A Hospital Based Prospective Study to Assess the Postnatal Changes and Postnatal Complications Among Postnatal Mothers with Caesarean Section and Vaginal Delivery at Tertiary Care Center
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 5953-5959
Abstract
Background: Maternal health and wellbeing influences the development of the child. Healthy children are assets for family, community, and the nation. The problems of maternal mortality and morbidity are complex, involving womens’ status, education, employment opportunities, and availability of health services. The aim of this study to assess whether the changes in the mode of delivery have brought about any changes in the outcome of birth and complications.Materials & Methods: A hospital based prospective study done on 100 postnatal mothers i.e., 50 mothers who had undergone caesarean section and 50 mothers who had vaginal delivery in government hospitals pali, Rajasthan, India during one year period. Data collection is a precise, systematic gathering of information relevant to the research process. A structured interview schedule for collecting baseline data of the respondents. A semi structured observation schedule on postnatal changes, which comprised of 19 parameters for assessing physiological and psychological changes after caesarean section and vaginal delivery.
Results: Our study showed that mean age of patients was 25.38 years in caesarean section and 26.22 years in vaginal delivery, which was statistical insignificant (P>0.05). As far as the type of vaginal delivery is concerned, majority of mothers had normal vaginal delivery (45i.e.90%) and very less number of mothers (5i.e. 10%) had undergone instrumental delivery. All postnatal mothers who underwent caesarean section (50 i.e. 100%) had firm and retracted uterus compared to 48 mothers (96%) with vaginal delivery on first postnatal day. Majority of mothers who had caesarean section(20i.e.40%) started self-care on third postnatal day compared to 36 mothers (72%) with vaginal delivery who started self-care on first postnatal day itself.
Conclusion: This study showed that the postnatal mothers had high learning needs regarding post-natal care after emergency LSCS and their self-care practices performed was poor. The self-care practices were increased every day, because awareness created by the health personnel during hospital stay
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