Avinash Kaur Rana
Post Graduate Institute of Medical Education and Research, India
Avinash Kaur Rana has completed her Ph.D. at the age of 54+ years from Post Graduate Institute of Medical Education and Research, Chandigarh, INDIA . She is working as a Lecturer in National Institute of Nursing Education, Post Graduate Institute of Medical Education and Research, Chandigarh, INDIA. Awarded WHO Fellowship from 18th July -12th Aug. 2005 and attended Course on Community Health care and Research at Khon Koen University, Thailand. Under GFATM project organized twenty seven workshops on HIV/AIDS and Anti retroviral therapy from April 2010 to Aug. 2013 which were funded by Indian Nursing Council.(Act as a Principal Coordinator).Life member of various National Organizations. She has published more than 15 papers in reputed journals and written chapters in books. Attended number of conferences and presented papers and chaired many sessions.
1. To compare the impact of the two training strategies (5 contacts) on the status of maternity care preparedness among primigravida women in the study population 2. To ascertain the feasibility of operating a maternity care room in Gyne/Obst OPD of a tertiary care hospital of north India. Research Design: A two group randomized controlled trial design was used. Research Setting: Out Patient Department, Antenatal Clinic, Labour Room, Postnatal Wards.Target population and Study Unit: Primigravida mothers Visit 1: Topics covered in Training Package - I (13-20 weeks of gestation) Minor disorders during pregnancy, Warning signals during pregnancy, Self care during pregnancy. training package (TP1) Group B received manual as well as counseling & Group A received only manual for self reading. Visit 2: Topics covered in Training Package 2 (30-32 weeks of gestation) Anatomy & Physiology of labor, what to do during labor, warning signals during labor, Self – care during pregnancy and labor. Visit 3: Topics of Training Package 2 were repeated. Visit 4: Topics covered in Training package 3 (on the fi rst day aft er delivery) 1. Anatomy & Physiology of breast, self care of mothers during puerperium, care of the baby Warning signals for mothers and babies. Visit 5: Follow-up (6 weeks aft er delivery): Schedule for collection of data pertaining to outcome variables Visit 1 Initial Assessment + TP1 13-20 weeks Visit 2 Follow-up 1 + TP2 30-32 weeks Visit 3 Follow-up 2 + TP2-R On the day of admission in labor room Visit 4 Follow-up 3 + TP3 On the fi rst day aft er delivery Visit 5 Follow-up 4 (Observation) 6 weeks aft er delivery Analysis: using percentage, range, mean and standard deviation summarized the data. Th e fi nding of the study was presented in the form of contingency tables, bar/ pie Results: Th e total mean (±SD) scores for cases (counseling and manual group) were 8.48(±2.82) and 35.01(±4.14) for fi rst and second visits of the respondents to the hospital (schedule 2a - assessment of knowledge and practices related to common problems in pregnancy for cases only) respectively. Th e visit scores of schedule 2a for cases (counseling and manual group) increased by a mean value of 26.53 (with its 95% C.I: -27.38 to -25.68) from visit 1 to visit 2 among cases. Th is jump in visit scores was highly signifi cant for cases (p-value <0.0001). Similarly, controls (manual alone group) also showed a mean rise of 19.20(with 95% C.I.: -20.13 to -18.27) in scores from visit 1 to visit 2 of schedule 2a. Th is was again a highly signifi cant diff erence (p-value <0.0001). Th e total mean (±SD) scores for controls were 9.82±3.31 and 29.02±4.25 for fi rst and second visits of schedule 2a respectively. Total scores for cases (counseling and manual group) increased signifi cantly from 9.30±2.09 on visit 1 of schedule 2b to 23.61±1.85 of visit 2 of schedule 2b. Th e mean diff erence of -14.30 score between visit 1 & visit 2 was statistically signifi cant (with 95% C.I: -14.81 to -13.80; p-value <0.0001). On visit 4, 40.6% women did not know when the fi rst feed should be given to the baby, while 11.2% told that it should be given immediately aft er birth, 18.2% mentioned that aft er 2-3 hours, 16.1% as told by doctor/nurse, 3.5% aft er 4 hours, 2.8% aft er 6 days and only 0.7% responded as told by doctor/nurse, 3.5% aft er 4 hours, 2.8% aft er 6 days and only 0.7% responded 'depend on baby condition'. Aft er teaching, there was improvement of the knowledge; on visit 5th (at 6 weeks aft er birth) in both groups i.e. cases 82.7% responded "immediate aft er birth and control (manual only) 79.7% while 14.8% responded aft er 2 Hours. (Table-145) Conclusion: Most of these symptoms can be managed by women themselves without any medicine if they are aware how to deal with them. Th e present study demonstrated successfully that the pregnant women can easily be trained to manage these symptoms themselves. On the bases of it counseling room set for regular counseling.