Effectiveness of Structured Teaching Programme on Knowledge of Preparation and Management of Labour among Primigravida Women in Selected Hospital, Salem, Tamilnadu, India
Keywords:Preparation and Management of Labour, Structured Teaching Programme, Primigravida women.
Background: Labor is one of the most painful events in a women’s life. Many women would like to avoid
pharmacological or invasive methods of pain management in labour, and this may contribute towards the
popularity of complementary methods of pain management. This review examined the evidence currently
available on manual methods, including frequent change in positions, massage and reflexology, for pain
management in labour. The main aim of this study is to identify the level of knowledge on preparation and
management of labour among primigravida women.
Methods: A Quantitative pre experimental with one group pre and post test design was selected and through
purposive sampling technique the samples were recruited. The total sample size was 30 primigravida
mothers at 36-37 weeks of gestation. Tools like demographic variables, structured interview schedule and
structured teaching programme on preparation and management of labour was used. At the first day, pre
test was conducted by using SIS and immediately after the pre test structured teaching on preparation and
management of labour was administered for 30 minutes as a group. After 7 days the post test was conducted
by using same structured interview schedule. Data analysis done by both descriptive and inferential statistics.
Findings: Highest percentage (50%) of the women were in the age group of 21-25 years. The overall mean
score in pre test was 12.16±4.3 and the mean percentage was 41.26 whereas in post test the overall mean
score was 22.76±5.68 and the mean percentage was 73.86. The calculated ‘t’ value was 10.18 at p < 0.05
level of significance. It depicts that structured teaching prgramme on preparation and management of labour
was highly effective. There was no significant association between the demographic variables with pre and
post test knowledge scores.
Conclusion: Evidence-based maternity care emphasizes on the practices that increase safety for mother
and baby. Women attending antenatal care clinic in teaching hospital in rural part of India were poorly
prepared for the experience of delivery. Antenatal programmes should incorporate education concerning
pain of labour and methods available to alleviate pain. This study suggests that the current approach of
antenatal preparation in the NHS, of asking women to make decisions antenatally for pain relief in labour,