Journal of Nurse Midwifery and Maternal Health

 Obstetrical emergencies are lifethreatening medical conditions that occur in pregnancy or during or after labor anddelivery. An ectopic, or tubal, pregnancy occurs when the fertilized egg implants itself in the fallopiantube rather than the uterine wall. Placental abruption occurs when the placenta separates fromthe uterus prematurely, causing bleeding and contractions. Placentaprevia. When the placenta attaches to the mouth of the uterus and partially or completely blocks the cervix, the position is termed placenta previa (or lowlying placenta). Preeclampsia (toxemia), or pregnancyinduced high blood pressure, causes severeedema (swelling due to water retention) and can impair kidney and liver function. It progresses to eclampsia, toxemia is potentially fatal for mother and child.Premature rupture of membranes is the breaking of the bag ofwaters (amniotic  uid) before contractions or labor begins. Proper prenatal care is the best prevention for obstetrical emergencies.

Keywords: Obstetrical Emergency; Ectopic; or Tubal; Pregnancy; Placentaprevia; Placental Abruption; Preeclampsia; Eclampsia; Premature Rupture of Membranes.

 Pregnancy is a unique, exciting and often joyous time in a woman’s life, as it highlights the woman’s amazing creative and nurturing powers while providing bridge to the future. The growing foetus depends entirely on its mother’s healthy body for all needs. Consequently, pregnant women must take steps to remain as healthy and well-nourished as they possibly can [1]. Maternal health is the health of women during pregnancy, childbirth, and the postpartum period. Generally, adequate prenatal care encompasses medical care, educational, social, and nutritional services during pregnancy [1]. The present study was aimed to assess the correlation between selected maternal parameters and obstetric outcome among women admitted in antenatal wards for delivery in Amala Institute of Medical Sciences, Thrissur District. The objectives of this study were to assess the selected maternal parameters of women admitted in antenatal wards fordelivery, to assess the obstetric outcome among women after delivery, to  nd the correlation between selected maternal parameters and obstetric outcome, to  nd the association between selected maternal parameters and obstetric outcome, to  nd the association between selected maternal parameters and selected baselinevariables and to  nd the association between obstetric outcome and selected baseline variables. The research approach was quantitative and the research design adopted was descriptive correlational design. One hundred and thirty antenatal women were selected by convenience sampling technique. Data was collected using structured questionnaire to assess the selected baseline variables and data sheet to assess the maternal and neonatal variables. The study was based on Nola J Pender’s Health Promotion Model (HPM). The result showed that there is a positive correlation between parity and birth weight (r = 0.16), period of gestation & gestational age of baby which is signi cant at p < 0.001, period of gestation & birth weight (r = 0.02), BMI & gestational age of baby (r = 0.02) and BMI & birth weight signi cant at p < 0.05 (p = 0.02). There is an association between period of gestation & mode of delivery (p < 0.05), parity& age in years (p < 0.001), period of gestation & age in years (p < 0.05), BMI & economic status of the family (p < 0.05) and mode of delivery& age in years (p < 0.05).

Keywords: Selected Maternal Parameters; Obstetric Outcome; Antenatal Women; Health Promotion Model; Bmi.

 Introduction: Episiotomy is a surgical incision of the perineum and the posterior vaginal wall generally done by the midwife or obstetrician during second stage of labor to quickly opening for the baby to pass through. Nursing interventions are intended to reduce the discomfort caused by episiotomy and allow the woman to take care of herself and her baby. The objective of the study was to compare the episiotomy wound healing and level of pain between postnatal mothers receiving sitz bath with plain water (group1) and povidone iodine solution (group 2). Methods: Study was conducted at Kamla Nehru Hospital Shimla, Himachal Pradesh on 60[30 in experimental group (group 1) and 30 in experimental group(group 2)] postnatal mothers and selected by cluster randomization sampling technique.Two group pretest- posttest design was used. Standardized REEDA scale was used for measuring episiotomy healing and numerical rating scale for episiotomy pain assessment. Results: In both groups there was a reduction in the total REEDA score from pretest to posttest (4.63±2.17 to 2.40±1.90 vs 4.90±1.91 to 2.37±1.49), but the difference was not signi cant statistically. The comparison of episiotomy healing between group 1 and group 2 also showed no signi cant difference reveling a similar effect of both interventions in terms of episiotomy healing. The pain score reduced from pretest to posttest in both groups (6.83±.79 to 4.4±.77 vs. 6.70±.1.02 to 4.8±.99). But the difference was not signi cant statistically. But the mean reduction in scores from pretest to posttest was more in group 1 as compared to group 2 (2.4±.89 vs. 1.9±1.02), which was signi cant statistically (p-value .04). Conclusion: The study indicates that the sitz bath with plain water was effective for episiotomy pain and sitz bath with plain water has similar effect as sitz bath with povidone iodine solution on episiotomy wound healing. So sitz bath with plain water was a suitable alternative of intervention for episiotomy healing and pain reduction.

Keywords: Postnatal Mother; Episiotomy Healing; Pain; Sitz Bath; Plain Water And Povidone Iodine.