Effectiveness of Planned Teaching Programme on Knowledge and Practices of Primi Gravida Antenatal Mothers Regarding High Risk Factors of Pregnancy: A Case Study to Show Use of Problem Solving Approach

Abstract

Background: According to World Health Organization (WHO) Every day in 2020, approximately 800 women
died from preventable causes related to pregnancy and childbirth - meaning that a woman dies around every
two minutes. Sustainable Development Goal (SDG) target 3.1 is to reduce maternal mortality to less than 70
maternal deaths per 100 000 live births by 2030. A high-risk pregnancy is a pregnancy that involves increased
health risks for the pregnant person, fetus or both.
Methodology: As a part of evidence based midwifery care, problem solving approach was used to identify
problem of high risk pregnancy among primi gravida mothers and their possible solutions. Subjective Objective
Assessment Planning Interventions and Evaluation (SOPIE) method of nursing process was used a frame work for
study. Study sample were registered primi gravida, at community health centre Nand Nagri, Delhi. Assessment
Performa to assess the knowledge and expressed practices was used as research tool.
Results: Study reveals the ignorance factors among primigravida mothers which leads to make them high risk
which further may become a cause of maternal motility and morbidity. There was deficit in knowledge and
practice of primigravida mothers regarding high risk factors of pregnancy. Teaching programme on prevention of
high risk pregnancy was prepared and implemented. Mean post for knowledge scores (22.43) was significantly
higher than mean pre-test knowledge score (7.5) at 0.01 & 0.05 level of significant. Maximum knowledge
deficit existed in all the area as majority of the mothers (80%) scored marks with range of 6-9 out of 35. After
implementing the intervention, knowledge gain was in all for area as it was the topic of their interest and
needed at their stage of life. Majority if mother i.e., 28 out of 30 scored marks in the range of (20-25) after
intervention in post test. Study concludes that planned and need based teaching may a solution to solve this
practical problems.