الفهرس 
Chapter 1 : IntroductionOnly 14 pages are availabe for public view
 |  | from | 257 |  |  |
| | | from | 257 | | |
Abstract
Aim of the study
This study was aimed to evaluate impact of health educational program for pregnant women on their selected postpartum and newborn care.
Research hypotheses:
H1: Pregnant women who receive prenatal health educational program regarding post natal and newborn care will have higher level of knowledge and have a good practice on posttest than pretest.
H2:- There will be a significant association between pre-test knowledge and practice scores of Women with their selected socio demographic characteristics regarding post natal and newborn care.
H3: There will be significant relation between pregnant women knowledge with their practices regarding postpartum and newborn care.
Research Design:
Quasi experimental research design (one group pre- test, post-test) was utilized to fulfill the aim of the current study.
Sample type:
A Purposive sample was utilized in this research.
Sample size:
7o pregnant women was assigned in the current study was recruted from Minia university hospital for maternity and child at ante natal clinics and postpartum department.
Data Collection Tools:
Data for the study was developed by the researcher after extensive review of literature and similar studies conducted elsewhere.. The data collection tool consisted of three tools:
The First tool:
Interviewing Questionnaire it was designed by the researcher and it was used to collect data related to women socio-demographic characteristics. Such as: age, marital status, residences, educational level, occupational status of mother, type of family in addition to the source of pregnant women knowledge regarding postnatal and newborn care.
The second tool:
Knowledge Assessment Tool (pre/post-test) it was developed by (Darmstadt GL et.al (2018) and Amarnath G, et.al (2016) and modified by the researcher After extensive literature review and it include 68 multiple choice question were used to determine the knowledge on postnatal care, encompassing two main components: maternal care, and newborn care. Maternal care component consisted of maternal nutritional diet (7 items), Personal hygiene ,perineal care and episiotomy (5 items), breast care (7 items), postpartum exercise (6 items), P.P danger signs(1 items), Post natal visits (3 items) ,Family planning counseling (5 items) and Mother infant relationship (1 items). On the other hand, the newborn care component consisted of mechanism of keeping the newborn warm (body temperature preservation &Thermoregulation) (3 items), early and exclusive breast feeding (12 item), umbilical cord care (5 item),eye care (3 items),newborn skin and diaper care (4 items), needs and purposes of vaccination (5 items), and newborn danger signs (1 items)
The third tool: (practical observational checklist) (pre/post -test)
It was developed by (Darmstadt, et.al (2018), Leifer G, 2019 and modified by researcher after review of related literature regarding selected items of post natal and newborn care. It include (breast care, perineal and episiotomy care, umbilical care, breast feeding and newborn eye DROP instillation)
Data Collection Procedure:
The current study was achieved through three phases; assessment phase (pretest), implementation (conducting education program) and evaluation phase (post - test) to evaluate impact of implementing health educational program on pregnant women knowledge and practice regarding postpartum and newborn care.
The main findings of this study revealed that:
• As regarding socio-demographic characteristics, the finding of the present study revealed that the main age of the study sample was (26.1 ± 2.8) years, majority (95.7%) of them was married, about three quarter (75.7%) lived in rural area, educational level., it was noticed that near half of them (48.6%) not educated. Moreover, more than three quarter (77.1%) house wife and more than two third of them (68.6 %) lived with joint family.
• As regarding pregnant women source of knowledge about post partum and newborn care indicated that, half (50%) of the pregnant women their source of knowledge about postpartum and newborn care was from their mother and only 8.6% of them their source of knowledge was social media.
• Regarding their total knowledge level, the results found that nearly three-quarters of the studied sample (75.70%) had poor total knowledge regarding postpartum and newborn care before educational program. And the majority of them (90.00%, 85.70%) had good knowledge in immediate and in the first day postpartum after educational program respectively with highly statistically significant differences which P-value ≤ 0.0001**.
• Regarding their total practice, the results illustrated a significant improvement in total practice regarding postpartum and newborn care among pregnant women in post-test as compared to pretest assessment (P-value ≤ 0.0001).
• Regarding the relation between the socio-demographic characteristics of the pregnant women and their total knowledge and total practice, the current study’s finding revealed that the study sample’s age and educational level had a highly statistically significant relation with their total knowledge levels (P-value ≤ 0.001 & 0.009 respectively). While the educational level had a statistically significant relations with total practice’s mean scores at P-Value ≤ 0.05.
• Concerning the relation between the total knowledge levels of the studied sample and their total practice scores after implementation of educational program, the study revealed a statistically significant relation between pregnant women total knowledge and their total practice score regarding postpartum and newborn care (r=0.256 ; P – value < 0.05).
• The current results concluded that the implementation of health educational program was effective and significantly improved pregnant women, knowledge and practice towards postpartum and newborn care. It found that there was a statistically significant improvement in pregnant women knowledge immediately and in the first day postpartum, As well as there was a statistically significant difference in studied pregnant women practice pre, immediately and post implementation of educational program.
• In conclusion, the findings of the study suggested that a health educational package on postpartum and newborn care should be given on discharge plans, particularly for newly mothers and illiterate ones. Additionally, it was suggested that an explanation of postpartum issues should be written in a way that is clear, simplified, and comprehensive in order to increase the awareness of postpartum women regarding these issues.