Effect of planned teaching programme on knowledge in relation to prevention of complications among high risk antenatal mothers

Introduction and objectives: Pregnancy is a happy time for most women. While most expectant mothers experience an average pregnancy, there are certain dangers associated with this condition which can result in health complications for both mother and baby. A change during pregnancy is common, sometimes the natural change that happen during pregnancy can cause certain complications. Knowledge of prevention of complications of high risk pregnancy are strategies aimed at enhancing the utilization of antenatal care and prevention of complications by early detection. Taking this as paramount importance to design effective strategy, the objective of this evaluative study was to assess the effectiveness of Planned Teaching Programme on Knowledge in Relation to Prevention of Complications among High risk antenatal mothers in selected hospital, Nalbari, Assam. The study further aim at estimating whether there is any association between the pre-existing knowledge and certain demographic variables. Methods and Materials: The study was conducted by adopting a pre-experimental one group pre -test post –test design. Sixty high risk antenatal mothers who fulfilled the inclusive criteria were selected by purposive sampling technique. A structured questionnaire was distributed to the mothers to assess the pre- test level of knowledge on prevention of complications of high-risk pregnancy among high-risk antenatal mothers and collected demographic characteristics followed by conducted a planned teaching programme. A post test was conducted to assess the level of knowledge with the same questionnaire provided in pre-test. Descriptive and inferential statistics were used for the analysis and interpretation of the data collected. Results and Analysis: The study showed that in the pre-test, out of 60 respondents, highest 47 (78.33%) had moderate knowledge, 10 (16.67%) had inadequate knowledge, and only 3 (5%) had adequate knowledge. In post-test, out of 60 respondents, highest 54 (90%) had adequate knowledge 6 (10%) had moderate knowledge, and none of them had inadequate knowledge on preventions of complications of high risk pregnancy. The obtained mean of post-test knowledge score (24.97) was apparently higher than the mean of pre-test knowledge score (13.62). The median of post-test score (26) was found to be higher than the median of pre-test (13). The paired ‘t’ value analysis showed that the calculated ‘t’ value (20.59) is higher than the tabulated value ( df 59) at 0.05 level of significance. The p-value equals 0.00, i.e. p-value is less than 0.05 which is the level of significance. Hence, the research hypothesis is accepted indicating the gain in knowledge is not by chance and the Planned Teaching Programme on Prevention of Complications of High Risk Pregnancy among high risk antenatal mothers was effective in terms of gain knowledge.
Conclusion: On the basis of the findings of the present study, the investigator had come to conclusion that Nursing personnel must have holistic knowledge regarding different aspects of high risk pregnancy among antenatal mothers. Nurses play a vital role in the teaching aspects of high risk pregnancy. The present study had been supported by a series of other studies which confirmed that the knowledge on high risk pregnancy among antenatal mothers is important to get healthy baby and healthy mother. On the basis of the findings of the present study, the investigator had come to the conclusion that Planned Teaching Programme on Prevention of complications of high risk pregnancy was found to be effective and an useful means of educating the high risk antenatal mothers to improve their knowledge.