A Descriptive Study to Assess the Level of Knowledge Related to Labour Process among Primigravida in selected Hospitals of Punjab and Haryana

 

Ms. Nisha Walia1, Mrs. P. Vadivukkarasi Ramanadin2, Ms. Kiran3

1M.Sc. Nursing II Year, Mata Sahib Kaur College of Nursing, Mohali, Punjab.

2Asst. Professor, Dept. of OBG (N)., Mata Sahib Kaur College of Nursing, Mohali, Punjab.

3Lecturer, Dept. of OBG (N), Mata Sahib Kaur College of Nursing, Mohali, Punjab.

*Corresponding Author Email: krishraghav2010@gmail.com

ABSTRACT:

Becoming a mother is an important stage in every woman’s life. First time mothers in particular may feel anxious about how they are going to cope with themselves. With this aim the researcher made an attempt to assess and correlated the knowledge and anxiety on labour process. A quantitative research approach with descriptive design was adopted. The sample consists of 100 primigravida by purposive sampling technique. Structured interview schedule was used to collect the data from primigravida. The collected data were analyzed by using descriptive and inferential statistics. Study findings shows that the majority of the primigravida i.e. 43% belongs to the age group of less than 23 years, 33% of the primigravida were studied till metric class, majority (81%) of primigravida were house wives, 53% of primigravida were from the families having monthly income of less than Rs.10,000/-, 52% of primigravida were housewives, majority (59%) of the primigravida were from nuclear family and 41% of primigravida gained  knowledge on labour from their family. It also shows that 53% of the primigravida had good level of knowledge, followed by 30% of them had average level of knowledge, 11% had excellent level of knowledge and only 6% of them had low level of knowledge. The study findings show that there is an association between the level of knowledge and education, occupation and source of information.

 

KEY WORDS: Primigravida, Labour process, Structured Interview schedule, Structured knowledge questionnaire, Purposive sampling technique.

 


INTRODUCTION:

Becoming a mother is an important stage in every woman’s life. Most different period for women is their growth into parenthood is precisely pregnancy and delivering period. Conception is the beginning of life of the fetus and a new beginning for the whole family in the form of additional new member and changing relationship. When woman pregnant first time may feel more anxious about how they are going to cope with themselves. Though pregnancy is wonderful and very joyful news in most of women’s life, on the same part the women will have emotional disturbances towards the physical changes in her and the process of child birth. Pregnancy is the vital event in the life of a women, it need special attention from the time of conception to the postnatal stage, every pregnancy is a unique experience for that women and each pregnancy the women experience will be new and adequately different.

 

OBJECTIVES:

·         To assess the level of knowledge regarding labour process among primigravida

·         To associate the level of knowledge with selected socio-demographic variables.

 

NULL HYPOTHESES:

·         H0: There is no adequate level of knowledge regarding labour process among primigravida at 0.05 level of significance

·         H0: There is no association between level of knowledge regarding labour process among primigravida and selected socio-demographic variables at 0.05 level of significance

 

MATERIAL AND METHODS:

Research Approach:

A quantitative research approach is used for the present study.

 

Research Design:

Descriptive research design was adopted.

Research Setting:

The study was conducted in the Obstetrics O.P.D and Antenatal Clinic in the Civil hospital; phase 6 – Mohali.

Target Population:

The target population of the present study was all primigravida mother who attending the outpatient department of Civil hospital, Phase – 6, Mohali.

Sample and Sampling Technique:

Sample for the present study comprised of 100 primigravida women who fulfill the inclusion criteria. Non probability, purposive sampling technique was used to draw sample from the population.

 

Inclusion and Exclusion Criteria:

Inclusion criteria:

Inclusion criteria for the study are the primigravida women

·         attending the Antenatal Outpatient Department (OPD) of Civil Hospital, Phase-6 of Mohali

·         Primigravida mothers in Civil Hospital, phase-6 Mohali

·         in 3rd trimester

·         able to read and write Hindi

·         available during data collection period

·         willing to participate in the study

Exclusion criteria:

Exclusion criteria for the present study are primigravida women

o    In 1st and 2nd trimester

o    With labour pain

o    With medical and surgical illness

 

Selection and Development of Tool(s):

Self-administered structured knowledge questionnaire was developed to assess the knowledge of primigravida mothers regarding labour process. It consist of two sections. Section – I includes 7 variables such as age, educational status, occupation, family income, religion, type of family ad source of information. Section – II consist consists of 20 items to assess the knowledge of primigravida mothers on labour process. Level of Knowledge was assessed on the following grading. 

 

Level of knowledge

Score

Poor

0-5

Average

6-10

Good

10-15

Excellent

16-20

 

 


RESULTS:

TABLE - 1: Frequency and Percentage Distribution of Primigravida Women According To Their Socio- Demographic Variables

                                                                                                                                                                                                          N=100

Sl. No

Socio- demographic variables

Frequency (f)

Percentage (%)

1

Age

≤ 23 years

43

43.0

24 – 27 years

41

41.0

≥ 28 years

16

16.0

2

Educational status

Non Formal education

3

3.0

Primary

7

7.0

Matric

33

33.0

Higher Secondary

29

29.0

Graduate

17

17.0

Post Graduate

11

11.0

3

Occupational status

Working

19

19.0

Housewife

81

81.0

4

Monthly income of the family

   Rs.10000/-

53

53.0

Rs 10001 – 25000/-

37

37.0

Rs 25001 – 40000/-

8

8.0

  Rs 40001/-

2

2.0

5

Religion

Hindu

52

52.0

Muslim

9

9.0

Sikh

39

39.0

6

Type of family

Nuclear

59

59.0

Joint

41

41.0

7

Source of Information on Labour process

Family

41

41.0

Friends

10

10.0

Health Workers

35

35.0

Mass Media

13

13.0

Newspaper

1

1.0

Table: 1 shows that the majority of the primigravida i.e. 43% belongs to the age group of less than 23 years, 33% of the primigravida were studied till metric class, majority (81%) of primigravida were house wives, 53% of primigravida were from the families having monthly income of less than Rs.10,000/-, 52% of primigravida were housewives, majority (59%) of the primigravida were from nuclear family and 41% of primigravida gained  knowledge on labour from their family.

 

TABLE – 2: Level of knowledge regarding labour process among primigravida                                                                N = 100

Sr. No

Level of Knowledge on labour process

Frequency (f)

Mean Percentage (%)

1

Poor

6

6.0

2

Average

30

30.0

3

Good

53

53.0

4

Excellent

11

11.0

Total

100

100.0

 

The analysis of the Table 2 shows that the level knowledge regarding labour process. It shows that the majority of the primigravida i.e. 53% had good level of knowledge, followed by 30% of them had average level of knowledge, 11% had excellent level of knowledge and only 6% of them had low level of knowledge.

 

TABLE – 3: Association between level of knowledge regarding labour process among primigravida with selected socio demographic variables                                                                                                                                                                             N = 100

Sl.No

Socio- demographic variables

Frequency (f)

Test of significance

1

Age Group

≤ 23 years

10.81

F – test = 0.106

p = 0.899, NS

24 – 27 years

11.73

≥ 28 years

11.44

2

Educational status

Non Formal education

10.33

F – test = 7.101**

p = 0.0001

Primary

7.71

Matric

10.00

Higher Secondary

11.38

Graduate

14.41

Post Graduate

12.64

3

Occupational status

Working

13.47

T – test = 3.153**

p = 0.002

Housewife

10.78

4

Monthly income of the family

   Rs.10000/-

10.02

F – test = 2.416

p = 0.071, NS

Rs 10001 – 25000/-

12.70

Rs 25001 – 40000/-

12.75

  Rs 40001/-

13.00

5

Religion

Hindu

11.12

F – test = 0.845

p = 0.433, NS

Muslim

10.22

Sikh

11.77

6

Type of family

Nuclear

11.20

T – test = 0.295

p = 0.768, NS

Joint

11.41

7

Source of Information on Labour process

Family

11.95

F – test = 2.547**

p = 0.044

Friends

8.30

Health Workers

11.63

Mass Media

10.69

Newspaper

10.00

** Significant, NS: Non Significant

 


Table: 3 shows that there is an association between the level of knowledge and educational status, occupational status and source of information on labour process

 

CONCLUSION:

The present study shows that primigravida have moderate level of knowledge on labor process. They must be educated regarding labour process.

 

REFERENCE:

Beneft V. Ruth, Brown K. Linda. Myles Test Book for Midwives.10th ed. London: Churchill living stone, 2000.

Lynna Y Littleton and Joan C Engebretson. Maternity nursing care.5th ed. Australia: Thomson Delmar learning, 2007.

Celcy Mary.  The extent of information provided by health personnel to parturient mothers during their stay in the labor room. The Indian Journal of Nursing and Midwifery Feb 2006; 1 (3): 35 –39.

Bester MB, Nolte AG. Pregnancy Birth Process. http://www.welcome banyhome.com/pregnancy/pregnancy_birth_process.htm/reviwed on 05/03/2013.

Maheshwari A, Porter M, Shetty A. Women’s health care topics. http://www.womenshealthcaretopic.com/reviwed on 10/03/2013.

 

 

Received on 07.10.2013          Modified on 02.12.2013

Accepted on 15.12.2013          © A&V Publication all right reserved

Asian J. Nur. Edu. & Research 4(3): July- Sept., 2014; Page 273-275