INTRODUCTION
Pregnancy is one of the most profound times in a woman’s life.
Pregnancy is a pleasurable period of time when a fetus develops in a women’s
uterus and ends with the birth of the Infant.
It is marked by a variety of physical and biochemical changes as well as
thoughts of feelings that some time over whelm the mother to be. Though
pregnancy is a time of joy and wellbeing. Complication can occur that cloud the
experience and put the mother and her un born child at risk. Pregnancy is usually
a severe time of unparalleled jolly and expectation in a woman’s life. However
sometimes it can be complicated by illness or medical conditions. Five to ten
percent of pregnancies are termed “high risk”. Certain conditions or
characteristics called risk factors which make a pregnancy high risk.
Identifying high risk Pregnancies which shows warning signs ensures that
women who most need medical care receive it in a specialized centre. With the
Development Of Medical Technology, Pregnant women can be carefully
monitored for sings and symptoms of high risk pregnancies and manages well
skillfully.
1
Annie (2020) suggested that tone of the factors that contributes to
maternal mortality and morbidity is lack of recognition of danger signals by
women.
Swati Vyas et al (2019), suggested that in 5 women booking for
Antenatal care / in 2002 -2007 were obese. According to jeon cloude reille the
majority of maternal deaths occurring in the world occurs in developing
countries (99%). Hypertensive disorders are highest in Latin America and in
the Caribbean with regional variations. Colombia and renezucla were found to
here the highest reported number of maternal deaths associated with
hypertensive disorders of pregnancy In developed countries. Abortion in the
wide cause of maternal death which is about 2% to 5%. – 2018.
Judith Noronha (2019) suggested that. Bleeding from vagina, severe
headache, severe vomiting, high fever, failure to gain weight, paleness and
unusual swelling of legs, arms or faces are danger signals which appear during
pregnancy and which indicate that contribute Maternal mortality and
morbidity which is due to preventable causes.
Bobak of Jensen (2019) stated that one of the 1st responsibilities of
persons involved in the care of pregnant women in to alert them to the signs
and symptoms that indicate a potential complication of pregnancy.
Park K (2018), stated that risk approach is the one of the component of
maternity and child health care which is needed for early diagnosis. The main
2
aims of maternal care is to maintain normal physiological changes during
pregnancy and to prevent or to detect abnormalities at the earliest and to treat
accordingly.
Patient education is an important component of all pregnant mothers in
order to prevent warning signs during pregnancy.
So that specific prenatal education (e.g early warnings of preterm
labour) is an important component for prevention of complications that can be
demonstrated to have an independent contribution to prenatal care.
3
NEED FOR THE STUDY
The aims of antenatal services are to prevent the complications and
alleviate fear of pregnant women related to child birth. Prompt antenatal care
promotes, maintains, and protects the physical as well as mental health of
pregnant women. This can be achieved by educating the mother regarding
complications during pregnancy and her involvement in antenatal care during
antenatal period.
Selvaraj Stated in RCH pregnancy 380 women become pregnant,190 of
these did not planer do not wish the pregnancy,110 women experience ea
pregnancy related complication, 90 women have on unsafe abortion,1 women
dies from a pregnancy related issue.
According to the Park.K, the cause of maternal death in world wide is 25%
severe bleeding, 15% infection, 12% Eclampsia, 0.1% obstructed labour 12%
unsafe abortion, 8.8% other direct causes, and Indirect causes.
According to WHO the incidence of anemia in India is as high as 90-80%.
Problem Statement
“A study to assess the effectiveness of structured teaching programme on
knowledge regarding warning signs of pregnancy among primi gravida mothers
of selected community
4
OBJECTIVES:
1. To assess the pretest level of knowledge regarding warning signs of pregnancy
among primi gravid mothers.
2. To assess the posttest level of knowledge regarding warning signs of pregnancy
among primi gravid mothers.
3. To evaluate the effectiveness of the structured teaching programme on level of
knowledge regarding warning signs of pregnancy among primi gravid mothers
4. 4. To associate the pretest and posttest level of knowledge regarding warning signs
of pregnancy among primi gravid mothers with their demographic variables.
OPERATIONAL DEFINITIONS
Effectiveness: In this study, effectiveness refers to the extent to which the
structured teaching programme improves the knowledge level of primi gravida
mothers regarding the warning signs of pregnancy, as measured by the difference
in pre-test and post-test knowledge scores.
Structured Teaching Programme: A systematically planned and organized
educational intervention designed by the researcher, focusing on warning signs of
pregnancy. It includes content delivery through lectures, visual aids, and
discussions, conducted in selected community settings.
Knowledge: Knowledge refers to the understanding and awareness that primi
gravida mothers have about warning signs of pregnancy. It is assessed through a
structured knowledge questionnaire developed by the researcher, and scores are
categorized as inadequate, moderately adequate, or adequate.
5
Warning Signs of Pregnancy: These are specific physical or clinical symptoms
during pregnancy that may indicate complications and require immediate medical
attention, include severe abdominal pain, vaginal bleeding, persistent headache,
blurred vision, reduced fetal movements, etc.
Primi Gravida Mothers: Women who are pregnant for the first time, regardless
of gestational age
ASSUMPTIONS
Primigravida mothers are having inadequate knowledge
regarding warning signs during pregnancy.
According to incident level, the primigravida mother is getting high
mortality rate (39%) other than multi gravidas.
HYPOTHESIS
H1-The post-test level of Knowledge will be significantly higher than the pre-test
Knowledge.
H2-There will be a significant association between the level of knowledge regarding
warning signs of pregnancy among primi gravid mothers with their demographic
variables
