A Pilot Study to Assess the Relationship between Maternal Health and Neonatal Outcome among Postnatal Mothers

 

Dr. Lissa J1, Mrs. Chanda Jha2

1Asst Professors, JSS College of Nursing, Mysuru.

22nd year M.Sc. Nursing, JSS College of Nursing, Mysuru.

*Corresponding Author E-mail: chanda.jha148@gmail.com

 

ABSTRACT:

Aim: The aim of study was to assess the relationship between maternal health and neonatal outcome among postnatal mothers. Objectives: 1. To assess the maternal health and neonatal outcome. 2. To correlate the maternal health and neonatal outcome. 3. To find the association between the maternal health and neonatal outcome with the selected personal variables. Methods: In this study, descriptive correlational design was used and non-probability convenient sampling technique was adopted to select postnatal mothers from selected Hospital at Mysuru. Pilot study was conducted, the tool and study design were found to be feasible. Maternal health of mothers and Neonatal of babies were assessed by using checklist and interview method. was validated by experts and reliability was established by rater inter rated method. The data were collected and analysed using descriptive and inferential statistics. Result: The study results revealed that, there was statistically significant correlation between maternal health and neonatal outcome r=0.78 at 0.05 level of significance. Because of the small sample size, most of the cell frequencies were 0 and hence chi-square could not be computed. Conclusion:

The study concluded that, there is relationship between Maternal health and Neonatal outcome. Hence, maternal health and neonatal outcome has influence the personal variables.

 

KEYWORDS: Psychological intervention, Emotional intelligence, Adolescents.

 

 


 

INTRODUCTION:

“Mothers' joy begins when new life is stirring inside...when a tiny heartbeat i heard for the first time, and a playful kick reminds her that she is never alone”.1

 

Pregnancy and the transition to parenting is a time of rapid physiological, psychological, and social change, which can be challenging and stressful for mothers.2

 

Maternal health refers to the health of women during pregnancy, childbirth and the postnatal period. Each stage should be a positive experience, ensuring women and their babies reach their full potential for health and well-being.3

 

For most women, pregnancy and childbirth are events that are met with joy and expectation. New life heralds new possibilities. For many women, however, pregnancy and childbirth are events also fraught with other possibilities disease, injury, and death.4

 

In the last two decades, about 295 000 women died during and following pregnancy and childbirth in 2017. This number is unacceptably high. The most common direct causes of maternal injury and death are excessive blood loss, infection, high blood pressure, unsafe abortion, and obstructed labour, as well as indirect causes such as anemia, malaria, and heart disease.3

 

STATEMENT:

A correlation study to assess the relationship between maternal health and neonatal outcome among postnatal mothers in selected hospital at Mysuru

 

OBJECTIVES:

1.     To assess the maternal health and neonatal outcome.

2.     To correlate the maternal health and neonatal outcome.

3.     To find the association between the maternal health and neonatal outcome with the selected personal variables.

 

NEED FOR THE STUDY:

"The health of children is one of the most important measures of the health of a society, and that starts during pregnancy and at the very beginning of life."

 

Healthy children need healthy mother. The health of the mother vastly impact on the health and success of our future generation. Yearly 8 million babies die before or during delivery or in first week of life. The report says that majority of the disease in early neonatal period is related to poor maternal health and nutrition as well as quality of care at pregnancy.7

 

Globally. Some 350,000 women die in pregnancy or childbirth. More than 8 million children die before their fifth birthday; About 40% of those die in the first month of life (neonate mortality): An estimated 6 million deaths could be prevented -- through better access and integration of health interventions; These needed interventions are known and affordable. and 0.75 million neonates die due to poor neonatal outcome. In that, 99% of these occur in developing countries. Most common causes for the neonatal mortality which influence the poor neonatal outcome includes prematurity and low birth weight (44%); neonatal infection (15%), birth asphyxia and birth trauma (19%); congenital anomalies (8%), other conditions (7%); pneumonia (45%), tetanus (2%); diarrheal diseases (1%) and injuries (1%) (WHO, World Bank and UNICEF, 2015).12

 

HYPOTHESIS:

All the hypotheses tested at 0.05 level of significance.

H1:-There will be statistical significant correlation between maternal health and neonatal outcome.

H2:-There will be statistical significant association between maternal health with selected personal variables.

H3:-There will be statistical significant association between neonatal outcome with selected personal variables.

 

MATERIAL AND METHOD:

Research Approach and Design:

A descriptive correlational design was selected for the study.

 

Variables of Study:

Study Variables: Maternal health and Neonatal outcome.

Personal Variables: Age in years, educational status of mother, occupation of mother, family income per month, religion, place of residence, type of family. dietary pattern and personal habits.

 

Setting of the study:

In this study the setting was selected Hospital among postnatal mothers, Mysuru.

 

Population:

A population is the entire aggregation of cases in which a researcher is interested. In the present study, population comprises of all postnatal mothers and their babies in the selected Hospitals, Mysuru.

 

Sample size and sampling technique:

For the pilot study 10 percentage of the main study sample was taken, that is 10 samples.

Non probability convenient sampling technique was used in present study.

 

RESULTS:

1. Findings related to selected personal variables:

The findings of the present study shows that, majority 60% of the mothers were in the age group of 19-23 years and 40% of the mothers were in the age group of 24-29 years, Equal number of mothers had educational status as secondary and higher secondary and degree both, 60 % of the mothers were unemployed and 40% of mothers were employed, Equal number of mothers have family income 5000-15000 and >15000,90% of the mother were hindu and 10% of mothere were muslim, Equal number of mothers were staying in rural as well as in urban, Equal number of mothers were staying in nuclear as well as in joint family, 70% of the mother had mixed dietary pattern and 30% of mothers are vegetarian and 100% of the mothers were not having any personal habits.

 

2. Findings related to correlation between maternal health and neonatal outcome:

The study revealed that, there was statistically significant correlation between maternal health and neonatal outcome r=0.78 at 0.05 level of significance

 

3. Findings related to maternal health and neonatal outcome with selected personal variables:

Since the sample size was small there was no association found in between maternal health and neonatal outcome among postnatal mothers.

 

RECOMMENDATIONS:

1.     A study can be conducted with multiple variables which will influence the maternal health and neonatal outcome.

2.     A study can be conducted using variables of maternal health.

 

CONCLUSION:

The findings of present study concluded Healthy mothers and healthy baby outcomes are the future homemakers. Therefore special attention should be given to the health promotion of primipara mothers by early detection of high risk condition and preventing existing conditions complicating pregnancy.

 

ACKNOWLEDGEMENT:

This a project conducted by Mrs. Chanda Jha 2nd year M.Sc. Nursing student of JSS College of Nursing, Mysuru.

 

REFERENCES:

1.      http://humilitauifcandmom.com/40-inspirational-quotes-moms

2.      Marianne vidler. University of British colombia. Maternal and Newborn Health in Kamataka State, India: The Community Level Interventions for Pre-Eclampsia (CLIP) Trial's Baseline Study Results. PLoS ONE 12(1): e0166623. doi:10.1371/ journal.pone.0166623 January 20, 0:

3.      https://www.who.int/ealth-topics/maternal-health#tab-tab

4.      https://resourcecentre.savethechildren.net/node/3280/pdf/3280.pdf

5.      Marie Blomberg and Rasmus Birch Tyrberg. (2014). Impact of Maternal age on obstetric and neonatal outcome with emphasis on primiparous adolescents and older women: a Swedish medical birth register study. British Medical Journal (BMJ Open) 4(11): c005840. Retrieved from http://datadryad.org/ with the DOI:10.5061/dryad.ne576.

6.      Naoko Kozuki.2013. the association of parity and maternal age with small for gestational age, preterm, and neonatal and infant mortality: a meta- analysis. BMC Public Health. 13 (suppl 3): s2, DOI: 10.1186/1471-2458-13-s3-s2.

 

 

 

Received on 22.12.2022         Modified on 11.01.2023

Accepted on 31.01.2023       ©A&V Publications All right reserved

A and V Pub J. of Nursing and Medical Res. 2023; 2(1):19-21.

DOI: 10.52711/jnmr.2023.06