International Journal of Obstetrics, Perinatal and Neonatal Nursing

Impact of Antenatal Interventional Packages on Maternal Outcomes

  1. P. Vadivukkarasi Ramanadin
  2. Pity Koul

Abstract

Introduction: Motherhood is a great responsibility, and it is one of the highest crowns of honour. Aproper antenatal check-up provides necessary care to the mother and helps to identify anycomplications of pregnancy and timely management. Aim: Evaluate the effectiveness of selectedantenatal interventions on maternal outcome among high-risk pregnant women. Hypothesis: There isa difference in maternal outcome between control and experimental group of high-risk pregnant womenafter implementation of selected antenatal interventions at 0.05 level of significance. Methodology:Quantitative research approach, quasi-experimental multiple time series control group design is used.High-risk pregnant women attending antenatal OPD at Sub District Hospital and District Hospital whofulfils the inclusion criteria were selected for the study by using non-probability purposive samplingtechnique. Experimental group consist of 16 and control group consist of 16 high-risk pregnant women.Selected antennal interventions include video assisted teaching on antenatal care and prevention ofpreterm delivery, daily monitor sheets for antenatal interventions and exercise, telephonic confirmationfor follow up, information booklet on antenatal care and prevention of preterm delivery, minimum eightantenatal visits and measurement of cervical length. Pregnant women were selected from the 20th weeksof gestation. Results: Findings of the study include 32 high-risk pregnant women such as teenagepregnancy (9), maternal anemia (11), teenage pregnancy and anemia (10) and previous history ofabortion with anemia were (2). Socio-demographic variables show that 44% of them belong to less than19 years old, 44% of them had completed high school education and higher secondary, 53% of themwere unskilled workers, 75% of them were having salary between Rs. 2092 and 6213/-, all were fromurban area, 90% of them were adivasis, 56% of them were in joint family, 47% of them were engagedand 94% of them gained knowledge on preterm prevention was ANM, School health programme. It alsoshows that selected antenatal interventions are effective in reducing the preterm delivery(t(32,0.05)=3.649; 0.000547) and reducing the hospital stay (t(32,0.05)=6.971; 0.000). Findings of the studysuggests antenatal interventions can reduce the occurrence of preterm delivery.

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