Journal of Nurse Midwifery and Maternal Health

Abstract The human placenta is critical throughout intrauterine development; it has a direct impact on the efficacy of fetal development, such as diabetes mellitus and obesity.1 Placental growth, differentiation and adaptation are influenced by maternal factors, such as stress, oxygen availability and maternal genetics. Placenta accreta is one of the catastrophic obstetric complications which leads to peripartum hysterectomy and common cause of severe maternal morbidity.1 This case report concerns a woman diagnosed with placenta previa with placenta accreta. She had been married for four years and had conceived three times, giving birth to two live babies and had one spontaneous abortion. She was presently admitted to the hospital with complaints of fever and chills from past one week with non-productive cough, vomiting from past one week with pain in abdomen and inability to pass urine. She had also history of IUD baby due to unmanageable labour pain at the time of delivery which was delivered by an unpractised and unlicensed nurse in the absence of obstetrician. Her last pregnancy was complicated by Placenta Previa and she had undergone for emergency caesarean section. Her chickenguniya test was found positive as she complained of fever with chills. Ultrasonography with NCCT correlation showed placenta previa with placenta percreta and uterine collection, calcified hematoma and calcified placental tissue along with bilateral enlarged kidneys with mild CMD attenuation. As a part of management, hysterectomy was performed. Keywords: Placenta Accreta; NCCT=Non- contrast computerized tomography; CMD = Corticomedullary differentiation.

Abstract The COVID-19 pandemic has significantly distressed the existence and health of people all over the world with lots of confirmed cases and hundreds of deaths. Other than physical consequences, the mental illness repercussion of COVID-19 pandemic have accumulated the interest of mental health researchers all over the world (Arslan et al., 2020; Tanhan et al., 2020). Pandemics are well known to trigger/spawn mental health issues, regardless of their nature and type.1 Not only the employed persons but children’s mental health is also affected due to COVID-19. Due to the closure of schools, children extracurricular & outdoor activities has been cut off, that leads mild-severe impact on child mental health like changes in behavior, Changes in sleeping & eating pattern, irritation, anxiety and many more symptoms can easily be seen. Keywords: COVID-19; Mental Health; Children.

Abstract “A Study to Evaluate Effectiveness of Planned Teaching Programme on Selected Healthy Habits in Terms of Knowledge and Attitude among Mothers of School Age Children in Select Rural Areas of Ahmadabad District.” The objectives of the study were: 1) To assess the knowledge of mothers of school age children before and after administration of planned teaching programme regarding selected healthy habits in selected rural area of Ahmadabad District. 2) To assess the attitude of mothers of school age children before and after administration of planned teaching programme regarding selected healthy habits in selected rural area of Ahmadabad District. 3) To find out association between pre test knowledge of mothers of school age children regarding selected healthy habits with selected demographic variables. 4) To find out association between pre test attitudes of mothers of school age children regarding selected healthy habits with selected demographic variables. Pre Experimental approach was used with one group pre-test post-test design. The study was conducted in selected rural areas of Ahmadabad district. The investigator used multi stage random sampling technique for selecting 50 samples; a planned teaching programme on selected healthy habits was prepared. A Structured Knowledge Questionnaire was prepared to assess the knowledge of the samples. Summated Likert’s scale used to assess attitude of samples. Content validity of the developed tool and planned teaching programme was established before the data collection. Reliability of the knowledge tool was ascertained by test retest method using spearman Rank correlation formula (0.8) and for attitude Cronbach alpha formula used (0.7) Data were analyzed using descriptive and inferential statistics. The mean pre-test knowledge score of samples on selected habits was (11.72) where as post-test knowledge score was (19.18) with mean difference 7.46. The calculated‘t’ (25.7) was greater than tabulated ‘t’ (2.01) at 0.05 level of significance. The mean post test Attitude score (81.68) was higher than the mean Pre-test Attitude score (58.26) with the mean difference of (23.42). The calculated‘t’ (10.07) was greater than tabulated‘t’ (2.01) at 0.05 level of significance. There is significant association between pre-test knowledge score with the demographic variables like education (10.0), occupation (6.8) at 0.05 level of significance. There was significant association between pre-test attitude score with the demographic variables like education (7.85) at 0.05 level of significance. From the above findings, researcher concluded that samples knowledge as well as the attitude improved after implementation of planned teaching programme on selected healthy habit. Keywords: Healthy habits; Planned Teaching Programme; Mothers; School age children