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Paper Title:
A study to evaluate the effect of upright positions versus breathing exercise on pain and labour outcome in primigravida mothers during first stage of labour in Safdarjung Hospital of Delhi
A study to evaluate the effect of upright positions versus breathing exercise on pain and labour
outcome in primigravida mothers during first stage of labour in Safdarjung Hospital of Delhi
was under taken by Ms. Meenakshi Saini, under the guidance of Dr. (Mrs.) Molly Babu,
Assistant Professor and Dr. (Mrs.) Sharda Rastogi, Assistant Professor towards the fulfilment of
the requirements for the award of degree of master of nursing at Rajkumari Amrit Kaur College
of Nursing, University of Delhi during the year 2016-2017.
Objectives of the study were to: 1. Assess and evaluate the level of pain among primigravida
mothers before and after the administration of upright positions. 2. Assess and evaluate the level
of pain among primigravida mothers before and after the administration of breathing exercise.
3. Assess and evaluate the labour outcome of primigravida mothers after the administrations of
upright positions 4. Assess and evaluate the labour outcome of primigravidae mothers after the
administration of breathing exercise. 5. To find relationship between level of pain and labour
outcome among primigravida mothers after the administration of upright positions. 6. To find
relationship between level of pain and labour outcome among primigravida mothers after the
administration of breathing exercise. 7. Compare the level of pain among primigravida mothers
after the administration of upright positions and breathing exercise. 8. Compare the labour
outcome among primigravida mothers after the administration of upright positions and
breathing exercise.
The conceptual framework of the study was based on Ernestine Wiedenbach helping art model.
An experimental research approach with pretest posttest control group design with repeated
measures was adopted. The population comprised of primigravida mothers during first stage of
labour in Safdarjung Hospital of Delhi. The independent variables were upright positions and
breathing exercise and dependent variables were labour pain and labour outcome among
primigravida mothers during first stage of labour.
The tools used were Structured interview schedule to collect the demographic data, structured
assessment tool for selection of samples, Visual analogue scale to assess the level of pain,
structured observation schedule for labour outcome at 4-6cm dilatation, 7-9cm dilatation,
partograph and structured performa for assessing labour outcome after delivery.
The reliability coefficient was established for structured observational schedule and structured
performa by inter-observer reliability. The pilot study was conducted and was found to be
reliable.
The final study was conducted in labour room of Safdarjung Hospital, New Delhi. Data were
collected from 10 Oct to 22 Oct 2016 for pilot study (10 in each experimental group 1,
experimental group 2 and control group) and from 17 Dec 2016 to 7 Jan 2017 for final study (30
in experimental group 1, experimental 2 and control group). Purposive sampling technique were
used to select the samples. The data were analysed using both descriptive and inferential
statistics according to the objectives and hypothesis of the study.
Major findings of the study revealed that the sample characteristic of both experimental 1, 2 and
control group were nearly same. There was significant difference in the mean pre-test and post-
test pain scores in both the experimental group 1 and experimental group 2. There was
significant difference in post-test pain scores between experimental group 1 and control group.
There was no significant difference in post-test pain scores between experimental group 2 and
control group. There was significant difference in mean post-test labour outcome scores of
primigravida mothers at 4-6 cm and 7-9cm dilatation and after delivery in experimental group 1.
There was significant difference in mean post-test labour outcome scores of primigravida
mothers at 4-6 cm dilatation but no significant difference at 7-9cm dilatation and after delivery
in experimental group 2. Both the interventions (upright positions and breathing exercise) were
equally effective in terms of pain at 4-6 cm dilatation but upright positions was more effective
than breathing exercise at 7-9cm dilatation. Upright positions were more effective than
breathing exercise in terms of labour outcome at 7-9 cm dilatation.
Based on the findings and on the experience gained during the study following recommendations
were made: A similar study can be conducted to assess the effectiveness of upright positions on
labour outcome and labor pain among parturient mothers in II stage of labor. A comparative
study can be done on various other positions to assess the labour outcome and labor pain among
parturient mothers in I stage of labor. The same study can be done on different settings.
Keywords:
upright positions versus breathing exercise on pain and labour outcome in primigravida mothers during first stage of labour
Cite Article:
"A study to evaluate the effect of upright positions versus breathing exercise on pain and labour outcome in primigravida mothers during first stage of labour in Safdarjung Hospital of Delhi", International Journal for Research Trends and Innovation (www.ijrti.org), ISSN:2455-2631, Vol.7, Issue 8, page no.1353 - 1360, August-2022, Available :http://www.ijrti.org/papers/IJRTI2208220.pdf
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ISSN:
2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator