A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge Regarding Management and Prevention of Breast Engorgement among primigravida Mothers in Selected Hospitals at Rohtas District

Abstract

Breast engorgement is common among postnatal mothers especially in primigravida mothers. Breast engorgement is triggered by intensified lactogenesis causing from a reduced blood level of steroid hormone in postpartum women and with increased prolactin concentrations. The incidence rate of breast engorgement throughout the world is 1:8000 and in India 1:6500. Objectives Of The Study: To assess the knowledge of primi mother’s regarding breast engorgement through pretest.To find out the effectiveness of structured teaching programme on knowledge regarding breast engorgement problem among primi mother’s through post-test.To find out the association between post-test knowledge score with selected demographic variables. Materials And Methods : The research approach used in the present study is quantitative research approach and the research design is one group pretest and post test design is chosen for conducting the study , where there is no randomization and control group . In this design all the subjects were selected by convenience sampling technique and were given a pre-test and then post-test were conducted after they receive an intervention. The setting of the study were selected hospitals of Rohtas District. The target population comprises of all the primigravida mothers . The accessible population in this study are all the primigravida mothers in selected hospitals of rohtas district . Structured questionnaire was prepared containing a set of questions , were asked by the sample. The investigator collected the data from the 50 primigravida mothers , who came for antenatal checkup or who was admitted in ward of Sadar Hospital and NMCH. Results: Nearly 70% of the mothers are of the age group 19-25 years , 30% of the age group 26-35 years, no mother are below age of 18 years and no mothers are above 35 years.About 22% of the mother are not having any formal education, 8% of the mother’s qualification was diploma, 50% of them are graduated , 6% are postgraduated and 14% have other qualification.Approx. 92% of the primigravida mothers are housewife , 3% are teacher and 1% have other occupation.About 40% of the mothers belong to nuclear family , 50% are from joint family and 10% of mothers belong to extended family. About 92% of the primi mother are hindu and remaining 8% to muslim religion.About 2% of the primi mothers have previous information from internet , 4% have previous information from books and 94% have previous information from health professionals.The mean score of concept of breast engorgement is raised from 8.74 (SD=2.365) in pretest( Margin of error = 8.74 ±0.655 at 95% confidence interval ) to 17.58 ( SD=1.69) in post-test ( Margin of Error = 17.58 ± 0.468 at 95% confidence interval ) . The t test computed between the pre-test and post-test knowledge of primigravida mothers ( t=22.7870) was highly significant at 1% level. Conclusion: The obtained findings of the study led to the following conclusions:Majority of the primigravida mothers suffered from the breast engorgement. Deficit of knowledge regarding prevention and management of breast engorgement existed in varying degree of primigravida mothers in all the learning need area.