Prof Dr P Vadivukkarasi Ramanadin¹*, Prof Dr Pity Koul² and Mr Ebbie Thomas³

¹HOD, Professor, Department of OBG (N), Cum Nursing Superintendent, Shri Vinoba Bhave College of Nursing, Shri Vinoba Bhave Civil Hospital, Silvassa, DNH, India
²Director, Professor, School of Health Sciences, Indira Gandhi National Open University, New Delhi, India
³Assistant Professor (Statistics), GMERS Medical College, Vadodara, India

*Corresponding Author: Prof Dr P Vadivukkarasi Ramanadin, HOD, Professor, Department of OBG (N), Cum Nursing Superintendent, Shri Vinoba Bhave College of Nursing, Shri Vinoba Bhave Civil Hospital, Silvassa, DNH, India.

Received: May 17, 2022; Published: July 11, 2022

Abstract

Introduction: According to WHO, Globally preterm delivery is one of the leading causes of death among under-fives. Preterm babies face the difficulties after their delivery that includes visual, hearing and learning problems [1].

Aim: Evaluate the effectiveness of selected antenatal interventions on neonatal outcomes among high risk pregnant women.

Hypothesis: There is a difference in neonatal outcomes between control and experimental group of high - risk pregnant women after implementation of selected antenatal interventions at 0.05 level of significance.

Methodology: Quantitative research approach, Quasi Experimental multiple time series control group design was used. Sampling technique used for the study was non probability, purposive sampling technique. All High risk pregnant women attended antenatal OPD at Sub District Hospital and District Hospital who met the inclusion criteria were. In total 322 were selected, out of which 161 were in Experimental group and 161 were in Control group. Analysis of the study was done with the sample size of 299 since there was attrition of 23. Selected antenatal interventions were Video assisted teaching on antenatal care and prevention of preterm delivery, Daily monitor sheets for antenatal interventions and exercise, Telephonic confirmation for follow up, Information booklet on antenatal care and prevention of preterm delivery, Minimum eight antenatal visits and Measurement of cervical length.

Results: Findings of the study revealed the gestational age in the control group was 32.36 ± 1.16 whereas in experimental group 39.46 ± 2.34 and the obtained student t’ test value is t_{(299, 0.05)} = 17.6696, 0.0001: p < 0.005. Birth weight of the baby is less in control group (2.107 ± 0.77 gms) compare to experimental group (2.849 ± 0.54 gms) and t’ value is t_{(299, 0.05)} = 9.9109, 0.0001: p < 0.005. The number of days newborn hospitalized in control group is 15.46 ± 17.752 days whereas in experimental group it is 1.0188 ± 0.082 days and t’ test value is t_{(299, 0.05)} = 9.05, 0.0001: p < 0.005.

Conclusion: Findings of the study shows that selected antenatal interventions were effective in terms of reduction of preterm delivery, low birth weight and number of day neonatal hospitalization.

Keywords: Neonatal Outcomes; t Test; Chi- Square Test; Mann-Whitney Test and Wilcoxon Test

References

1. World Health Organization. “Preterm birth” (2018).
2. Saraih K and Etio G. “Normal labor and Delivery”. Chapter 13 Normal Labor and Delivery. Chapter 13 - Normal Labor and Delivery (obgyn.azurewebsites.net) (2013).
3. Warwick C. “Pregnancy Ato Z”. Pregnancy A to Z (PDF 42P) | Download book (freebookcentre.net).
4. “The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity”.
5. http://nhp.gov.in/disease/reproductive-system/female-gynaecological%20-disease-/preterm-birth
6. Gwin K., et al. “An exploratory study of the variables impacting preterm birth rates in New Mexico”. BMC Pregnancy and Childbirth1 (2012).
7. Preterm birth. National Health Portal of India. Nhp.gov.in. (2018).
8. Nancy M., et al. “Interventions during pregnancy to prevent preterm birth: an overview of Cochrane systematic reviews”. Cochrane Database of Systematic Reviews 14 (2018).

Citation

Citation: Prof Dr P Vadivukkarasi Ramanadin., et al. “Impact of Antenatal Interventions on Neonatal Outcomes Among High Risk Pregnant Women". Acta Scientific Women's Health 4.8 (2022): 30-34.

Copyright

Copyright: © 2022 Prof Dr P Vadivukkarasi Ramanadin., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.