA: ASSOCIATION WITH FAMILY HISTORY/MATERNAL CARRIER STATUS, SEVERITY OF HEMOPHILIA AND INCIDENCE OF INTRACRANIAL/EXTRACRANIAL HEMORRHAGE

Background:Intracranial hemorrhage (ICH) in neonates is one of the most severe clinical conditions often associated with neurological complications. The incidence of ICH in hemophilic neonates compared to healthy term infants is referred higher (2–4% versus 0.04%, respectively). Nevertheless, mode of delivery in cases of known history of hemophilia or maternal carriership still remains under debate.Aims:To correlate mode of delivery (vaginal delivery‐VD or cesarean section‐CS) of newborns with hemophilia having had family history of hemophilia/maternal carriership with the severity of the disease, birth order and incidence of intracranial/extracranial hemorrhage.Methods:Patients with severe, moderate and mild haemophilia A/B (FVIII/IX <1, 1–5, ≥5–25 u/dl, respectively) born between 1/1/2000 and 31/12/2017 were retrospectively included. Data presented with absolute and percentage distributions and the comparison of variables were made using Fisher's exact test. A cut‐off p‐value of 0.05 was considered statistically significant.Results:Of a total of 134 neonates, 115 (85.8%) had been diagnosed as hemophilia A and 19 (14.2%) as hemophilia B, whereas 56.7% had severe, 15.7% moderate and 27.6% mild hemophilia. Seventy four neonates (55.2%) were born by VD and 60 (44.8%) by CS, while 54.5% were delivered from nulliparous mothers. At delivery, family history of hemophilia/maternal status was known in 27.6% of cases. Higher percentage of children with severe/moderate hemophilia was born by VD in comparison to children with mild hemophilia (63% vs 35%, p < 0.01), whereas 67.6% of neonates with family history/maternal carriership were born by CS. Positive family history and/or maternal carriership at delivery were found in 17.5 % of neonates with severe/moderate hemophilia, in contrast to 54.1% of them with mild hemophilia (p < 0.01). Knowledge of carriership influenced significantly the decision for CS only in cases of non primigravidae mothers, in contrast to deliveries with unknown hemophilia history (88.2% vs 25%, p < 0.01). Among all children, 4 (3%) had been presented with cephalohematoma. One of them with hemophilia B had also cerebral hemorrhage (0.8%). All patients were born by VD from primiparae mothers (2 with assisted VD). ICH occurred in one of the two children born by instrumental vaginal delivery using vacuum extraction. Maternal carriership of hemophilia A was known only in one neonate with cephalohematoma, born by spontaneous vaginal delivery.Summary/Conclusion:In our study, the choice of cesarean section seems to be the preferable way for delivery in cases of potential hemophilia, if the mother, especially multipara, is carrier of mild hemophilia. On the contrary, in cases of severe hemophilia, vaginal delivery is more frequently performed, probably because there is no knowledge of hemophilia carriership at the time of delivery, because of the presence of a de novo mutation in the factor VIII gene, since in previously known carriership prenatal diagnosis had been performed. In any case, it has to be mentioned that neonates with severe hemophilia born by vaginal delivery, especially assisted with vacuum extraction or forceps, are at greater risk of extracranial or intracerebral hemorrhage.

Primary Causes of Caesarean Section among the Primigravida in Rajshahi Medical College Hospital

Background: Bangladesh recently became a middle income country and despite of its relatively low skilled birth attendance (26.5%) nevertheless experience a rise in caesarean section (CS) rate. But now the rate of CS increased almost seven fold from 3.5% in 2004 to 23% in 2016.
 Objective: To find out the cause and incidence of caesarean section among the primigravid mother in Rajshahi medical college hospital performed in between January 2017 to December 2017.
 Methods: This prospective type of observational study was performed in Rajshahi Medical College Hospital (RMCH) over a period of one year from January 2017 to December 2017. All primigravida who underwent caesarean section in RMCH were included.
 Result: During the study period there were 11018 deliveries. Overall CS rate was 40.98%. The rate in primi was 30.70% and last year it was 25.58%. Conclusion: The vast majority of CS was not medically indicated. A number of policies and program had been launched to counteract this increasing rate of CS but virtually there was no impact.
 TAJ 2018; 31(2): 54-58

Knowledge of Primigravida about the Regularity of Examination of Pregnancy in Gayaman Village, Mojokerto Regency

Background: The high rate of maternal and infant mortality is due to the low level of knowledge of mothers and the frequency of irregular pregnancy checks.
 Purpose: The purpose of this study was to determine the knowledge of primigravida mothers about the regularity of prenatal care.
 Methods: This type of observational research, according to the analysis is descriptive research. The population is all primigravida mothers who examined in Gayaman Village and the sample size of 30 respondents was taken based on total sampling technique. The instrument used was a questionnaire. Data collection is done through several stages, namely editing, coding, tabulating and scoring data, data collection was carried out on August 17-21 2018 in Gayaman Village, Mojokerto Regency.
 Result: The results of the general data from primigravida mothers' knowledge of the regularity of prenatal care showed that of 30 respondents less than 50% had sufficient knowledge of 9 respondents (30%). The data analysis here is enough because the education level of the respondents is lacking, so that in selecting and filtering the information received because the higher the level of education someone will influence the intellectual ability to choose information.
 Conclusion: The conclusions from this study indicate that the knowledge of primigravida mothers about the regularity of prenatal care is sufficient. Therefore, it is necessary to improve communication, information and education from health workers in providing counseling on antenatal care, so that mothers understand more about the regularity of prenatal care.

THE CORRELATION OF HUSBAND SUPPORTS WITH COPING ON PRIMIGRAVIDA PREGNANT WOMEN IN PUSKESMAS PLERET BANTUL YOGYAKARTA 2018

Research Background: During their first pregnancy, most women find it difficult to manage their both physical and emotional disorders. Research objective: This research aims to investigate the counseling relationship between husband supports and coping on primigravida pregnant women during delivering their babies. Research methods: This research is an observation research applying the cross sectional design. The independent variable is husband supports; while the dependent variable is the coping on pimigravida pregnant women. Moreover, the population of this research involved all primigravida pregnant women in Puskesmas Pleret Bantul. The research sample consisted of ninety respondents. The data were collected by using questionnaires. The bivariate analysis was done by employing chi-square. Research findings: Primigravida women with adaptive coping come with the percentage of 45.5%. Primigravida women with their husband supports come with the percentage of 60%. There is a significant relationship (p<0.05) between husband supports and coping on prigrimavida pregnant women ((OR=3,7; CI95% 1,48-9,46)). There is a significant relationship between age (OR = 4.3; CI95% 1.33-14.3) and education (OR = 3.5; CI95% 1.25-9.99) and coping on prigrimavida pregnant women (p<0.05). Where as employment and economic status with coping in primigravida mother did not have a significant relationship. Conclusion: Husband supports improves adapting coping on primigravida pregnant women while giving birth.