Online ISSN: 2515-8260

Keywords : Antenatal Mother

An Evaluation Of The Efficacy Of A Comprehensive Nursing Intervention Package For Gestational Hypertension In Hospitalised Pregnant Mothers

Lekshmi Sudhish Nair; Dr. Mahadeo Shinde; Dr. Vaishali R Mohite; Namrata Mohite

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 8, Pages 1698-1704

Background: Hypertensive disorder, commonly known as Pregnancy Induced Hypertension (PIH), is more common during pregnancy. It is a factor in both mother and per initial mortality and morbidity, and it is a risk factor for the illness. If women who are at risk for gestational hypertension are identified early, it is possible that some of the problems of the disease can be avoided. The purpose of this study is to determine whether or not a "Nursing Interventional Package" is useful in the treatment of pregnancy-induced hypertension in prenatal moms who are receiving care in speciality hospitals.
Methodology: Methodology consisted of an evaluation method to study, with a one group, pre-test and post-test research design being utilised. In this particular investigation, the Nursing Intervention Package on Gestational Hypertension in Antenatal Mothers served as the independent variable, while the incidence of Gestational Hypertension in Antenatal Mothers served as the dependent variable. The moms who met the inclusion criteria had been diagnosed with gestational hypertension, but the expectant mothers who did not meet the exclusion criteria had severe gestational hypertension. After receiving interventions, mothers were evaluated according to a check list to identify whether or not any signs or symptoms were present. These interventions included both physical and mental support.
Results: Results showed that on day one, the level of severity of symptoms ranged from mild (ten percent), moderate (thirteen percent), severe (sixty one percent), and profound (four percent). As a result of the treatment, on the third day, the patient's symptoms improved to a mild 20 (33%) level, with moderate 35 (58%) and severe 5 (8%). The value of the paired test that was calculated is 24.5. This is an indication that the score is statistically significant at levels of p less than 0.05. Therefore, an all-encompassing nursing intervention package is excellent at improving the condition of an ANC mother who is afflicted with gestational hypertension.
Conclusion: The conclusion is that a comprehensive nursing intervention package was delivered to expectant moms who were diagnosed with gestational hypertension.

Prevalence Of Gestational Diabetes Mellitus And Associated Risk Factors Among Antenatal Mother Attending At A Tertiary Care Hospital Bhubaneswar, Odisha

Bishnupriya Lenka, Kalyani Rath, Niharibala Nayak, Anusuya Behera, Reena Singh

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 9291-9298

Introduction: Gestational diabetes mellitus (GDM) is the most common medical complication and metabolic disorder of pregnancy. The aim and objective of this study were to determine the prevalence of GDM and its relationship with various risk factors.
Material & Method - Cross-sectional Descriptive study was conducted in a selected tertiary care Hospital, Bhubaneswar,Odisha, India. The tool used was a self-structured questionnaire. The study was done on 289 antenatal mothers of any gestation age, attending an antenatal outpatient department in a tertiary care hospital of KIMS, PBMH, Hospital Bhubaneswar.  These antenatal mothers were given 75gm oral glucose irrespective of the last meal and their plasma glucose was estimated at 2 hours. Antenatal mothers with plasma glucose values ≥140 mg/dl were labeled as GDM. Antenatal mothers who were diabetic before pregnancy or who had chronic diseases like tuberculosis, malignancy, renal failure, cardiac disorder, and mothers with twin pregnancies were not included in the study. The sampling technique used was the consecutive sampling technique among all study samples it was assessed by using chi-square, P value statistical analysis, and analysis was done by the use of SPSS software version 20 and Microsoft Excel, 2007.
Results: The study shows that the prevalence of GDM was 29.7% and the risk factors are 90.70% of antenatal mothers were taking 4-5 times meals per day during pregnancy,98. 84 % of mothers were under BMI 25 to 29.9, 52.33% of mothers were moderate workers, Diabetes Mellitus was present34.88%  in family history, Amniotic fluid 1000-1500 ml was present in 56.98% of mothers,84.88%  non-veg diet.
Conclusion: In this study, the GDM prevalence rate was 29.7%. It is a medical associated disorder during pregnancy. GDM has detrimental effects on the mother as well as the fetus. Hence screening and early detection are highly recommended, and close monitoring of blood glucose levels has shown to significantly reduce fetomaternal morbidity and mortality rate