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International Journal of Applied Research
  • Multidisciplinary Journal
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ISSN Print: 2394-7500, ISSN Online: 2394-5869, CODEN: IJARPF

IMPACT FACTOR (RJIF): 8.4

Vol. 4, Issue 6, Part A (2018)

A study to assess the knowledge and practices regarding prevention and management of perineal tear during normal delivery among staff nurses with a view to develop a standard operating protocol in selected hospitals at Pune

A study to assess the knowledge and practices regarding prevention and management of perineal tear during normal delivery among staff nurses with a view to develop a standard operating protocol in selected hospitals at Pune

Author(s)
Jithya PM and Jayabala Aghamghar
Abstract
Introduction: Midwife’s skill and judgment are crucial factors in minimizing maternal trauma and ensuring an optimal birth for both mother and baby. These qualities are acquired by experience but certain basic principles should be applied whatever the expertise of the midwife. These are: observation of progress, prevention of infection, emotional and physical comfort of the mother, anticipation of normal events, recognition of abnormal developments. So, every nurse should be aware of preventive measures of perineal tear. Problem statement “A study to assess the knowledge and practices regarding prevention and management of perineal tear during normal delivery among staff nurses with a view to develop a standard operating protocol in selected hospitals at Pune.” Materials and methodology: The researcher has adopted methodological study design and the research approach is evaluative approach. The conceptual framework of the study based upon Daniel Stufflebean CIPP Model. The setting of this study was Jijamata Dr. DY Patil and Bhosari hospitali in Pune. Non probability purposive sampling technique was used for 30 sample. The tool developed which includes section 1= demographic variables section 2=questionnaire contains 15 questions section 3= observational checklist contains 20 practices. Tool validity was done and tool found reliable. Study found feasible after pilot study. Results: it has been observed that 70% of the staff nurses had average knowledge, 26.6% of them had poor knowledge and 3.3% of them had good knowledge. 80% of the staff nurses had average practice and 20% of them had good knowledge regarding prevention and management of perineal tear. Conclusion: The result of the present study shows that there is significant gap in the knowledge and practice score on prevention and management of perineal tear among labour room nurses and hence there is need for a Standard Operating Protocol for the improvement of knowledge and practice regarding prevention and management of perineal tear. The content of the SOP covered preventive aspect and management aspect. The preventive aspect covers various steps of procedures. It includes maternal position pushing techniques, perineal massage, perineal warm packs, hands on-hands poised (or off) techniques. The management aspect covers systematic perineal assessment, perineal repair, reducing pain and the risk of infections and promoting perineal recovery. The proper knowledge and implementation of standard operating protocol will reduce the incidence of perineal tear and its complications.
Pages: 27-32  |  931 Views  187 Downloads
How to cite this article:
Jithya PM, Jayabala Aghamghar. A study to assess the knowledge and practices regarding prevention and management of perineal tear during normal delivery among staff nurses with a view to develop a standard operating protocol in selected hospitals at Pune. Int J Appl Res 2018;4(6):27-32.
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