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ONGOING MS DISSERTATION
| DR. A DISHA GOWDA | Dr. Mahadevi Savannur | Nil | Maternal and perinatal outcomes in advanced maternal age – a cross sectional study at KAHER’s Dr Prabhakar Kore Hospital and Medical research centre | ||
| DR. ADITI ASTHANA | Dr MB BELLAD | Nil | PVPI in detecting FGR – 1 yr case control study | ||
| DR. ANGELINE VERONICA A | Dr. M B Bellad | Nil | Fetomaternal complications in Primary Emergency Caesarean Section – A cross sectional study | ||
| DR. AWINDRILA PAL | Dr Yeshita Pujar | Nil | PREVALENCE OF HYPERTENSIVE DISORDERS IN PREGNANCY AND MATERNAL AND PERINATAL OUTCOMES : AN OBSERVATIONAL STUDY at KAHER’s Dr Prabhakar Kore Hospital and Medical research centre | ||
| DR. CHILUKURI ANILA REDDY | Dr Kamal Patil | Nil | Comparing the efficacy of first trimester fasting blood glucose versus IADPSG criteria at 24 to 28 weeks in diagnosis of gestational diabetes mellitus – A one year prospective observational study | ||
| DR. DIVYA SINHA | Dr Shridevi Metgud | Nil | Comparison of Cord Blood Lipid Profile among Hypertensive and Non-Hypertensive Mothers:A One year Case-Control Study at KAHER’s Dr Prabhakar Kore Hospital and Medical Research Centre, Belagavi | ||
| DR. JANA HARSHITHA SREE CHANDANA | M.C. METGUD | Nil | MATERNAL AND FETAL OUTCOMES IN PREGNANT WOMEN WITH REDUCED FETAL MOVEMENTS – OBSERVATIONAL STUDY. | ||
| DR. KORAPALA VYSHNAVI | Dr Romana Maldar | Nil | Predictive ability of neonatal acidemia at birth with total intrapartum fetal reperfusion time on cardiotocogram :A One year Case-Control Study at KAHER’s Dr Prabhakar Kore Hospital and Medical Research Centre, Belagavi | ||
| DR. MAHASWETA DAS | DR M.B. BELLAD | Nil | Prevalence Of Congenital Fetal Anomalies Detected On Third Trimester Ultrasound And At Birth – A Cross-Sectional Study | ||
| DR. MANSI JAIN | DR ANITA DALAL | Nil | Prediction of Severe Maternal Morbidity Using Obstetric Morbidity Index- A One-year cross sectional study at KAHER’S Dr Prabhakar Kore Hospital And Medical Research Centre, Belagavi | ||
| DR. MOUNA RAVI | Dr M C METGUD | Nil | ANAEMIA IN PREGNANCY AND ITS MATERNAL AND PERINATAL OUTCOMES: A ONE YEAR CROSS- SECTIONAL STUDY | ||
| DR. MRUNALINI PATIL | Dr. Kamal Patil | Dr. Vikrant Ghatnatti | A One-Year Randomized Trial of Metformin Versus Insulin for Glycemic Control and Maternal and Perinatal Outcomes in Gestational Diabetes. | ||
| DR. MULAKALA SANDHYA RANI | DR M C METGUD | Nil | Maternal and perinatal outcomes in overweight and obese pregnant women – A cross sectional study | ||
| DR. NIDHI SINGH BADHORIYA | Dr yeshita pujar | Nil | Title-maternal and fetal outcome in preterm premature rupture of membranes: a year observational study | ||
| DR. PANKTI PRANAV PARIKH | Dr. Hema Patil | Nil | Emergency obstetric referral patterns in Tertiary Care centre: A cross-sectional observational study in North Karnataka, India | ||
| DR. SAMIKSHA S BYAKOD | DR ANITA DALAL | DR RAMACHANDRA BHAT | A ONE YEAR CROSS SECTIONAL STUDY OD WOMEN DELIVERING LOW BIRTH WEIGHT NEWBORNS AT KAHERS DR PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE BELAGAVI | ||
| DR. SANGAMESH DYAMANNA SORAKOPPA | Dr YESHITA PUJAR | Nil | MATERNAL AND PERINATAL OUTCOMES OF EXCESS LIQUOR IN PREGNANCY AN OBSERVATIONAL STUDY AT KAHER’s DR PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE | ||
| DR. SHUBHASHREE V | DR. ANITA DALAL | DR. BHEEMSAIN V. TEKKALAKI | A one year hospital based cross sectional study of post-partum depression in mothers with neonates admitted to Neonatal Intensive Care Unit of KAHER, JNMC – Dr. Prabhakar Kore Charitable hospital and MRC, Belagavi, Karnataka. | ||
| DR. SYEDA SARAH BIBI FATIMA | DR KAMAL PATIL | Nil | Study of the effect of maternal IV hydration vs Oral hydration on amniotic fluid index in isolated oligohydramnios, A randomised controlled trial | ||
| Dr. Chintakindi Preethi | Dr. Mahadevi Savanur | Nil | Study of high sensitivity C-reactive protein (HS-CRP) levels in early and late onset pre eclampsia in atertiary care hospital-one year cross sectional study. | ||
| Dr. Kavya S | Dr. Yeshita Pujar | Nil | Correlation of endometrial thickness by trans-vaginal sonography (TVS) and histopathology in women with abnormal peri-menopausal and postmenopausal bleeding- A prospective study. | ||
| Dr. Spurthi Prabhakr Bura | Dr. Anita Dalal | Nil | An observational study of Coagulation profile in severe pre-eclampsia and eclampsia patients. | ||
| Dr. Sahana M B | Dr. Hema Patil | Dr. R B Nerli | Assessment of pelvic floor muscle strength in women and its associated factors- A cross sectional study I+N a tertiary care cetre. | ||
| Dr. Ketaki Choudhari | Dr. Kamal Patil | Nil | Assessment of risk factors associated with iatrogenic and spontaneous preterm birth and their outcomes in a tertiary care hospital: A prospective observational study. | ||
| Dr. Shanmukhi Nayidi | Dr. M. C. Metgud | Nil | Maternal and fetal outcomes in postdated pregnancy in a tertiary care hospital -A one year cross sectional study. | ||
| Dr. Tanvi Karambelkar | Dr. M. C. Metgud | Nil | Prevalence of hypophoatemia after administration of intravenous iron preparation (Iron isomaltoside & ferric carboxymaltose) in postpartum anemia a longitudinal observational study. | ||
| Dr. Hriday Ravishankar Naik | Dr. Kamal Patil | Nil | Longitudinal study of placenta previa and its fetomaternal outcomes at a tertiary care centre- a one year study. | ||
| Dr. Sudhanshu Gan | Dr. Yeshita Pujar | Nil | association of serum placental growth factor in pre eclampsia and FGR with maternal and perinatal outcomes- A one year cross sectional study. | ||
| Dr. Karthiga S | Dr. Romana Khursheed | Nil | One year cross sectional study of gestational weight gain in women attending KAHER’s Dr. Prabhakar Kore Hospital, Belagavi. | ||
| Dr. Priya Saraf | Dr. Yeshita Pujar | Nil | Role of hyserolaparoscopy for the diagnosis of female infertility- A one year hospital based observational study. | ||
| Dr. Kusha Vashishta | Dr. M. C. Metgud | Nil | A study of pregnancy outcome in various high risk pregnancies – A prospective cross sectional study. | ||
| Dr. Shefali Garg | Dr. Anita Dalal | Dr. Manjula A Vagarali | Microbiological profile of surgical site infections following surgical procedures in the department of obstetrics and gynaecology- A descriptive observational study. | ||
| Dr. Taiyaba Fatma | Dr. Kamal Patil | Nil | A Prospective observational study to compare the maternal outcomes between modified early obstetrics warning system (MEOWS) and standard of care groups among high risk pregnant women. | ||
| Dr.Chandana KR | Dr. M. B. Bellad | Nil | Vaginal versus laparoscopic closure of vault in total laparoscopic hysterectomy- A prospective obsevational study. | ||
| Dr. Sagarika N Swamy | Dr. M. B. Bellad | Nil | Maternal opthalmic artery doppler at 19 to 23+0 weeks as predictor of pre-eclamosia- A descriptive observational study. | ||
| Dr. Kshirabdhi Tanaya Mohapatra | Dr. Shreedevi Metgud | Nil | Evaluation of efficacy and safty of dilapan-s vs dinoprostone gel for ripening of cervix prior to induction of labour-A randomised control trial. | ||
| Varsha Gurram | Dr .Anita Dalal | Nil | An observational study on surgical methods used in PPH | ||
| Prameela Gurupadappa Vandal | Dr. M.C. Metgud | Nil | Maternal and fetal outcome in postdated pregnancy in tertiary care hospital – one year cross sectional study | ||
| Dr. Akanksha Seth | Dr. Anita Dalal | Dr. Rajeshwari Handigund | Platelet count and platelet indices in pregnancy with pre-eclampsia and eclampsia, an observational study. | ||
| Dr. Aritri Bhattacharya | Dr. Hema Patil | Nil | First trimester serum uric acid as an early predictor of gestational diabetes mellitus. | ||
| Dr. Ayushi Verma | Dr. M. C. Metgud | Nil | Brasss V drape v/s modified gross formula in estimation of postpartum blood loss. | ||
| Dr. Eniya V | Dr. Romana Khursheed | Nil | Prediction of neonatal acidemia at birth with intrapartum total declaration area on fetal cardiotocogram – A one year case control study. | ||
| Dr. Gayathri | Dr. Kamal Patil | Nil | I/V Labetalol vs oral nefidipine in acute severe hypertension of pregnancy – A randomized controlled trial. | ||
| Dr. Geethika Vegesna | Dr. Yeshita Pujar | Nil | Injection oxitocin vs injection carbetocin in reduction of postpartum blood loss in caesarean section -A randomized control study. | ||
| Dr. Gurrela Sneha | Dr. M. B. Bellad | Dr. Ranjit Kangle | Antenatal screening for hemoglobinopathies in a tertiary care centre- one year descriptive observational study. | ||
| Dr. Saieshwari T | Dr. M. B. Bellad | Dr. Manjunath S Somannavar | Intra muscular oxitocin 10 units vs oxytocin 5U + ERGOMETRINE 0.2mg vs carbetocin 100mcg in reduction of post-partum blood loss – A randomized controlled trial. | ||
| Dr. Shreya | Dr. Yeshita Pujar | Nil | Implementation of labour care guide and its impact on cesarean section rate – An observational study. | ||
| Dr. Sneha Chakraborty | Dr. Kamal Patil | Nil | Effectiveness of mifepristone and misoprostol v/s misoprostol alone in induction of labour – A randomized controlled trail. | ||
| Dr. Yuktha Khanna | Dr. Anita Dalal | Nil | Azithromycin as an adjunct prophylactic drug for prevention of SSI in cesarean delivery- A randomized control trail. | ||
| Dr. Ankita Salvi | Dr. Shreedevi Metgud | Nil | Prevalence of vaginal colonization of Group B Streptococci in pregnant women. | ||
| Dr. Shaikh Rifaat Sultana | Dr. M. C. Metgud | Nil | A prospective study of postpartum anaemia – Incidence and interventions. | ||
| Dr. Manjusha B R | Dr. Anita Dalal | Nil | One year case control study of serum magnesium levels in preterm and term labour. | ||
| Dr. Manipal Lakshmi Baiju | Dr. Hema Patil | Nil | Correlation of vitamin B12 deficiency with sensorymotor deficits in post menopausal women- A one year cross sectional observational study. | ||
| Dr. K S Shivapriya | Dr. M. B. Bellad | Nil | Prevalence of thrombocytopenia in pregnant women from 34-38 weeks – descriptive observational study. | ||
| Dr. Gitanshi Arora | Dr. Mahadevi Savanur | Nil | A one year prospective observational study of potentially life threatening complications in pregnancy , maternal near miss and maternal mortality in KLE’S Dr. Prabhakar Kore Charitable Hospital, Belagavi. | ||
| Dr. Akshata Satish Patil | Dr. Kamal Patil | Nil | Knowledge attitude and practice of Covid-19 vaccination in pregnancy. | ||
| Dr. Apurva Singh | Dr. M. C. Metgud | Nil | Estimation of expected fetal weight using symphysio- fundal height and ultrasonography and comparison of it with actual birth weight – A prospective study. |
COMPLETED MS DISSERTATION
| Dr. Avula Lakshmi Mounica | Dr. Yeshita Pujar | Nil | Fetal Macrosomia : risk factors, maternal and perinatal outcome – A one year cross sectional study | ||
| Dr. Jayanth S | Dr. Romana Khursheed | Nil | Maternal And Perinatal Outcome Among The Women Admitted In Active Labor At Kaher’S Dr Prabhakar Kore Hospital And Medical Research Centre”– A Observational Study | ||
| Dr. Girish Murgesh Biradarpatil | Dr. Kamal Patil | Nil | Efficacy and safety of Interavenous Ferric Carboxy Maltouse in Iron deficiency anaemia During Post-partum Period | ||
| Dr. Naramsetty Lakshmi Chandana | Dr. Kamal Patil | Nil | A Comparison of predictive value of transvaginal cervical length at 11-14 weeks and 18-22 weeks of gestation in preterm labour | ||
| Dr. Karuturi Vemani | Dr. M. C. Metgud | Nil | Maternal outcomes in pregnancy complicated with dissminated intravascular coagulation at a Tertiary Care Centre – An Observentional Study | ||
| Dr. Alimilla Sindhu | Dr. Kamal Patil | Nil | A One Year Cross Sectional Study of Factors Responsible for Failure of Induction of Labor in Term Nulliparous women | ||
| Dr. Rashwani Ratnakaran | Dr. M. B. Bellad | Nil | Post Partum Blood loss in Induceed versus spontaneous vaginal delivery – A Descriptive Observational study | ||
| Dr. Smriti Shree | Dr. Hema Patil | Nil | Vaginal dysbiosis in early second trimester of pregnancy and its assocation with PPROM: A longitudinal observational study of KAHER’s Dr. Prabhakar Kore Charitable Hospital Belagavi | ||
| Dr. Bhawna Garg | Dr. M. B. Bellad | Nil | Inj. Ferric Carboxymaltose (FCM) vs Iron Isomaltoside (IIM) in Anemia in Pregnancy (Antenatal) – A Randomized Contolled Trial | ||
| Dr. Sanjana K. | Dr. M. C. Metgud | Nil | Prospective study of association of uterine atonicity and PPH with serum calcium levels | ||
| Dr. Shwetha B H | Dr. Anita Dalal | Nil | Maternal lipid profile during second trimester on pregnancy outcomes and its Complications – A One year Observational Sutdy | ||
| Dr. Sravani Naramsetty | Dr. M. B. Bellad | Nil | Laparoscopic hysterectomy for benign conditions a hospital based cross sectional study. | ||
| Dr. Aarathi E M | Dr. Yeshita Pujar | Nil | Maternal & Perinatal Outcomes in Twin Pregnancy in Tertiary Care Centre – A Cross Sectional Study | ||
| Dr. Aditya Mohan Gan | Dr. Romana Khursheed | Nil | Impact of evidence based surgical bundle for prevntion of cesarean section SSI. A randomised control trial | ||
| Dr. Archi Raj | Dr. Anita Dalal | Nil | Association of serum lactate level with severity of Pre-Eclampsia and maternal complications : An Observentional study | ||
| Dr. Rashmi Keshav Giri | Dr. Yeshita Pujar | Nil | Ultrasonographic evaluation of Bleeding per Vaginum in Early Pregnancy – A Cross Sectional Study | ||
| Dr. Diksha Garg | Dr. M. C. Metgud | Nil | Clot Obsertation test for Early Detection of Coagulopathy in Obstetric Emergency – A One Year Prospective Study | ||
| Dr. Mareedu Spoorthi | Dr. Hema Patil | Nil | Co-relation of Maternal Hypothyroidism and Infant Outcome A prospective Study | ||
| Dr. Tella Srivani | Dr. Anita Dalal | Nil | Assessment of Risk of Cesarean Delivery following labour induction using A Validated Calcuator – A One year Observentional Study | ||
| Dr. Yoshita Sanjay Saneja | Dr. Kamal P. Patil | Nil | Risk Factors for perinatal Mortality: A Prospective study at tertiary care hospital, Belagavi | ||
| Dr. Kotireddy Jyothi Reddy | Dr. Hema Patil | Nil | Knowledge, Attitude And Practices Study Of Hiv/Aids Among Antenatal Women At A Tertiary Care Centera Cross Sectional Study | ||
| Dr. Yaganti Sree Lakshmi | Dr. Yeshita Pujar | Nil | Insulin Resistance And It’S Association With Preeclampsia” – A One Year Case Control Study At A Tertiary Care Centre. | ||
| Dr. Shreya Dandu | Dr. Anita Dalal | Nil | Association of Cord Blood lactate level Meconium Stained Liequor An Observational study | ||
| Dr. Roshni K | Dr. Romana Khursheed | Dr. Tanmaya Metgud | A One Year Cross Sectional Study of Preterm Births in a Teriary Care Centre in South India | ||
| Dr. Magdalin Priyadarshini D | Dr. Kamal Patil | Nil | One year Cross-Sectional Study of Maternal and Perinatal outcme in severe pre-eclampsia at KAHER’s Dr. Prabhakar Kore Hospital & MRC, Belagavi | ||
| Dr. R. S. Mahan Gowda | Dr. Kamal Patil | Nil | A Cross Sectional study fo primary cesarean Section in Multigravida at a tertiary Health Centre, Belagavi | ||
| Dr. Sneha M | Dr. Yeshita Pujar | Nil | Maternal And Perinatal Outcome Among The Women Admitted In Active Labor At Kaher’S Dr Prabhakar Kore Hospital And Medical Research Centre”– A Observational Study | ||
| Dr. Raksha Sree R | Dr. Yeshita Pujar | Nil | Estimation of Blood loss in abrupto placenta using shock Index | ||
| Dr. Bethany Grace Neumann | Dr. M. C. Metgud | Nil | Tranexamic acid to reduce blood loss in women at high risk for postpartum hemorrhage undergoing cesarean section – A Randomized controlled Trial | ||
| Dr. Cheyne Rosetta Estibeiro | Dr. Romana Khursheed | Nil | Association of first trimester maternal serum analytes (PAPP-A, BETA HCG, PLGF) with adverse pregnancy outcomes 1 year observational study at KAHER’s Dr. Prabhakar Kore Hospital and Medical Research Centre | ||
| Dr. Shehzareen Zoeb Haider | Dr. Anita Dalal | Nil | Early Maternal HbA1C Levels and its association with gestational diabetes mellitus – A One year Observational study at KAHER’s Dr. Prabhakar Kore Hospital, Belagavi | ||
| Dr. Kanchibhotla Meghana | Dr. M. B. Bellad | Dr. Bhavana Koppad | Delayed Cord Clamping versus Intact Umbilical Cord Milking and its effects on maternal blood loss – a Randomized Control Trial | ||
| Dr. Vomica Anand Kewalramani | Dr. M. B. Bellad | Nil | First Trimester Materanal Serum Glycosylated fibronectin as a predictor of preeclampsia A Descriptive Observational study | ||
| Dr. Yeruva Vijaya Durga | Dr. M. B. Bellad | Nil | Uterine Exteriorisation Versus In-Situ Repair During Hysterotomy In Cesarean Delivery – A Randomized Controlled Trial | ||
| Dr. Kanika Garg | Dr. M. C. Metgud | Nil | the Association between urinary tract infection as a risk factor for preclampsia : A cross sectional study | ||
| Dr. Shinjini Das | Dr. M. C. Metgud | Nil | A Prospective observational Study on early onset preeclampsia and late onset preeclampsia – maternal and perinatal outcomes at a tertiary health centre Belagavi | ||
| Dr. Shivani Managonkar | Dr. Hema Patil | Nil | Comparison of the accuaracy of Episcissor-60/OHP sheets with myo scissor in performing a mediolateral episiotomy – a randomized control trial for a duation of 1 year in a tertiary care centre | ||
| Dr. A. Arrchana | Dr. Anita Dalal | Nil | A prospective observational study on the correlation of Visual Inspection of cervix with Acetic acid (VIA) and Colposcopy in detection of premalignant lesion of cervix | ||
| Dr. Mounica B | Dr. Yeshita Pujar | Nil | Congenital Anomalies Diagnosed By Ultrasonography at Tertiary Care Centre – A Cross Sectional Study | ||
| Dr. Suryadevara Geetha Surya Kumar | Dr. M. B. Bellad | Nil | Acceptance of Post-Partum Intrauterine Contracpetive Device (PPIUCD) – hospital based descriptive longitudinal study at the teaching hospital attached to KAHER’s J N Medical College, Belagavi | ||
| Dr. Susan Sam Varghese | Dr. Yeshita Pujar | Nil | Management Practices in Ectopic Pregnancy – A Hospital Based study | ||
| Dr. Lameez Khan | Dr. M. C. Metgud | Dr. Prasad M R | Maternal and fetal outcomes among pregnant women with heart disease – A Prospective study | ||
| Dr. Ankita Patil | Dr. Anita Dalal | Nil | Lateral Location of the Pacenta as a predictor of pre eclampsia in pregnant women, A Hospital Based prospective study | ||
| Dr. Sbubha S R | Dr. M. C. Metgud | Nil | Accuracy of estimation of gestational age from 18-38 weeks by mean fetal renal lenth | ||
| Dr. Kshama A Hinchigeri | Dr. Kamal Patil | Nil | Injection tranexamic acid for preventing postpartum hemorrhage after vaginal delivery: One year hospital based randomized placebo-controlled trial | ||
| Dr. Meghan H M | Dr. M. B. Bellad | Dr. Manjunath C Patil | A Cross Sectional Study of Caesarean Sections one year hospital based study at a teaching hospital | ||
| Dr. Anjana Krishna | Dr. M. B. Bellad | Dr. M. B. Nagmoti | Prevalence of Urinary Tract Infection in Pregnancy at first antenatal care vist – A Hospital based study at the Teaching Hospital Attached to KLE University’s J.N.Medical College, Belagavi | ||
| Dr. Sweta Verma | Dr. M. K. Swamy | Nil | An Observational study of management practices and maternal outcome of postpartum hemorrhage at a tertiary care centre in Belagavi | ||
| Dr. Meghana T | Dr. Kamal Patil | Nil | Early Onset Fetal Growth Restriction and Its Perinatal Outcome – A One year Cross Sectional Study | ||
| Dr. Vartika Mohan | Dr. Anita Dalal | Nil | Oral Vs Vaginal Administration of Misoprostol, for induction of Labor, in Women presenting with premature rupture of Membrances 1 year Randomized Controlled Trial at the Teaching Hospital attached to Dr. Prabhakar Kore Charitable Hospital Belagavi | ||
| Dr. Archana Gupta | Dr. Yeshita Pujar | Nil | Prevalance of red cell alloimmunization Among Pregnant woman attending antenatal clinical at teaching hospital attached to KLE University J N Medical College, Belagavi | ||
| Dr. Priya A Joshi | Dr. M. C. Metgud | Nil | Correlation between fetal Transcerebellar Diameter and Gestional Age – A Hospital Based Observational Study | ||
| Dr. Samridhi Dhawan | Dr. Yeshita Pujar | Nil | Comparative study of Interacervical Dinoprostone Gel and Vaginal Misoprostol for Induction of Labour 1 Year Randomized Control Trial at Tertiary Care Centre, Belagavi | ||
| Dr. Belide Shruthi | Dr. M. B. Bellad | Dr. Sunil Jalalpure | Homocysteine and Asymmetric Dimethyl Arginine (ADMA) Levels in Early Pregnancy and Pregnancy Outcome – A Descriptive Observational Study at Teaching Hospital Attached to KLE University’s J.N.Medical College, Belagavi | ||
| Dr. Sunaya S Puranik | Dr. Kamal Patil | Nil | Prevalence of Congenital Anomalies and Assessment of Associated Maternal risk factors : A One Year Cross Sectional Study at KLES Dr. Prabhakar Kore Charitable Hospital, Belagavi | ||
| Dr. Rajashekhar Vittal Mali | Dr. Anita Dalal | Nil | Association Between Maternal and Fetal Risk Factors and Stillbirth in Tertiary Care Hospital in Belagavi – A Case Control Study | ||
| Dr. P. Divya | Dr. M. C. Metgud | Nil | One Year Prospective Observational Study Onmaternal and Fetal Outcome with Severe Anaemia Admitted in the Labour Room at KLE Dr. Prabhakar Kore Charitable Hospital | ||
| Dr. Ayesha Gulzar | Dr. M. K. Swamy | Nil | A One Year Cross Sectional study of Primary Cesarean Section at KLE Dr. Prabhakar Kore Charitable Hospital | ||
| Dr. Dcosta Usula Amellia Jean | Dr. Yeshita Pujar | Nil | A One year cross sectional study of Antepartum Haemorrhage and its Association with Maternal and Perinatal outcome at KLES Dr. Prabhakar Kore Charitable Hospital, Belagavi | ||
| Dr. Apoorva Hiremath | Dr.Anita Dalal | Nil | Accuracy of various ultrasonoghraphic formular in predicting EFW-A one year prospective congitudinal study. | ||
| Dr. Madhushree Deshpande | Dr.M.C.Metgud | Nil | Retrospective analysis of Blood Transfusions in Obstetrics: A one year cross sectional study. | ||
| Dr. Pandya Jay Y | Dr.M.K.Swamy | Nil | A cross sectional study of severe pre eclampsia and HELLP syndrome. | ||
| Dr. Pooja Kiran | Dr.Kamal Patil | Nil | Prediction vaginal birth after cesarean section using scoring system at the time of admission for trial of Labour-1 year prospective cohort study | ||
| Dr. Surbhi Handa | Dr.Yeshita Pujar | Nil | Prediction of Pre-eclampsia Evaluation of B/L uterine Artery doppler at 11-13+6 weeks. | ||
| Dr. Yeramala Arpita Reddy | Dr.Anita Dalal | Nil | “An Observational study for analysis of cesarean section deliveries according to robsons ten group classification system at a tertiary care Hospital in Belagavi” | ||
| Dr. Anusha Jetti | Dr.M.B.Bellad | Nil | Correlation between duration of cohabitatian and its effects on development of adverse pregnancy outcomes. | ||
| Dr. Anjana B | Dr.Hema Dhumale | Nil | Prostaglandins with estradiol versus prostaglandins alone for induction of labour in Unfavourable cervix – one year randomized control trial at KLE Dr. Prabhakar Kore Charitable | ||
| Dr. B Tejaswi R | Dr.M.K.Swamy | Nil | Maternal near Miss a cross sectional study Interhary care Hospital A prospective study. | ||
| Dr. Jahnavi Atluri | Dr.M.B.Bellad | Dr.Suresh Patted | Diastolic Dysfunction By 2d-Echocardiography In Pre-Eclamptic & Eclamptic Women Vs Normal Pregnant Women: A Hospital Based Case Control Study | ||
| Dr. Nidhi Pethapara | Dr.Anita Dalal | Nil | A study of first trimester maternal body mass index gestational weight gain and their association with maternal and perinatal outcomes. | ||
| Dr. Saniya Shaikh | Dr.Yeshita Pujar | Nil | Yolk sac diameter as a predictor of pregnancy outcome – a one year case control study at KLE Dr. Prabhakar Kore Free Charitable Hospital and MRC Belgaum | ||
| Dr. Soumya Patil | Dr.Kamal Patil | Nil | Analysis of risk factor of late preterm birth: A case control study. | ||
| Dr. Swati Goudar | Dr.M.C.Metgud | Nil | Association of Vaginal Ph>5 and The Incidence of Preterm Birth:A Prospective Chort Study | ||
| Dr. Snigdha Kumar | Dr. Kamal Patil | Nil | Study on Awareness and acceptability of screening for downs syndrome in the women attending ANC at KLE’s Prabhakar Kore charitable Hospital & MRC , Belgaum | ||
| Dr. Anshika Sehgal | Dr. Hema Dumale | Nil | Maternal serum beta human chronic gonadotropin Level estimation in second trimester as a predictor for pregnancy induced hypertension. – A Prospective study. | ||
| Dr. Steffi V Rodrigues | Dr. M.K.Swamy | Nil | A randomized control trial of extra-amniotic saline infusion versus intra cervical dinoprostone gel for induction of labour. | ||
| Dr. Swathi A | Dr. M.B.Bellad | Nil | Assessment of pain associated with intramuscular injection of Magnesium Sulphate with or without Lignocaine in women with severe preeclampsia and conscious eclamptic women- a Randomized Control Trial. | ||
| Dr. Tanu Pandey | Dr. Yeshita Pujar | Nil | Effectiveness of antenatal corticosteroids in reducing perinatal Morbidity and Mortality in late preterm births- a Randomized control trial’ | ||
| Dr. Vinu Choudhary | Dr. M.C.Metgud | Nil | Effectiveness of antenatal corticosteroids in reducing perinatal Morbidity and Mortality in late preterm births- a Randomized control trial’ | ||
| Dr. Sameer Kulkarni | Dr. Anita Dalal | Nil | Clinico-Pathological Features of Ovarian tumours- A Prospective Observational study | ||
| Dr. Satwik Metgud | Dr. M.C.Metgud | Nil | Comparison of efficacy & safety of intravenous ferric carboxymaltose v/s iron sucrose in the treatment of antepartum iron deficiency anemia- A randomized controlled trial | ||
| Dr. Trupti Ruge | Dr. Anita Dalal | Nil | To Determine the prevalence of Gestational diabetes mellitus at KLE’s Dr. Prabhakar Kore Hospital and medical Research Centre , Belgaum. | ||
| Dr. Nikila Gangula | Dr. Yeshita Pujar | Nil | To Determind the Perinatal Outcome in twin pregnancies with discordant growth- A cross-Sectional study | ||
| Dr. Nitika | Dr. M.B.Bellad | Nil | Prevalence of Discordant Growth in Twin Pregnancies. | ||
| Dr. Swarupa Biradar | Dr. Hema Dhumale | Nil | Case control study to Assess independent risk factors influencing surgical site infection after cesarean section | ||
| Dr. Shubha Rao | Dr. M.K.Swamy. | Nil | Intrapartum Management of meconium stained amniotic fluid: A one year prospective cross –sectional study | ||
| Dr. Amey J Sirsat | Dr. M.K.Swamy | Nil | One year cohort study, the role of Umbilical artery Doppler & Modified Biophysical Proffile in prediciting neonatal outcome in Intrautrine Growth Restriction, a hospital based study. | ||
| Dr. Shonir Pai | Dr. Kamal Patil | Nil | Evaluation of attitude and Behavior on training implementation of Home Based Life saving skills (HBLSS) in communities of Belgaum district- Cross sectional study | ||
| Dr. Emanual Gracias | Dr. Anita Dalal | Nil | Association Cervical Length at 18-23 weeks of gestation and spontaneous preterm delivery – A cohort study. | ||
| Dr. Avanti Laxmi | Dr. Hema Dhumale | Nil | A case control study to evaluate the correlation of hypothyroidism in pregnant women with adverse pregnancy outcome compared to pregnant women with normal preganancy outcome. | ||
| Dr. Snehal Shintre | Dr. M.C.Metgud | Nil | Effectiveness of risk of malignancy index to differentiate benign from malignant ovarian masses -A cross sectional study | ||
| Dr. Neha Gupta | Dr. M.B.Bellad | Nil | Safety & effectiveness of ventous extraction of fetal head versus manual extraction of fetal head at cesarean section – a randomized controlled trial | ||
| Dr. Keisham Sophia | Dr. M.C.Metgud | Nil | Interobserver variability of visual inspection methods between doctor & nurse for cervical cancer screening. | ||
| Dr. Komal Revankar | Dr. Hema Dhumale | Nil | A RCT to assess the role of routine third trimester USG in low risk pregnancy on antenatal interventions and its impact on perinatal outcome. | ||
| Dr. Simran Jeet | Dr. Anita Dalal | Nil | Role of visual inspection with acetic acid (VIA) and HPV DNA testing in detection of cervical neoplasia – A prospective study | ||
| Dr. Valli- Pillai | Dr. Yeshita Pujar | Nil | The role of progesterone in maintenance therapy following arrested preterm labour. A randomized controlled trial. | ||
| Dr. Sridevi Metgud | Dr. B.R.Desai | Nil | Comparison of clinical methods and ultrasound for prediction of expected fetal weight with actual birth weight in term pregnancies- A – prospective study. | ||
| Dr. Parul Mahajan | Dr. Parul Mahajan | Nil | Study ti determine incidence of Gestational Diabetes Mellitus using a single step diagnostic test- A one year hospital based prospective study | ||
| Dr. Deepti | Dr. B.R.Nilgar. | Nil | A cross sectional study by Translabial Ultrasonography to evaluate the integrity of Pelvic floor in patients with urogenital proplapse | ||
| Dr. Pallavi | Dr.M.B.Bellad | Nil | Oral clindamycin in 13-16 +1 week period of gestation with vaginal PH ≥ 5 for prevention of preterm labour. A randomized placebo controlled trial. At KLE’S Dr. Prabhakar Kore Hospital and Medical Research Centre.” | ||
| Dr.Bhushan Desai. | Dr. M.K.Swamy | Nil | A Randomised controlled trial of oral nifedepine vs intravenous labetalol in acute control of blood pressure in hypertensive emergencies of pregnancy. | ||
| Dr.Vishnupriyanka | Dr. Bhavana Sherigar. | Nil | Comparing the diagnostic value of Radiometric assay and polymerase chain reaction (PCR) in diction of genital tuberculosis in infertile woman | ||
| Dr. Nandan | Dr. Anita Dalal | Nil | Effective of Health Education on knowledge attitude of barrier towards cervical cancer screening among female nurses working in Tertiry Health care centre” | ||
| Dr Shreen | Dr. Kamal Patil | Nil | Amniocentesis in prenatal diagnosis for chromosomal abnormalities- A cross sectional study” |
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Home > MAHE Student Work > MCON
Manipal College of Nursing, Manipal Theses and Dissertations
Theses/dissertations from 2021 2021.
Effectiveness of Comprehensive Hemophilia Education Program (CHEP) on health related Quality of Life and Clinical outcomes of children and young people with hemophilia in selected hemophila clinics of Karnataka. , Anjalin D’Souza
Effectiveness of a Preterm Home Care Program (PHCP) on parent infant interaction among mothers of preterms and the developmental outcomes of the preterms in Kasturba Hospital, Manipal Karnataka. , E. Binu Margaret
A study on Child Abuse, and its relationship with the attitude of adults and Socio – Demographic variables in Udupi Dist. , Sangeetha Priyadarshini
Effectiveness of Developmental Supportive Care Program (DSCP) on the health status of preterm infants, knowledge, and practice of care providers in a selected Neonatal unit of tertiary care hospital. , Yashoda Sathish
Theses/Dissertations from 2020 2020
“ Life Style Factors Associated With Elevated Blood Pressure Among Working Women Of Selected Institutions Of Udupi Taluk: A Case Control Study.” , PRIYA LAVEENA ALVA
Prevalance, Risk factors for Malnutrition and effectiveness of need-based intervention on nutritional status and cognitive development of preschool children in Anganwadi centers of Udupi Dist. , Ansuya .
Effectiveness of a comprehensive educational program for Accredited Social Health Activist (ASHAs) to identify individuals with bleeding disorders in udupi District: A community –based study , Sulochana B
“A study to assess the knowledge on post Exposure prophylaxis and adherence to Needle stick injury prevention measures among nurses in selected hospitals of Udupi taluk, Karnataka” , KUSUMAVATHI .
" “A Study to Assess the Pattern of Smartphone Usage, Smartphone Addiction and Associated Subjective Health Problems Among Nursing Students of Selected Colleges of Udupi District” " , JOYCE MACHADO
“A Study to Assess The perception towards Tobacco Consumption And Its Usage Among The Auto Rickshaw Drivers Of Udupi District, Karnataka” , SHAKEEL MOHAN
"“A cross-sectional study to assess the body Mechanics, perceived musculoskeletal problems and health-seeking behaviour among Construction workers of Udupi district.” " , RAGHAVENDRA NAYAK
Oral Care Protocol for Chemotherapy and Radiation therapy included oral complications in Cancer Patients. , Radhika R Pai
“A Comparative Study To Assess The Attitude And Self-Reported Practices Of Self- Medication Among The Healthcare And Non- Healthcare Undergraduate Students Of Selected Institutions Of A University In Udupi District, Karnataka” , ILAKKIYA P
"“A descriptive study to assess the Knowledge and attitude towards global Warming and perceived impacts of Regional climate change on health among the health science students of Udupi District, Karnataka” " , BADAPLIN RYNJAH
“A Study To Assess The Correlation Between Level Of Critical Thinking Ability And Competency In Performing Neurological Assessment Among Nursing Students Of Selected Nursing Colleges Of Udupi District, Karnataka” , PIYALI SAHA
“Awareness about rights of older adults, attitude and perception towards ageism among the college students of Udupi district: A descriptive cross-sectional study” , ANGEL THOMAS
Theses/Dissertations from 2019 2019
A study to assess the knowledge regarding endometriosis and wellbeing of women diagnosed with endometriosis in selected hospitals of Udupi Taluk, Karnataka , ANNIE NIRMALA A
“Effect of Mandala Art Therapy on attention and functional social skill among intellectually disabled children in a selected special school of Udupi, Karnataka.” , POOJA BAKSHI
A study to assess the symptoms of Irritable Bowel Syndrome (IBS), dietary habits and stress among employees working in selected institutes of Udupi district, Karnataka , SANGEETA BSR
Effectiveness of Pulmonary Interventions (PI) on Health-Related Quality Of Life (HRQL) and Clinical Outcomes (CO) among Chronic Obstructive Pulmonary Disease (COPD) patients. , Flavia Castelino
Effectiveness of E-Surveillance by the Infection Control Competent Nurses (ICCN) in selected hospitals of Udupi and DK Dist. Karnataka , Soumya Christabel
A comparative study to assess the life satisfaction, self-esteem, depression and health related behaviour among pensioners and non- pensioners elderly population of selected villages of Udupi taluk, Karnataka , ROSHINI DSOUZA
A case control study to assess the risk factors associated with fetal and neonatal death in Kasturba Hospital (KH), Manipal, Karnataka , RITU KUMARI
Efficacy of Acupressure on contributing factors of fatigue, severity of fatigue, Oxidative Stress Markers (OSM) and other blood parameters of patients with End-Stage Renal Disease (ESRD) on Maintenance Hemodialysis (MHD) in a selected tertiary hospital of Udupi Dist. Karnataka , Daisy Josphine Lobo
A study to assess the post-menopausal symptoms, stress and coping strategies among women in selected villages of Udupi taluk, Karnataka , SOWMYA NAIK
A correlational study to assess the emotional intelligence, self-esteem and assertiveness among youth studying in selected undergraduate higher educational institutions of Udupi district. , JAGRITI NIYOGI
A study to assess the determinants and outcomes of acute kidney injury among patients admitted to critical care units of a tertiary care hospital of Udupi district , CAROLINE LIYAN NORONHA
A retrospective survey on clinic epidemiological profile of venomous snake bite patients in Kasturba Hospital, Manipal , TANUSREE PRADHAN
A descriptive study to assess non suicidal self-injury (NSSI) behaviour and emotional dysregulation among college students of selected colleges in Udupi district, Karnataka , MANISHA SAMANTA
A study to assess the functional abilities and quality of life (QOL) among the adult patients with hearing loss and their perspective towards use of hearing aid in selected hospitals of Udupi district, Karnataka , SHALINI .
A study to assess the awareness and attitude on gamete donation in Kasturba Hospital, Manipal, Udupi district, Karnataka in a view of developing a information booklet , HEMA SHANKAR
A retrospective cohort study on perinatal outcomes of hypertensive disorders of pregnancy among women hospitalized to a tertiary referral hospital of Udupi Taluk, Karnataka , BINITA SHARMA
A study to assess information needs and risk of venous thromboembolism in cancer patients receiving chemotherapy with a view to develop and validate an information guide in a tertiary care centre, Udupi district , SMITA D VARGHESE
Multidimensional Intervention on Self-Management and Quality of Life of type 2 Diabetes patients , Aldrin Vas
Theses/Dissertations from 2018 2018
A study to assess the peer influence and the behavior among adolescents of pre-university colleges of Udupi taluk , JISHA MARY ALEXANDER
A descriptive study to assess the knowledge and perception regarding menopause among married women and their spouses in selected villages of Udupi Districts. , AMITHA .
A descriptive study to assess treatment nonadherence among people diagnosed with stroke and burden among their caregivers in Kasturba Hospital Manipal , ASHWINI .
A descriptive study to assess the prevalence of stress urinary incontinence among middle aged women who are working under MIS in selected institutions of Manipal Academy of Higher Education in view of providing health teaching on pelvic floor exercise. , LIBY BABY
A retrospective study to assess the prevalence, determinants and outcome of sepsis in a tertiary care hospital, Udupi district. , DRAGO MELBA BAZEL
A correlational study on physical activity, energy expenditure and body weight among secondary school children in selected schools of Udupi district, Karnataka. , KALYANI BISWAS
A study to assess the pain level of the critically ill patients admitted in ICUs and the nurse’s perception on pain of critically ill patients in selected tertiary care hospital, Udupi district. , CHHANDA CHAKRABORTY
A Randomized Controlled Trial to Evaluate the Impact of Nurse Navigator Programme (NNP) on Anxiety, Psychological Distress and Quality of Life of Breast Cancer Patients in a Tertiary Care Hospital, Karnataka” , Shejila C H
A study to assess the health literacy and barriers to health literacy among health sciences and non-health science members of selected institutes of Udupi district, Karnataka. , FELCITA LAVINA CUTHINO
A study to assess the knowledge on stroke and health seeking behaviour among hypertensive patients in selected tertiary care hospital, Udupi district, Karnataka. , DIVYA DAVIS
A study to compare the quality of life, child adjustment and social support of only child and child with siblings in selected schools of Udupi district. , ARLINE TENCY DSOUZA
A descriptive study to assess the knowledge on mental health and mental illness among students of selected health professional colleges of Manipal Academy of Higher Education, Manipal, Udupi district. , HENSHAW NSA EKANEM
A case control study to compare the factors influencing early onset of menarche among school children in selected schools of Udupi district. , JESNA JOSEPH
A study to assess the effectiveness of nutritional enhancement programme on knowledge and micronutrient deficiency assessment skills among mothers of anganwadi children and dietary intake of micronutrients of anganwadi children in selected anganwadi centres of Udupi district, Karnataka. , SHRADDHA S KANCHAN
A Comparative study to determine The effectiveness of Antepartum breathing exercises on outcome of labor between Primigravid and Multigravid Women in selected hospital Of Udupi District, Karnataka , Sushmitha Ramona Karkada
A study to assess the effectiveness of Prenatal Training Module (PTM) on knowledge and skill of newborn care among mothers in the selected Hospitals of Udupi District. , KAVYA .
A study to assess the awareness of Gestational diabetes mellitus and identify compliance to management among Gestational Diabetes mellitus in selected hospital of Manipal Academy of Higher Education, Udupi District, Karnataka. , MEENA KONSAM
A case- control study to assess the knowledge and risk factors of urolithiasis among patients attending urology outpatient department (OPD) in selected hospital of Udupi district, Karnataka. , MERLIN K KUNJUMON
A study to assess the effectiveness of mindfulness meditation on anxiety and sleeping pattern among the nursing students in selected nursing colleges of udupi district" , UMA LAMICHANEY
A study to assess the knowledge of type II diabetes mellitus patients on diabetic neuropathy and to identify the people at risk for the development of upper extremity diabetic neuropathy among type II diabetes mellitus patients with a view to develop an information pamphlet in a selected hospital of Udupi district, Karnataka. , CLARITA SHYNAL MARTIS
A study to assess the effectiveness of an educational intervention on knowledge and practice of peripheral intravenous catheterization by healthcare professionals (Nurses) among neonates of NICU’s in selected hospitals of Udupi district, Karnataka. , JIJI MATHEW
A comparative study to assess the Health Related Quality of Life (HRQoL) and perception of body image among normal and overweight/obese adolescents in selected English Medium Schools of Udupi District, Karnataka. , JANE JYOTHI MATHIAS
A case control study to identify the biopsychosocial risk factors that may contribute to intellectual disability among children attending selected special school of Udupi district, Karnataka. , HENITA JOSHNA MENEZES
A descriptive study to assess the symptoms and risk factors of carpal tunnel syndrome among the computer users in selected workplaces of Udupi district, Karnataka , KEERTHI NAIK
A study to assess the depressive symptoms and bio-psychosocial problems among postmenopausal women living in selected villages of Udupi district, Karnataka , SHWETHA NAYAK
A study to assess the effectiveness of an educational intervention on knowledge and practice of staff nurses on prevention of Ventilator Associated Pneumonia (VAP) in neonates of a selected Neonatal Intensive Care Unit of a tertiary care hospital. , DIPANJALI ROY
A correlative study on social media addiction and self-esteem among students of selected degree colleges of Udupi Taluk, Karnataka. , SRIPARNA SARKAR
A study to determine the influence of caesarean births on perinatal outcomes - A hospital based cohort study. , ANJANA SHARMA
A study to assess the functional outcome and the perceived benefit among the patients undergone total knee arthroplasty , SABINA SHARMA
Antihypertensive Treatment: Impact of Multimodal Interventions on Medication Non-Adherence , Melita Sheilini
A study to assess the effectiveness of Motivational Enhancement Therapy on relapse prevention among adults with Alcohol Dependence Syndrome in selected hospitals of Udupi District, Karnataka , PRATHIMA SHERIGARTHY
A descriptive study to assess the knowledge, attitude, utilization of contraceptives and barriers for non-utilization among the married women residing in the selected slums of Udupi district , SOWMYA .
A study to assess the perceived stress and eating behaviour among undergraduate students in selected professional and non-professional colleges of Udupi district. , RINTU THOMAS
A descriptive study to assess the adjustment and self esteem among the first year B.Sc. Nursing students of selected nursing colleges of Udupi district. , ANKUR TIWARI
Effectiveness of extended infection control measures on MRSA infection among orthopedic surgery patients. , Latha T
A study on the psychosocial maladjustment and personality of children of alcoholics among graduates studying in affiliated colleges of Manipal Academy of General Education. , REEMA SUSAN VARGHESE
Effect of aggression management and violence prevention training among nursing personnel working in psychiatric and emergency settings of selected hospitals of Dakshina Kannada and Udupi Dist. , Binil V
Theses/Dissertations from 2017 2017
“A descriptive study to assess the immunization compliance, common health problems of immunized under five children and perceived maternal barriers for immunization in selected rural areas of Udupi district”. , ANUSHA C A
Effectiveness of Comprehensive Nursing Intervention Programme (CNIP) on Anxiety, Fatigue, Self- Efficacy and Quality of Life among patients undergoing Coronary Artery bypass graft surgery in a tertiary care hospital- A randomized controlled trial. , Ramesh C C
A study to assess the knowledge on practice of urinary catheter care and compliance to urinary catheter care guidelines by the staff nurses working in a tertiary care hospital, Udupi district , MARYL CANDIDA CUTINHO
A study to assess the knowledge and practice on Methicillin Resistant Staphylococcus Aureus (MRSA) infection and the carrier status among healthcare professionals of a tertiary care hospital, Udupi District. , DIANA DMELLO
“A study to assess the knowledge, stress and coping patterns of grandmothers involved in child-rearing practices of children of employed mothers in selected areas of Udupi district, Karnataka. , REENA M DSILVA
“A study to assess the effectiveness of puppet show on knowledge about child safety based on learning styles among 5th and 6th standard students of selected Kannada medium schools in the rural areas of Udupi district” , JOSVITA SANDRA FERNANDES
“A study to assess the relationship between psychological well-being and perceived parenting style among selected high school students of Udupi district”. , ANSU FRANCIS
A retrospective study to assess the incidence and factors predisposing to surgical site infection (SSI) in patients who have undergone Caesarean Section in tertiary care hospital of Udupi district, Karnataka. , DEBALINA GHOSH
Effectiveness of video assisted teaching program on knowledge and preventive practices of Catheter Related Blood Stream Infections (CRBSIs) among health care professionals in selected Intensive Care Units (ICUs) of a tertiary care hospital Udupi , JEFFIN THOMAS JACOB
“A study to assess the sleep quality and academic performance among the undergraduate students of selected Nursing Colleges of Udupi District, Karnataka”. , SALLY JANE J K
“A comparative study on academic performance, anthropometric measurements, cognitive development, reaction time and self-defence mechanism among Karate and non-Karate performers of selected schools in Udupi district, Karnataka”. , JILU SALY JOSE
A study on gender stereotype, self-esteem and their determinants among adolescents of selected English medium secondary school of Udupi district. , BHANU CHHETRI KARKI
Study to evaluate the infection control practices to prevent transmission of Pulmonary Tuberculosis (TB) among health care personnel working in selected units of a tertiary care hospital at Udupi district Karnataka. , KARISHMA KHAUND
A study to determine the infection control practices by the Health Care Workers (HCWs) and facilities in the labor theatre (LT) of a selected tertiary referral hospital of Udupi District , Karnataka , MITCHELLE S LEWIS
An observational study to assess the practice of infection control measures on patients undergoing Transvaginal sonography and Pap smear procedure , among health care professionals in Obstetrical and Gynecological outpatient department of a tertiary hospital in Udupi District, Karnataka , PRIYANKA REKHA MONDAL
A study to assess the existing practices of intravenous (IV) medication management and barriers for safe practices among healthcare professionals in a selected hospital of Udupi district, Karnataka. , MADHURIKRANTA MUKHERJEE
A study to assess the level of anger, coping and factors influencing anger amongst adolescents of selected schools, Udupi district Karnataka. , PUSAHOLE NATSO
Effect of perceived barriers to symptom management on Quality Of Life (QOL) and the effectiveness of a multicomponent intervention among cancer patients in selected cancer hospitals of Karnataka State. , Malathi G Nayak
Effect of Yoga therapy on Antenatal stress and pregnancy outcome , Maria Pais
"A study to assess the practice and perceived barriers towards infection control measures among Health Care Workers (HCWs) in dialysis unit of a tertiary hospital, Udupi District, Karnataka " , JACKLINE PRATHIBHA
A correlational study to assess the intergenerational ambivalence and psychological wellbeing among mothers of young adults of selected areas of Udupi district, Karnataka , STEFFI JENIFER QUADRAS
A study to explore bullying and its impact on the psychosocial wellbeing among the selected high school students of Udupi district, Karnataka. , REEMA RAI
A Randomized controlled trial on effectiveness of a multicomponent intervention on migraine. , Vishnu Renjith
“A study to assess students adjustment to their professional course and academic performance among undergraduate nursing students studying in selected institutions of Udupi District, Karnataka.” , BIJOYLAKSHMI SAHOO
"A study to assess the knowledge, perception, psycho social preparedness for menarche and the problems experienced by the adolescent girls in selected schools of Udupi district”. , CHARMAINE CRYSTAL SALINS
Effectiveness of Trainning Programme on prevention of Ventilator Associated Events (VAE) in terms of Knowledge and practice among health care professionals of selected Intensive Care Units (ICU) of a tertiary care hospital udupi , ARJUN S
Estimated Glomerular Filtration Rate (eGFR) for Indians and effectiveness of a Disease Management Program (DMP) in controlling the progression of chronic kidney disease. , Leena Sequira
A study to assess the practices of postoperative surgical site dressing among the health care professionals in a tertiary hospital of Udupi district , SIJIMOL S
A study to assess the knowledge and practices of cleaning and disinfection among Health Care Workers (HCWs) in the Intensive Care Units (ICUs) of a tertiary care Hospital in Udupi district, Karnataka. , TINCY VARGHESE
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- v.14(10); 2022 Oct
A Pre-experimental Study to Assess the Effectiveness of Planned Teaching Program on Knowledge and Expressed Practices Regarding Selected Obstetrical Emergencies Among Staff Nurses in Selected Hospitals of Shimla District, Himachal Pradesh
Bhavna verma.
1 Obstetrics and Gynecology, All India Institute of Medical Sciences, Deoghar, Deoghar, IND
Manoj Kumar
2 Pediatrics, All India Institute of Medical Sciences, Deoghar, Deoghar, IND
Swati Swati
Kamla tanwar.
3 Obstetrics and Gynecological Nursing, Sister Nivedita Government Nursing College, Shimla, IND
Shashi Kiran
4 Child Health Nursing, Indira Gandhi Medical College, Shimla, IND
Background and objective
Good health and well-being occupy the third position among 17 sustainable development goals designed by the United Nations. The key to reducing maternal and newborn morbidity and mortality is competent and skilled birth attendance. The objectives of this study were to assess and compare the pre-test and post-test knowledge and expressed practices regarding selected obstetrical emergencies among staff nurses; to develop and determine the effectiveness of planned teaching programs on selected obstetrical emergencies among staff nurses; and to find out the correlation between knowledge and expressed practices regarding selected obstetrical emergencies.
Materials and methods
A pre-experimental study was conducted for a period of one month in 2019 among 60 staff nurses in selected hospitals through a validated tool/questionnaire, which was piloted on six staff nurses prior to starting the study. Data were collected using a structured knowledge questionnaire and expressed practices checklist.
Of note, 70% of participants had General Nursing and Midwifery (GNM) as a professional qualification. The majority (51.7%) had one to five years of work experience; 46.7% of staff nurses had good knowledge in the pre-test assessment and 95% had good knowledge in the post-test evaluation. Significantly, 80% showed good expressed practices in the pre-test and 96.7% revealed good expressed practices in the post-test regarding selected obstetrical emergencies. In the pre-test, there was a significant association between the sociodemographic variables (age and work experience) with expressed practices, while that was not the case with post-test expressed practices. No significant association was found between pre- and post-test knowledge and selected demographic variables. There was a significant difference between pre-test and post-test knowledge and expressed practices score (mean pre- and post-test knowledge score: 18.82 vs. 25.43, p<0.001; mean pre- and post-test expressed practices score: 14.43 vs. 16.30, p<0.001).
Based on our findings, the planned teaching program is effective in improving the knowledge and expressed practices of staff nurses regarding selected obstetrical emergencies.
Introduction
The quality of healthcare is determined by the availability of resources, the actual provision of care, and the patient’s level of satisfaction. Nurses represent the largest workforce in the field, and they play an important role as primary healthcare providers. Their preparedness for obstetrical emergencies is of paramount importance in reducing maternal and neonatal mortality and morbidity. Conducting regular training programs for the staff nurses can help to improve the expected level of care.
The key to reducing maternal and newborn morbidity and mortality is competent skilled birth attendance. Worldwide, from 2015 to 2021, approximately 84% of births were assisted by skilled health professionals, which included medical doctors, nurses, and midwives. This number was 77% from 2008 to 2014. Although many children are still dying, progress has been observed in under-five and neonatal mortality [ 1 ]. Ensuring healthy lives and promoting well-being at all ages has to be a priority for all countries and communities. Unless and until the quality of care is improved and standardized, the desired impact cannot be achieved by just increasing the number of health facilities.
Midwifery has not received the importance it deserves and is often neglected, although a series of four papers in the Lancet and evidence in 2014 suggested that more than 80% of maternal and newborn deaths including stillbirths could be averted by strengthening midwifery services across the world [ 2 ]. Midwifery skills can effectively provide many maternal and newborn health interventions like basic emergency obstetrics and neonatal Care (BEmONC; i.e., assisted delivery, removal of retained products, manual removal of the placenta, administration of oxytocic drugs, antibiotics, and anticonvulsants, and neonatal resuscitation) [ 3 ].
India's maternal mortality ratio (MMR) was 103 in 2017-2019 as compared to 113 in 2016-2018 according to the special bulletin on MMR released by the Registrar General of India on March 14, 2022; 130 or more maternal deaths per one lakh live births indicates very high MMR [ 4 ]. Himachal Pradesh's MMR in 2015-2016 was 63. Thirteen sick newborn care units (SNCU), 49 newborn stabilizing units (NBSU), and 120 newborn care corners (NBCC) are functioning in the state [ 5 ].
The healthcare system at the community level needs preparedness for obstetric emergencies. Ensuring quality care to everybody irrespective of socioeconomic class can only be attained if constant training is given to all the healthcare workers to handle various emergency situations. Nurses, midwives, and paramedical staff should know the outline and flowchart of the management of obstetrics and other concerned emergencies. The WHO also advocates the same and hence midwifery toolkit and education modules have been available on the WHO website for a couple of decades along with the Quality of Care Midwifery Network Webinar since March 2021 [ 6 ].
A structured teaching program can be a part of training the nursing team to enhance their knowledge, attitude, skill, and competence. Developing procedural skills, and simulations using models and mannequins can be readily incorporated into training programs with potential benefits for teaching infrequently performed or more difficult procedures.
The null hypothesis of the present study assumes that there is no difference between pre- and post-test knowledge and expressed practice scores of staff nurses on implementing planned teaching programs in selected obstetrical emergencies.
A prospective study was undertaken in May 2019 at the Kamla Nehru State Hospital for Mother and Child, Shimla, and Deen Dayal Upadhyay Zonal Hospital, Shimla in India. It included 60 staff nurses (30 from each hospital) as study subjects.
The tool/questionnaire consisted of three sections: section A included demographic variables such as age, professional qualifications, work experience, current working area, and source of the previous information regarding obstetrical emergencies; section B entailed a structured questionnaire to assess knowledge (30 items) with multiple-choice questions with four options and one correct answer. Out of 30 items, 15 were related to preeclampsia and eclampsia, four were about placenta previa, nine were related to abruptio placenta, and the remaining were related to general obstetrics; section C consisted of a structured checklist to assess the expressed practices (expressed practice checklist), which had only two responses: "yes" or "no". A score of 1 was given for the correct response while it was 0 for the wrong response. Unattempted questions were marked 0. For the knowledge domain, a total score ranging from 0 to 10 was assessed as poor knowledge, 11 to 20 as average, and 21 to 30 as good. For expressed practices, a total score ranging from 0 to 10 was assessed as a poor level and 11 to 20 as a good level.
To ensure content validity, the tool was submitted to nine different experts. The r-value for self-structured knowledge was 0.93 and for expressed practices, it was again 0.93. So, the questionnaire was deemed reliable. Piloting of the study was done in April 2019 on six staff nurses at the Kamla Nehru State Hospital for Mother and Child, Shimla.
Data collection was done in three steps. In the first step, a pre-test was taken using a structured questionnaire and expressed practice checklist. The planned teaching program was given (as small group teaching) on the same day as the second step. After seven days, post-test data were collected using the same tool from the same participants as the third and last step of data collection. Data were entered into a Microsoft Excel sheet 2010.
Sociodemographic variables were described/expressed in frequencies and percentages, mean, mean percentage, and standard deviation (SD); inferential measures "paired t-test" was used to assess the effectiveness of the planned teaching program. The coefficient of correlation was used to find out the correlation between knowledge and expressed practices. The chi-square test was used to determine the association of knowledge and expressed practice with sociodemographic variables. Data analysis was done using SPSS Statistics 2018 version (IBM Corp., Armonk, NY).
Table Table1 1 depicts the demographic variables of the study subjects (n=60). The majority (48.3%, 29) were of 21-30 years, 38.3% (23) were in the age group of 31-40 years, 11.7% (seven) were in the 41-50 years age group, and 1.7% (one) was >50 years old. With respect to professional qualifications, the majority (70%, 42) was General Nursing and Midwifery (GNM), 20% (12) were B.Sc. Nursing, 10% (six) were post-B.Sc. Nursing, but none were M.Sc. Nursing. Of note, 8.3% (five) had <1 year of work experience, 51.7%, i.e., the majority (31), had a work experience ranging from one to five years, 31.7% (19) had a work experience of 6-10 years, and 8.3% (five) had >10 years of work experience. For the majority (58.3%, 35), the source of previous information was continuing/in-service education, followed by other sources (25%, 15); the curriculum was the source of information in 11.7% (seven) and 5% (three) got information from workshops. The current working area for the majority of staff nurses was the labor room (16.75%, 10), followed by 15% (nine) each for NICU, OT, and the antenatal ward.
MCH: maternal and child health; NICU: neonatal intensive care unit; OT: operation theater; SNCU: sick newborn care unit
| Variables | Frequency (f) (n=60) | Percentage (%) | |
| Age (years) | 21-30 | 29 | 48.3 |
| 31-40 | 23 | 38.3 | |
| 41-50 | 7 | 11.7 | |
| >50 | 1 | 1.7 | |
| Academic qualifications | 10+2/intermediate | 43 | 71.7 |
| Graduate | 16 | 26.7 | |
| Post-graduate | 1 | 1.7 | |
| Any other | 0 | 0 | |
| Professional qualifications | GNM (General Nursing and Midwifery) | 42 | 70 |
| Basic B.Sc. Nursing | 12 | 20 | |
| Post-basic B.Sc. Nursing | 6 | 10 | |
| M.Sc. Nursing | 0 | 0 | |
| Work experience (years) | <1 | 5 | 8.3 |
| 1-5 | 31 | 51.7 | |
| 6-10 | 19 | 31.7 | |
| >10 | 5 | 8.3 | |
| Source of previous information | Curriculum | 7 | 11.7 |
| Workshop | 3 | 5 | |
| Continuing/in-service education | 35 | 58.3 | |
| Any other medium | 15 | 25 | |
| Current working area | Antenatal ward | 9 | 15 |
| Blood bank | 2 | 3.3 | |
| Gynecology ward | 3 | 5 | |
| Labor room | 10 | 16.7 | |
| Pre-/early-labor ward | 5 | 8.3 | |
| MCH counseling zone | 4 | 6.7 | |
| NICU | 9 | 15 | |
| OT | 9 | 15 | |
| SNCU | 2 | 3.3 | |
| Postnatal ward | 1 | 1.7 | |
| Special ward | 3 | 5 | |
| Surgical ward | 3 | 5 | |
Table Table2 2 shows the pre-test knowledge score regarding obstetrical emergencies. Scores were good (21-30) for 46.7% of participants (28), average (11-20) for 45% of participants (27), and poor (0-10) for 8.3% of participants (five). The mean score was 18.82, and the median was 19 (standard deviation: 6.113); the minimum score was 7 and the maximum was 29.
SD: standard deviation
| Pre-test knowledge score level | Values (n=60) |
| Poor (0-10), n (%) | 5 (8.3) |
| Average (11-20), n (%) | 27 (45) |
| Good (21-30), n (%) | 28 (46.7) |
| Mean | 18.82 |
| Median | 19 |
| SD | 6.113 |
| Range | 22 |
| Maximum | 29 |
| Minimum | 7 |
| Mean % | 62.72 |
Table Table3 3 shows the post-test score. Of note, 95% (57) showed good knowledge, 5% (three) had average knowledge, and none (0%) showed poor knowledge. The mean score was 25.43, the median was 26, the standard deviation was 3.259, the maximum score obtained was 33, and the minimum was 17.
| Post-test knowledge score level | Values (n=60) |
| Poor (0-10), n (%) | 0 (0) |
| Average (11-20), n (%) | 3 (5) |
| Good (21-30), n (%) | 57 (95) |
| Mean | 25.43 |
| Median | 26 |
| SD | 3.259 |
| Range | 16 |
| Maximum | 33 |
| Minimum | 17 |
| Mean % | 84.78% |
Table Table4 4 depicts the pre-test expressed practice score. Among the respondents, 12 (20%) showed poor practices (0-10) and 48 (80%) showed good practices. The score for pre-test expressed practices showed a mean of 14.43, a median of 15, and a standard deviation of 3.212; 12 was the maximum obtained score and 8 was the minimum, and the mean percentage score was 72.17%.
| Pre-test expressed practice score level | Values (n=60) |
| Poor (0-10), n (%) | 12 (20) |
| Good (21-30), n (%) | 48 (80) |
| Mean | 14.43 |
| Median | 15 |
| SD | 3.212 |
| Range | 12 |
| Maximum | 20 |
| Minimum | 8 |
| Mean % | 72.17% |
Table Table5 5 shows the post-test expressed practice scores. Of note, 96.7% (58) had a good score and 3.3% (two) showed a poor score. The mean score for post-test expressed practices was 16.3, the median was 17, the standard deviation was 2.331, the range was 8, and the maximum and minimum obtained scores were 19 and 11 respectively, while the mean percentage was 81.5%.
| Post-test expressed practice score level | Values (n=60) |
| Poor (0-10), n (%) | 2 (3.3) |
| Good (21-30), n (%) | 58 (96.7) |
| Mean | 16.3 |
| Median | 17 |
| SD | 2.331 |
| Range | 8 |
| Maximum | 19 |
| Minimum | 11 |
| Mean % | 81.50% |
A comparison of pre-test and post-test scores after the planned teaching program was performed. Table Table6 6 shows the comparison of descriptive statistics. The mean post-test knowledge score (25.43) was higher than the mean pre-test knowledge score (18.82). The pre-test and post-test knowledge scores of staff nurses regarding selected obstetrical emergencies were calculated by paired t-test, and the ‘t’ value of 9.817 shows the significant association between pre-test and post-test knowledge. The mean post-test expressed practices score (16.30) was higher than the pre-test expressed practices score (14.43). The pre-test and post-test expressed practices score of staff nurses regarding selected obstetrical emergencies was calculated by paired t-test, and the ‘t’ value of 4.333 shows the significant association between pre-test and post-test expressed practices.
| Paired t-test | Mean | SD | Mean % | Mean difference | Paired t-test | P-value | Table value at 0.05 | |
| Knowledge | Pre | 18.82 | 6.113 | 62.72 | 6.617 | 9.817 | <0.001 | 2.00 |
| Post | 25.43 | 3.259 | 84.78 | |||||
| Expressed practices | Pre | 14.43 | 3.212 | 72.17 | 1.867 | 4.333 | <0.001 | 2.00 |
| Post | 16.30 | 2.331 | 81.50 | |||||
The coefficient of correlation (r-value) in Table Table7 and 7 and Figures Figures1 1 - -5 5 (scatter diagrams) are significant for pre-test and post-test knowledge and expressed practices, which shows that the planned teaching program was quite helpful in improving knowledge and level of expressed practice. The r-value for pre-test knowledge versus post-test knowledge was 0.520 (p=0.001); for pre-test knowledge versus pre-test practices, it was 0.613 (p=0.001); for pre-test knowledge versus post-test practices, it was 0.276 (p=0.033); for post-test knowledge versus pre-test practices, it was 0.408 (p=0.001); for post-test knowledge versus post-test practices, it was 0.516 (p=0.001); and for pre-test practices versus post-test practices, it was 0.308 (p=0.017).
*Significant at p≤0.05. **Moderately significant at p≤0.01. ***Highly significant at p≤0.001
| Pair 1 | VS | Pair 2 | r-value | P-value | Result |
| Pre-test knowledge | Vs | Post-test knowledge | 0.520*** | 0.001 | Significant |
| Pre-test knowledge | Vs | Pre-test practices | 0.613*** | 0.001 | Significant |
| Pre-test knowledge | Vs | Post-test practices | 0.276* | 0.033 | Significant |
| Post-test knowledge | Vs | Pre-test practices | 0.408*** | 0.001 | Significant |
| Post-test knowledge | Vs | Post-test practices | 0.516*** | 0.001 | Significant |
| Pre-test practices | Vs | Post-test practices | 0.308** | 0.017 | Significant |
Improvement in the quality of healthcare services is only possible when the healthcare delivery system has technically competent health professionals who are able to provide Reproductive Maternal and Newborn Child Health and Adolescent (RMNCH+A) services. To ensure proficiency with regard to both technical skills and knowledge, a key intervention that is required is capacity building [ 7 ]. Capacity building can be achieved by planned teaching programs involving the relevant domains of knowledge and/or skills. In light of this, a study was done on 60 nurses working at government hospitals in obstetrics and gynecology in Shimla, India in May 2019, which involved a planned teaching program.
Our study included as many participants as possible with GNM qualifications (70%). Saifi et al. also conducted a similar descriptive evaluative study on 30 participants at the National Skills Training Center, Delhi. Most of the participants had Auxiliary Nursing Midwifery (ANM) qualifications (33.33%) in their study [ 8 ]. Kabi et al. conducted a prospective analytical study in 2020 for over two weeks on the coronavirus disease 2019 (COVID-19) airway training program involving 80 participants, which included registered nurses, technicians, and residents from anesthesiology, emergency medicine, trauma surgery, internal medicine, critical care medicine, pulmonary medicine, pediatrics, and otolaryngology departments. The objective was to assess the effectiveness of a simulation-based training program in improving knowledge and the concept of teamwork; 36.3% of the subjects were nurses/technicians [ 9 ].
A planned teaching program on the attitude of nurses with regard to patient rights was conducted in two multi-specialty teaching hospitals in Karnataka, India by D'Souza et al. with 200 nurses in the year 2017. The small group teaching method was used to train nurses in groups of 8-10. The post-test assessment was done through the same attitude questionnaire one week after the training program. The majority had one to three years of work experience [ 10 ]. The work experience of the majority of the participants (51.7%) in our study was one to five years, which is similar to the study by Gulista et al. [ 8 ] where 53.33% had 0-5 years of work experience.
In our study, 46.7%, 45%, and 8.3% had good (score: 21-30), average (score: 11-20), and poor (score: 0-10) pre-test knowledge, respectively. Regarding the pre-test, 20% and 80% of participants had inadequate (<68%) and adequate (≥68%) knowledge, respectively in the study by Saifi et al. [ 8 ]. In the study by Kabi et al., a feedback assessment was done, which showed that 58% and 52% of participants did agree that the module had a high impact on their knowledge and competence, respectively [ 9 ]. In the study by D'Souza et al., before training, 65% and 54% had favorable attitudes toward patient rights in hospital 1 and hospital 2, respectively. After training, 76% and 84% had the most favorable attitude toward patient rights in hospital 1 and hospital 2, respectively [ 10 ].
The mean post-test knowledge score (25.43) and mean post-test expressed practices score (16.30) were higher than their pre-test counterparts (pre-test knowledge score: 18.82 and pre-test practices score: 14.43). Paired t-tests and ‘t’ values for pre- and post-test of knowledge and expressed practices showed that the planned teaching program on obstetrical emergencies led to a significant and positive change in their knowledge and expressed practices. The coefficient of correlation between knowledge and expressed practice scores of training on MCH held at NSTC - “Daksh” is 0.46, showing a positive correlation between knowledge and expressed practice [ 8 ].
In the post-test, there was no statistically significant association between expressed practices with demographic variables (age, academic qualification, professional qualification, work experience, source of previous information, and current working area). The calculated chi-square values were less than the table value at the ≤0.05 level of significance in our study.
There was a significant difference between the post-test knowledge scores on the last day of training (K1) and knowledge scores assessed during the study (K2), which infers that the participants need more refresher training, in order to retain their knowledge and skills [ 8 ]. Motamed-Jahromi et al. (2011) suggested that more advocacy was needed by Iranian nurses (sample size: 385) through educational programs and support from responsible employers [ 11 ].
A Lives Saved Tool modeling study was done in 2019-20 to estimate the number of deaths that would be averted by 2035 if coverage of health interventions that can be delivered by professional midwives were scaled up in 88 countries which accounted for the majority of the world's maternal and neonatal deaths and stillbirths. A scale-up of midwife-delivered interventions like a 25% increase in coverage every five years from 2020 to 2035 in such countries would result in 41% fewer maternal deaths, 26% fewer stillbirths, and 39% fewer neonatal deaths relative to a scenario of no change in coverage. There are numerous barriers to enabling and supporting midwives in low-middle-income countries (LMICs): inadequate numbers of qualified midwives and unequal distribution, poor transport services, the high cost of accessing care, scarcity of supplies and equipment, improper education and regulation, and, in some countries, a lack of trust among the public due to previous experiences of disrespectful care. For midwives, barriers to providing high-quality care include social factors (e.g., gender inequality and exposure to violence), professional factors (e.g., gender issues, absence of midwives in policy dialogue, low recognition of midwifery skills by other professions, restrictions on practice, poor education, and scarcity of supplies and equipment), and economic factors (e.g., low or irregular salaries and poor housing and transport infrastructure) [ 12 ].
During the period spanning 2012-2014, knowledge and skills were evaluated among 5,939 healthcare providers before and after three to five days of "skills and drills" training in emergency obstetric and newborn care (EmOC&NC) in seven sub-Saharan African countries (Ghana, Kenya, Malawi, Nigeria, Sierra Leone, Tanzania, and Zimbabwe) and two Asian countries (Bangladesh and Pakistan). Standardized assessments were done using multiple choice questions and objective structured clinical examination (OSCE). Change in knowledge and skills was measured as well as the Improvement Ratio (IR) by cadre and by country [ 13 ]. Significant improvements were seen in knowledge and skills for each cadre of healthcare providers and for each country (p<0.05). The mean IR was 56% for doctors, 50% for mid-level staff and nurse-midwives, and 38% for nursing aides. This study concluded that additional support and training were required for monitoring progress in labor by the use of the partograph as a tool [ 13 ].
Limitations
Our study has a few limitations. Primarily, our sample size (60) was small. Also, no attempt was made to do a follow-up study to measure the retention of knowledge among the samples. In addition, only selected obstetrical emergencies such as eclampsia, preeclampsia, placenta previa, and abruptio placentae were considered for the study. Another major limitation was that the study was limited to staff nurses only. Finally, only two hospitals were included in the study.
Although the study was a small-scale analysis, it showed that planned teaching programs are simple interventions that would help increase the level of knowledge and standard of practice among staff nurses, especially in the field of obstetrical emergencies. In fact, the Lives Saved Tool modeling study [ 12 ] has shown that even a modest scale-up of coverage of midwife-delivered interventions (10% increase in coverage every five years from 2020 to 2035) would result in 22% fewer maternal deaths by 2035 (10 fewer per million), 14% fewer stillbirths (50 fewer per million), and 23% fewer neonatal deaths (100 fewer per million).
Conclusions
Hospitals, clinics, and the entire healthcare system are supposed to fulfill the standard criteria laid down by the various approval bodies. Nurses and paramedical workers are the backbones of patient care not only in hospitals but also at community levels. Knowledge, attitude, and practice are three key components, each of which is of paramount importance in managing any emergency and routine patient care. The practice involves skill and competence.
Women's and children's health should be considered a priority. So, to manage obstetrical emergencies, expertise is expected in at least certain specified conditions. Hence, employers should ensure that nursing staff needs to undergo continuous training by attending planned teaching programs (theories and practical/simulation) periodically. A planned teaching program with pre-test assessment followed by post-test evaluation for the nursing staff is a cost-effective approach to improving maternal and newborn health outcomes.
Acknowledgments
The study was done at Sister Nivedita Government Nursing College and Indira Gandhi Medical College in Shimla, India while the principal investigator was studying there. At present, while publishing the study, the principal investigator is working as a Nursing Officer at AIIMS, Deoghar in India.
Tool to Assess the Knowledge and Expressed Practices Regarding Obstetrical Emergencies Among Staff Nurses
Self-Structured Questionnaire
Date: Code No:
It has three sections:
Section A includes the sociodemographic profile.
Section B includes a structured questionnaire to assess the knowledge regarding certain obstetrical emergencies.
Section C includes a practice assessment checklist to assess the expressed practices regarding obstetrical emergencies.
Select the most suitable options and put a tick mark.
Information obtained from you will be kept confidential.
Sociodemographic Profile
1. Age (in years):
a) 21-30 years
b) 31-40 years
c) 41-50 years
d) > 50 years
2. Academic qualifications
a) 10+2
b) Graduate
c) Post Graduate
d) Any other, specify……………………………
3. Professional qualifications:
a) G.N.M
b) Basic B.Sc. Nursing
c) Post Basic B.Sc. Nursing
d) M.Sc. Nursing
4. Work experience:
a) < 1 year
b) 1-5 years
c) 6-10 years
d) > 10 years
5. Source of previous information:
a) Curriculum
b) Workshop
c) Continuing/in-service Education
d) Any other medium, specify……………………..
6. Current working area, specify ……………………….
Structured Questionnaire to Assess the Knowledge Regarding Obstetrical Emergencies Among Staff Nurses.
1. Obstetrical emergencies can occur
a) During pregnancy, labour and birth.
b) Only at labour and birth.
c) During pregnancy and birth.
d) Only at labour.
2. ‘Flashing lights’ is a symptom of :
a) Placenta previa
b) Abruptio placenta
c) Pre-eclampsia
d) Hemorrhagic shock
3. In pre-eclampsia, vision is regained within:
a) 2-4 weeks
b) 1-2 weeks
c) 6-8 weeks
d) 4-6 weeks
4. Bio-chemical marker of pre-eclampsia is:
a) Hemoglobin
b) Serum uric acid
c) Albumin:Creatinine ratio
d) Beta HCG
5. Prevalence of eclamptic seizures are :
a) 2-3%
c) 20%
d) 30-40%
6. Sign of impending eclampsia is:
a) Epigastric pain
b) Sharp rise in B.P.
c) Back pain
d) Increase proteinuria
7. Choice of I/V fluid in patient with eclampsia is:
a) Ringer’s lactate
b) Normal saline 0.35%
c) Dextrose 5%
d) Dextrose Normal Saline
8. The principles behind the management of eclampsia are:
a) Maintain airway, breathing and circulation
b) Prevention of maternal injury and safe delivery
c) Arrest convulsions
d) All of the following
9. Convulsion in eclampsia is due to :
a) Shock
b) Cerebral anoxia due to arterial spasm
c) Hypocalcaemia
d) Hypovolemia
10. In eclamptic seizure, mouth gag should be removed after:
a) Clonic phase is over
b) Premonitory phase is over
c) Tonic phase is over
d) Tonic-clonic phase is over
11. Loading dose of injection Magnesium Sulphate is:
a) 4gm I/V followed by 10gm I/M in each buttock.
b) 10gm I/V followed by 2 gm I/M in each buttock.
c) 15gm I/V followed by 6 gm I/M in each buttock.
d) 2gm I/V followed by 4 gm I/M in each buttock.
12. Maintenance dose of Inj. Magnesium sulphate is:
a) 10gm I.M. followed by 5gm I.M. every 4 hourly
b) 5gm I.M. followed by 2.5gm I.M. every 4 hourly
c) 8gm I.M. followed by 4gm I.M. every 2 hourly
d) 12gm I.M. followed by 6gm I.M. every 6 hourly
13. Contraindication of magnesium sulfate is:
a) Diabetes
b) Hypercoagulation
c) Myasthenia gravis
d) Peptic ulcer
14. Magnesium sulfate treatment is continued for:
a) 48-72 hours after last seizure
b) 12-24 hours after last seizure
c) 28-32 hours after last seizure
d) 8-12 hours after last seizure
15. Magnesium sulfate treatment is successful if:
a) BP is reduced to baseline
b) Seizure does not occur
c) Dieresis reduces fluid retention
d) Deep tendon reflex becomes hypotonic
16. Eclampsia has worst prognosis in:
a) Antenatal period
b) Post-natal period
c) Next pregnancy
d) Intrapartum period
17. Placenta previa means:
a) Partial or total covering over the lower uterine segment by the placenta
b) Bleeding occurring due to premature separation of normally situated placenta
c) Abnormal formation of the placenta
d) Nausea and vomiting during pregnancy
18. Classical features of bleeding in placenta previa are:
a) Sudden onset, painful, apparently causeless and recurrent
b) Gradual onset, painful, apparently causeless and isolated
c) Sudden onset, painless, apparently causeless and recurrent
d) Gradual onset, painless, apparently causeless and isolated
19. High-risk factors in placenta previa is/are:
a) Multiparity and increased maternal age (> 35 years)
b) Nulligravida
c) History of normal vaginal delivery
d) Primigravida
20. Vaginal delivery is possible, when placenta is:
a) Clearly 2-3 cm away from the internal os
b) Clearly 1-1.5cm away from the internal os
c) Vaginal delivery cannot be performed in placenta previa
d) Completely covering the internal os
21. Steroid therapy is indicated when duration of pregnancy is :
a) > 34 weeks
b) < 34 weeks
c) < 28 weeks
d) > 28 weeks
22. Abruptio placentae is also known as :
a) Accidental hemorrhage
b) Premature separation of placenta
c) Placental abruption
d) All of the above
23. Etiological factors of abruptio placentae is/are :
a) Excessive uptake of folic acid
b) Excessive uptake of carbohydrates
c) Excessive uptake of protein
d) Cocaine abuse, folic acid deficiency
24. Clinical features of abruptio placentae are:
a) Painful, revealed, concealed or mixed, dark-colored bleeding
b) Painless, only revealed, dark-colored vaginal bleeding
c) Painful, only concealed, dark-colored bleeding
d) Painless, only concealed, dark-colored bleeding
25. All the investigations are done in abruptio placentae, except :
a) Hemoglobin and hematocrit estimation.
b) Coagulation profile
c) ABO and Rh grouping
d) Beta-HCG
26. Separation of placenta is affected by:
a) External version
b) Premature rupture of membranes
c) Traumatic injuries
27. In placenta previa, vaginal bleeding is:
a) Concealed
b) Revealed
c) Mixed
d) No bleeding
28. Complication of abruptio placentae is/are:
a) Uterine prolapse
b) Genital prolapse
c) Cervical incompetency
d) Hemorrhagic shock
29. Vaginal examination is contraindicated in :
b) Placenta previa or undiagnosed APH
c) Diagnosed APH
d) Diagnosed placenta previa.
30. Clinical manifestation of abruptio placentae is:
a) Uterine activity
b) Intense abdominal pain
c) Headache
d) Cramping
Practice Assessment Checklist to Assess the Expressed Practices Regarding Obstetrical Emergencies Among Staff Nurses
Rolling of eyes to one side with the fixed stare is the first objective sign of a convulsion in a client with eclampsia.
Excessive weight gain is the earliest sign of pregnancy-induced hypertension.
The prognostic point of view suggests a diastolic rise of blood pressure is more than the systolic rise.
Diet rich in carbohydrates may reduce the risk of PIH.
Half an hourly pulse, respiration and blood pressure should be monitored in eclamptic client.
In eclamptic client, per day fluid intake should exceed the previous 24 hours urinary output + 1000ml.
Therapeutic level of serum magnesium is 4-7 Meq/l.
In premonitory stage, mouth gag is placed to prevent tongue bite.
During airway clearance, the client’s head is not to turned to one side and the pillow is not taken off.
Loading dose of Inj. Magnesium sulfate is given 4gm I/V over 3-5 minutes.
Oxygen may be administered through face mask at 8-10 L/min to prevent or minimize fetal hypoxia.
In placenta previa, the perineal pads should be weighed to estimate the blood loss i.e. 1g = 1 ml.
During management of obstetrical emergencies intake output should be maintained every hourly.
Separation of placenta is not affected by trauma including vaginal examination and coital act.
Repeat USG is done at 34 weeks of gestation to confirm the low-lying placenta previa.
Coffee color vomiting is not due to subcapsular hemorrhage in pre-eclampsia.
Calcium supplements increase the risk of gestational hypertension.
Patient is advised to lie in the left lateral position to avoid supine hypotension.
Routine intake of folic acid reduces the chances of abruptio placentae.
Eclamptic client is not at risk for any complications in subsequent pregnancy.
Answer Keys
1. A 26. D
2. A 27. B
3. A 28. D
4. D 30.B
5. D
6. B
7. D
8. B
9. C
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The authors have declared that no competing interests exist.
Human Ethics
Consent was obtained or waived by all participants in this study. The Ethics Committee, Indira Gandhi Medical College & Hospital, Shimla issued approval 11/EC/IGMC/2019/HP
Animal Ethics
Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue.
COMMENTS
List of thesis topics Obstetrics & Gynecology Observational design (descriptive): 1. Prevalence of pre-conceptional hemoglobin and iron indices in Primary Health Centres and Community Health Centres (Linked in Eligible couple Survey): A community-based study 2. A cross-sectional study of hemoglobinopathies in early pregnancy utilizing High ...
Maternal and perinatal outcomes in advanced maternal age - a cross sectional study at KAHER's Dr Prabhakar Kore Hospital and Medical research centre. 2023-2026. 2. DR. ADITI ASTHANA. Dr MB BELLAD. Nil. PVPI in detecting FGR - 1 yr case control study. 2023-2026.
Obg Nursing Thesis Topics - Free download as PDF File (.pdf), Text File (.txt) or read online for free.
sri ramachandra university - department of obg dissertation topics - 2015-2018 batch name guide thesis topic dr.archana.a dr.usha rani measurement of fetal head descent using angle of progression by tranperineal ultrasound in correlation with outcome of labour dr.dharshini.a.r dr.jaya.v role of midtrimester placental
This thesis investigated rates and causes of maternal morbidity in the region; maternal mortality, maternal morbidity and stillbirth in the Solomon Islands; and the role of betel nut on adverse pregnancy outcomes and hypertensive disorders in pregnancy. These findings can guide future research and health policy in the region.
School of Medicine. Discipline of Obstetrics and Gynaecology, 2013) This thesis is aimed at investigating the role of ultrasound to enhance diagnosis of the fetal head position prior to instrumental delivery in order to make instrumental deliveries safer.There are four components to this ...
Rguhs Thesis Topics in Obg Nursing - Free download as PDF File (.pdf), Text File (.txt) or read online for free.
Thesis Submitted for Partial Fulfillment of Master Degree in Obstetrics and Gynecology BY Mohamed Refaat Al-Shemi M.B., B.Ch National Research Center Supervised by Prof Dr: Ahmed Ismail Abou-Gabal Professor of Obstetrics and Gynecology, Faculty of medicine - Ain Shams University Assist Prof Dr: Osama Mahmoud Azmy
Research in Obstetrics and Gynaecology 529 Ioannis E. Messinis, Christina I. Messini, George Anifandis and Alexandros Daponte 63 Skills Training and Simulation 536 Angelique J. Goverde and Diogo Ayres-de-Campos 64 Practical Medical Education Science for Clinical Teaching Sites 539 Fedde Scheele and Angelique Goverde 65 Algorithm for Managing ...
An investigation cervical cancer, human papillomavirus (HPV) infection and steroid contraception. Moodley, Manivasan (University of Pretoria, 2011-10-25) PROJECT ONE Introduction HPV is detected in about 99.7% of cervical cancers. However, the HPV type distribution in South African women is unknown. Objectives To determine HPV-type distribution ...
OBG Theses Topics - Free download as Word Doc (.doc), PDF File (.pdf), Text File (.txt) or read online for free. The document appears to be a list of study titles related to obstetrics and gynecology. The studies cover a wide range of topics including preterm labor, pregnancy induced hypertension, cervical ripening techniques, fetal growth, bacterial vaginosis, gestational diabetes screening ...
The incidence of RDS is estimated to decrease from 15% at 34 weeks to below 1% at 37 weeks' gestation.36, 37The incidence of RDS was 22.5% in 33 weeks and 5.8% in 34 weeks. It was relatively low after 34 weeks; it still affects neonates up to 36 weeks with incidence of 10.4% in 35 weeks and 1.5% in 36 weeks.
Published Pap smear colposcopy.pdf. Abstract Introduction:Cervical cancer is a largely preventable disease, yet it remains the third most common cancer worldwide with over 5,30,232 (8.8%) new cases and mortality of 2,750,087 (8.2%) annually. [1]The present study aims to... more. Download. by P S Rao.
Category - Hot Topics (Emerging research/issues) in Obstetrics 509 Is a guideline offering term induction of labour to older mothers needed? Craig, N. Princess Anne Hospital, Southampton, UK. Objective Age-specific stillbirth risks suggest stillbirths could be reduced by offering induction of labour (IOL) at term to women 40 years and older ...
As my thesis supervisor, Dr. Amanda Vandyk co-authored this monograph and played an influential role in the thesis design, including the data analysis. Amanda was a key advisor throughout the development of this thesis and substantially contributed to the final document. 2. Wendy Peterson RN, PhD
Nursing research in obstetrics and gynaecology. Nursing research in obstetrics and gynaecology. Nursing research in obstetrics and gynaecology Int J Nurs Stud. 1982;19(4):193-203. doi: 10.1016/0020-7489(82)90003-7. Author M L Romney. PMID: 6926006 DOI: 10.1016 ...
The previous chapters developed the themes that identifiable weaknesses exist in the OB/GYN research enterprise and that actions to strengthen and support investigation are needed. This chapter describes research topics, the accomplishment of which would significantly improve the health of women and the results of pregnancy. The breadth and depth of this research agenda underscore the ...
PDF | On Sep 30, 2020, Nasreen Noor and others published Analytical Study of Intrauterine Fetal Death and Associated Maternal Conditions at a Tertiary Centre | Find, read and cite all the research ...
In present study, most of the postpartum bleeding or postpartum hemorrhage (PPH) cases managed by medical methods. Uterotonic drugs (42.5%) This was possible due to early identification and timely ...
This study was conducted to assess the knowledge of obstetric danger signs among pregnant women. A descriptive cross-sectional study was carried out from 15th July to 30th August 2021, 194 ...
PDF. A retrospective survey on clinic epidemiological profile of venomous snake bite patients in Kasturba Hospital, Manipal, TANUSREE PRADHAN. PDF. A descriptive study to assess non suicidal self-injury (NSSI) behaviour and emotional dysregulation among college students of selected colleges in Udupi district, Karnataka, MANISHA SAMANTA. PDF
166 Overall, the women's knowledge of at least three ODS during pregnancy, labor and delivery, and. 167 post-partum was 56.6%, 9.2% and 17.5%, respectively (Figure 1). Participant's knowledge of ODS. 168 during pregnancy, labor and birth, and immediate postpartum are presented in Table 2. 70.9% were.
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