“A Comparative Study to Assess Effectiveness of Birth Preparation Instructions for 1st Stage of Labor on Level of Fear and Anxiety among Primigravida and Multigravida Women Undergoing Labor Process in Selected Hospitals.”

Abstract

Background: The health of nations depends on the health of women. Pregnancy and child birth are special events in women’s lives and indeed, in the lives of their families. This can be a time of great hope and joyful anticipation. Child birth is one of the greatest events in every woman’s life, especially among primigravida mothers. Pregnancy is the vital event in the life of a woman, it needs special attention from the time of conception to the postnatal stage, every pregnancy is a unique experience for that women and each pregnancy the women experience will be new and adequately different.
Objective: The main objective of the study was to assess the effect of birth preparation instructions on fear and anxiety among women during 1st stage of labour & to compare the level of fear and anxiety among primigravida and multigravida women.
Methodology: This was an experimental study, which followed Two Group Pre Test Post Test study design. Was conducted over a period of 3 months. Study involved selection of samples considering inclusion & exclusion criteria. 60 samples were selected and assigned to primi gravida and multi gravida group. Pre Test was conducted using tool, Birth Preparation instructions were provided and Post Test was conducted.
Results: The results of the study revealed that, all the primigravida mothers had severe fear during 1st stage of labour. 13.3% of multigravida mothers had moderate fear and 86.7% of them had severe fear during 1st stage of labour. All the primigravida mothers had severe anxiety during 1st stage of labour. 76.7% of multigravida mothers had moderate anxiety and 23.3% of them had severe anxiety during 1st stage of labour. In pretest, all the primigravida mothers had severe fear during 1st stage of labour. In posttest, all of them had mild fear. In pretest, 13.3% of the multigravida mothers had moderate fear and 86.7% of them had severe fear during 1st stage of labour. In posttest, all of them had mild fear during 1st stage of labour. This indicates that the fear among primi and multigravida mothers reduced remarkably after birth preparation instructions. In pretest, all the primigravida mothers had severe anxiety during 1st stage of labour. In posttest, all of them had mild anxiety during 1st stage of labour. In pretest, 76.7% of multigravida mothers had moderate anxiety and 23.3% of them had severe anxiety during 1st stage of labour. In posttest, all of them had mild anxiety during 1st stage of labour. This indicates that the anxiety among primi and multigravida mothers reduced remarkably after birth preparation instructions.
Conclusion: The study concludes that the birth preparation instructions has remarkably reduced fear and anxiety among primi gravida & multi gravida women