Journal of Nurse Midwifery and Maternal Health

 A Proper  Exercise regimen during prenatal care helps the mother have a safe pregnancy and delivery today more than of pregnant women are over weight or obese which is the increase risk of gestational diabetes ,preeclampsia still birth congenital anomalies etc .Therefore important to assess the awareness of Exercise and Encourage for prenatal Exercise in the patients .

 Motherhood is the most important position a woman can have in her life but can be a life threatening event as well. During pregnancy, any woman can develop serious, life-threatening complications that require medical care [1]. India accounts for nearly 20% of maternal and child health services in the globe. This could be related to several factors such as non utilization or under utilization of maternal and child health (MCH) services. For proper programme implementation, understanding community knowledge and practices regarding maternal care during pregnancy, delivery, and postnatal period is required. Improving community awareness on maternal and child health (MCH) services is still required [4]. Materials and methods; Research design used for this study was pre experimental one group pre test post test design. 60 rural people belonging to the age group of 20-60 years were selected using non probability convenient sampling technique from Vadavucode Puthencruz Panchayath . The tool used for data collection consisted of two parts. Part A included demographic profile and part B was a structured questionnaire which comprised of maternal and child health services of community health centre .Pre-test was done which was followed by a structured teaching programme ,  five days prior to the post-test. The pre-test and post-test values were compared by using paired t-test. Result: The findings showed that the mean post test knowledge score of the subjects 18.25 was higher than the mean pre-test score of 14.183. The calculated “t” value obtained from paired ”t” test was10.190  which is significant at P£ 0.05 level showing that there is improvement in knowledge of people. The results of chi-square analysis indicated that there was significant association between knowledge and demographic variables. Conclusion: The research conducted on people of selected Panchayath revealed that there was significant lack of knowledge regarding MCH services provided by Community Health Centres , among the people and the structured teaching programme has a remarkable role in improving their knowledge.

 Objective: To find out the level of health awareness related to pregnancy and the sources of information among parous women visiting the Primary Health Centers in Pandharpur  taluka. Methods: This is a cross-sectional study conducted at three Primary Health Centers in Pandharpur  taluka during Oct 2014. Five hundred and eighty one parous women who were eligible for the study were interviewed with the help of a questionnaire. Results: A large proportion of the women were well informed about certain health issues of pregnancy such as dietary intake of essential foods like dairy products (74.7%), Protein-rich foods (71.4%) and fruits (68.2%), the hours of daily rest necessary (81.9%), the need for exercise (83.6%), the importance and timing of antenatal visits, the risk of smoking in pregnancy (99.3%) and proper spacing of babies (97.7%). However, many women had no knowledge of the importance of taking high-fiber foods (55.1%) to avoid constipation, the required dietary changes in early pregnancy to prevent nausea and vomiting, and the ill-effects of maternal smoking on the fetus, Rubella infection and advancing maternal age on the fetus. They were also not aware of the importance of the various antenatal procedures such as blood examination, breast-care during pregnancy and immunizations to prevent Tetanus and Rubella infection. A higher literacy level of the women was significantly correlated with better knowledge on certain health parameters. Physicians and nurses constituted poor sources of health information (35.6%). Conclusion: There is a need to restructure the Health Education programmes relating to pregnancy delivered through PHCs and the mass media for better knowledge among women of childbearing age can decrease pregnancy-related problems and improve perinatal outcome.

 Pregnancy is a unique, exciting and often joyous time in a woman’s life, as it highlights the woman’s amazing creative and nurturing power.  This amazing experience need to be planned well in advance which emphasizes the significance of preconception care[1]. Materials and methods: Research design used for this study was pre experimental one group pre test post test design. 30 undergraduate students belonging to the age group of 18-24 years were selected using non probability convenient sampling technique from an Arts College, Thripunithura. The tool used for data collection consisted of two parts. Part A included demographic profile and part B was a structured questionnaire which comprised of two main sections namely (1) pre pregnancy check up and (2) pregnancy including family planning. Pre-test was done which was followed by a structured teaching programme five days prior to the post-test. The pre-test and post-test values were compared by using paired t-test.  Result: The findings showed that the mean post test knowledge score of the subjects 33.26 was higher than the mean pre-test score of 26.36. The calculated “t” value obtained from paired ”t” test was 34.6 which is significant at P£ 0.05 level showing that there is improvement in knowledge of under graduate students. The results of chi-square analysis indicated that there was no significant association between knowledge and demographic variables. Conclusion: The research conducted on undergraduate students of a selected college revealed that there was significant lack of knowledge regarding pre-conception care among the undergraduate students and the structured teaching programme had a remarkable role in improving their knowledge.

 Vaccine injections are the most common reason for iatrogenic pain in childhood. With the steadily increasing number of recommended vaccinations, there has been a concomitant increase in concern regarding the adequacy of pain management. In view of this investigator aimed to assess the effect of rhythmic skin tap on pain During DPT vaccination among toddler. It was a quasi-experimental study;  based on Kolcaba Comfort  Theory. After getting informed consent from primary care givers, 60 toddler (30 each in experimental and control group) who attended the immunization OPD of Aswini Hospital was selected as samples. The demographic performa of the toddler was assessed from care giver, immunization card and procedural pain was assessed by standardized FLACC behavioural pain scale. The findings revealed that, the intervention of  rhythmic skin tap was effective in reducing pain with p = <0.001 and there is a significant difference between the post-test pain score among toddlers with p = <0.001. Moreover the analysis states that there is no association between pain among toddlers with selected demographic variable. Study proved that rhythmic skin tap technique during the administration of DPT vaccination resulted in significant reduction in pain level in the experimental group than the control group. Hence it is clear that the rhythmic skin tap technique is an effective measure to reduce pain level during invasive procedure.

 The main aim of the of the study was to assess the  effectiveness of picture book on level of anxiety and post- operative quality of recovery among children undergoing surgery in selected hospitals, Chennai. Quasi experimental pre-test and post-test design was adopted for this study. Using Non probability purposive sampling technique, 50 children for study group and 50 children for control group were allotted. Data collection was done for the period of one month. Picture book was provided after assessing the demographic variables and pre test level of anxiety before undergoing surgery. The anxiety level after surgery and the post operative quality of recovery was assessed post operatively. The comparison of  pre test level of anxiety and post test level of anxiety among study shows t value of 19.656 and p= 0.001 which is statistically significant. The comparison of post lest level of post operative quality if recovery among children undergoing surgery in study and control group shows t value of 15.97 which is statistically significant at p=0.001 level.