Peripartum and pregnancy are the period of transition which would nearly disturb every aspect of a woman’s life. The postoperative course of a mother having a caesarean section is different for each mother. The health promotion interventions protocol makes the mothers more competent and confident in self-care and care of neonates. Objective: The objective of this study was to assess the effectiveness of ‘Health Promotion Interventions’ on pregnant women undergoing elective caesarean on maternal practices and outcomes during the postpartum period and on baby care practices and outcomes during the postpartum period. Material and Method: A quasi-experimental design was used and 80 mothers with gestational age 32 weeks were selected by using purposive sampling technique. Ethical clearance was obtained and informed consent was taken from the mothers. Data was collected in the period of July-August 2019. “Health Promotion Interventions” were implemented at the time of pre-assessment and after 3 days, in interventions, the mothers were educated regarding self- care, newborn care and about contraception by using the scrapbook, a booklet was prepared for this package and with the help of demonstration by using a baby dummy. Follow up was done till discharge, telephonically at 12th and 21st day and at 6th weeks of postpartum. The control group was asked to follow routine care including advices and instructions by health care workers Results: In both groups placenta previa was the main indications for elective caesarean section. The results revealed that in experimental group majority of the mothers were initiated early breastfeeding (85%), passed first flatus within 24 hours after caesarean section (82.5%), performing postnatal exercises (55%), continued exclusive breastfeeding (100%), having normal bowel pattern (100%) lesser number of mothers were having breast engorgement (22.5%) as compared to control group (p<0.05). In terms of neonatal outcome, 97.5% of newborns were gaining normal weight at 6th weeks and 100 % of the newborn was having normal bowel and bladder pattern and there was no incidence of re-hospitalization of mother and baby in the experimental group. The difference between both the groups were found statistically significant (p<0.001). The findings also revealed a significant difference between control and experimental group in relation with selected outcomes. Conclusion: Hence, it has been concluded ‘Health Promotion Interventions’ improved knowledge and practices of mothers regarding, postnatal self-care, newborn care and care of the baby upto 6 weeks of the postpartum period. Findings also revealed that ‘Health Promotion Interventions’ was effective in improving the perinatal outcomes after elective caesarean and reducing the occurrence of postpartum complications. Key words: Elective caesarean, postnatal care, newborn care, Health Promotion Interventions.
{"title":"Effectiveness of “Health Promotion Interventions” on Selected Perinatal Outcomes among Mothers Admitted for Elective Caesarean in PGIMER, Chandigarh 2018-20","authors":"Praveena Kumari, V. Venkadalakshmi, M. Dhandapani","doi":"10.52403/ijhsr.20240750","DOIUrl":"https://doi.org/10.52403/ijhsr.20240750","url":null,"abstract":"Peripartum and pregnancy are the period of transition which would nearly disturb every aspect of a woman’s life. The postoperative course of a mother having a caesarean section is different for each mother. The health promotion interventions protocol makes the mothers more competent and confident in self-care and care of neonates.\u0000Objective: The objective of this study was to assess the effectiveness of ‘Health Promotion Interventions’ on pregnant women undergoing elective caesarean on maternal practices and outcomes during the postpartum period and on baby care practices and outcomes during the postpartum period.\u0000Material and Method: A quasi-experimental design was used and 80 mothers with gestational age 32 weeks were selected by using purposive sampling technique. Ethical clearance was obtained and informed consent was taken from the mothers. Data was collected in the period of July-August 2019. “Health Promotion Interventions” were implemented at the time of pre-assessment and after 3 days, in interventions, the mothers were educated regarding self- care, newborn care and about contraception by using the scrapbook, a booklet was prepared for this package and with the help of demonstration by using a baby dummy. Follow up was done till discharge, telephonically at 12th and 21st day and at 6th weeks of postpartum. The control group was asked to follow routine care including advices and instructions by health care workers\u0000Results: In both groups placenta previa was the main indications for elective caesarean section. The results revealed that in experimental group majority of the mothers were initiated early breastfeeding (85%), passed first flatus within 24 hours after caesarean section (82.5%), performing postnatal exercises (55%), continued exclusive breastfeeding (100%), having normal bowel pattern (100%) lesser number of mothers were having breast engorgement (22.5%) as compared to control group (p<0.05).\u0000In terms of neonatal outcome, 97.5% of newborns were gaining normal weight at 6th weeks and 100 % of the newborn was having normal bowel and bladder pattern and there was no incidence of re-hospitalization of mother and baby in the experimental group. The difference between both the groups were found statistically significant (p<0.001). The findings also revealed a significant difference between control and experimental group in relation with selected outcomes.\u0000Conclusion: Hence, it has been concluded ‘Health Promotion Interventions’ improved knowledge and practices of mothers regarding, postnatal self-care, newborn care and care of the baby upto 6 weeks of the postpartum period. Findings also revealed that ‘Health Promotion Interventions’ was effective in improving the perinatal outcomes after elective caesarean and reducing the occurrence of postpartum complications.\u0000\u0000Key words: Elective caesarean, postnatal care, newborn care, Health Promotion Interventions.","PeriodicalId":14119,"journal":{"name":"International Journal of Health Sciences and Research","volume":"10 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141803686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
INTRODUCTION: Globally nearly 2 billion people have no access to safely managed drinking water services and over 1.7 billion lack adequate or basic sanitation facilities. India is a growing and developing nation and the quality of ground water and drinking water needs to be regularly monitored. There are several diseases in India that spread due to contaminated water. Annually about 37.7 million Indians are affected by waterborne diseases. AIMS AND OBJECTIVES: This research has been undertaken with the Aim and Intent to study, test, assess, evaluate and understand the aspects of Microbial quality of water used as drinking sources in urban and rural households. MATERIAL AND METHODS: The 40 numbers of drinking water samples were collected.20 water samples from the urban area of Vadodara city and 20 water samples from the rural areas on outskirts of Vadodara city. Multiple Tube Fermentation Technique was used for detecting presence of coliforms. The free residual Chlorine was measured by use of Chloroscope equipment RESULTS: A total of about 17 water samples (11 rural samples of untreated water and 06 urban samples of treated water) showed a higher MPN. The growth of E. coli which indicates the fecal contamination rate was noted in 09 water samples which is about 22.50% (09 water samples - 06 rural samples and 03 urban samples). The absence of fecal streptococci, E. coli and total coliforms was found in only 6 samples which is about 15.00%. CONCLUSION: Pathogens, coliforms and other microorganisms were found in water samples collected from both urban as well as rural areas. It is now important to educate and bring awareness among local people about quality of their water source, the importance of clean surrounding near water source, boiling of drinking water to eliminate contamination. Key words: Fecal coliforms, E. coli, Chloroscope
{"title":"Microbial Quality of Water Used as Drinking Sources in Urban and Rural Households of Gujarat, India: A Cross-Sectional Study","authors":"Sucheta Lakhani, Neil Shah, Nidhi Bhalodia","doi":"10.52403/ijhsr.20240741","DOIUrl":"https://doi.org/10.52403/ijhsr.20240741","url":null,"abstract":"INTRODUCTION: Globally nearly 2 billion people have no access to safely managed drinking water services and over 1.7 billion lack adequate or basic sanitation facilities. India is a growing and developing nation and the quality of ground water and drinking water needs to be regularly monitored. There are several diseases in India that spread due to contaminated water. Annually about 37.7 million Indians are affected by waterborne diseases.\u0000AIMS AND OBJECTIVES: This research has been undertaken with the Aim and Intent to study, test, assess, evaluate and understand the aspects of Microbial quality of water used as drinking sources in urban and rural households.\u0000MATERIAL AND METHODS: The 40 numbers of drinking water samples were collected.20 water samples from the urban area of Vadodara city and 20 water samples from the rural areas on outskirts of Vadodara city. Multiple Tube Fermentation Technique was used for detecting presence of coliforms. The free residual Chlorine was measured by use of Chloroscope equipment\u0000RESULTS: A total of about 17 water samples (11 rural samples of untreated water and 06 urban samples of treated water) showed a higher MPN. The growth of E. coli which indicates the fecal contamination rate was noted in 09 water samples which is about 22.50% (09 water samples - 06 rural samples and 03 urban samples). The absence of fecal streptococci, E. coli and total coliforms was found in only 6 samples which is about 15.00%.\u0000CONCLUSION: Pathogens, coliforms and other microorganisms were found in water samples collected from both urban as well as rural areas. It is now important to educate and bring awareness among local people about quality of their water source, the importance of clean surrounding near water source, boiling of drinking water to eliminate contamination.\u0000\u0000Key words: Fecal coliforms, E. coli, Chloroscope","PeriodicalId":14119,"journal":{"name":"International Journal of Health Sciences and Research","volume":"36 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141805341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Study Design: Experimental study pretest-posttest design with comparative treatment. Summary of background: Low back pain is a common condition that affects the Most people at some point of their lives with up to an 84%lifetime prevalence. Mechanical low back pain may be due to faulty posture sedentary lifestyle and improper ergonomics. Core muscles maintain the stability of the lumbar spine. Due to improper mechanics of the spine, there leads muscle imbalance in the lumbar spine. Thus, the rehabilitation of the core muscle results in improving the muscular control around the lumbar spine to maintain functional stability of the spine during activities. Movement control exercises are aimed to identify the Kinesio pathological models of movement dysfunction of the spine. Based on the principle, the treatment aimed to correct and restore the movement pattern and avoiding the posture which provokes them. Objective: This study is to investigate the effectiveness of movement control exercise and core stability exercise on reducing pain, improving range of motion and functional activities in patients with mechanical low back pain. The primary outcomes include pain intensity and Functional disability. The secondary outcome includes lumbar range of motion. Study Setting: Department of Orthopedics, Neurology and Physical Medicine &