A Comparative Study To Assess The Knowledge Regarding Puerperal Changes And Its Management Among Primi Postnatal Mothers With Vaginal Delivery And Caesarean Section At A Selected Maternity Hospitals, Bangalore With A View Develop On Informational Boo

Background: Puerperium is the time following delivery during which pregnancy-induced maternal anatomical and physiological changes return to the non-pregnant state. Puerperium period of 6 weeks can be divided into: (a) immediate – within 24 hours (b) early – up to 7 days (c) remote – up to 6 weeks. The postpartum period, also known as puerperium, starts following the expulsion of the placenta until complete physiological recovery of various organ systems. The uterus shrinks back to its normal size and resumes its pre birth position by the sixth week. During this process, called involution, the excess muscle mass of the pregnant uterus is reduced, and the lining of the uterus (endometrium) is reestablished, usually by the third week. Material And Method: The Descriptive research approach with Comparative descriptive research design was selected to conduct the study at Mallasandra Maternity Hospital and Arodaya NABH Hospital Mallasandra Bangalore. It consists of 30 samples of primi postnatal mother mother with vaginal delivery and 30 samples of primi postnatal mother with caesarean section were selected by non-probability convenient sampling technique. The tool developed and used for data collection was structured self-administered questionnaire. Expert validated the tool and the tool was found reliable and feasible. Collected data was analysed by using descriptive and inferential statistics. Result: It has been found that none of the subject possessed adequate knowledge, 20.0% of the subjects possessed with moderate knowledge and 80.0% of the subjects possessed inadequate knowledge regarding puerperal changes and its management in vaginal delivery and with respect to caesarean section none of the subjects possessed adequate knowledge, 26.7% of the subjects possessed moderate knowledge and 73.3% possessed inadequate knowledge. The overall knowledge scores on puerperal changes and its management among vaginal delivery and caesarean section is 24.0%. With regard to general information of puerperium the mean knowledge score in mother with vaginal delivery is 25.0%, puerperal changes in vaginal delivery and caesarean section is 23.9% and management of puerperium is 23.3% and 25.4% in caesarean section. Finding shows that there is a significant association found between the knowledge score and selected socio-demographic variables with respect to vaginal delivery and caesarean section like age of the mother (p=8.91), age at marriage (p=12.99), educational status of mother (p=15.34), occupation of mother (p=13.85) and Family income/month (p=10.90). It also shows that there is no significant association found between the knowledge score and selected socio demographic variables like religion (p=1.56), gestational week at time of delivery (p=0.83) and bad obstetric (p=0.00). Conclusion: The study indicated that there is a need to provide knowledge regarding the puerperal changes among primi postnatal mothers with vaginal delivery and caesarean section. The present study assessed the existing knowledge of the primi postnatal mothers regarding puerperal changes. Overall findings shows that the mothers have a total knowledge score of 24.0% in both vaginal delivery and caesarean section which is inadequate.