Effectiveness of planned teaching programme on preeclampsia for primigravida women in a selected community at Mangalore.

A study to assess the effectiveness of planned teaching programme on pre-eclampsia for primigravida women in a selected commmunity at Mangalore was undertaken with 30 samples. The research approach was pre-experimental approach with one group pre-test post-test design. Purposive sampling technique was used to select the samples. The study findings revealed that in the pre-test knowledge assessment the mean percentage of response was (32.23%) and in the post-test the mean percentage was (84.9%). Furthur effectivess of planned teaching programme was tested by inferential statistics using paired “t” test. A very significant (P< 0.001) difference was found between pre-test and post-test knowledge scores of the respondents indicating an increase in knowledge after planned teaching programme. Thus, planned teaching programme was found to be effective in improving the knowledge of primigravida women regarding pre-eclampsia.

Strengthening the healthcare services to prevent severe Pre-eclampsia and Eclampsia.

Preeclampsia is a hypertensive, multi-system disorder of pregnancy whose etiology remains unknown. Although management is evidence-based, preventive measures/screening tools are lacking, treatment remains symptomatic, and delivery remains the only cure. As in the past, the current role of physicians and nurses in the management of pre-eclampsia-eclampsia continues to revolve around the protection of maternal/foetal wellbeing and optimization of positive health outcomes. Given that effective preventive measures and screening tools is presently lacking, routine assessment of the signs/symptoms indicative of pre-eclampsia/eclampsia remains critical to the detection, monitoring, and effective management of pre-eclampsia/eclampsia. Patient education and the provision of a supportive environment are also essential to the optimal management of preeclampsia/ eclampsia. This article deals with the integration of health care services in preventing the complications of pre-eclampsia.

A study to assess the effectiveness of self instructional module on prevention of nosocomial infection in Neonatal Intensive Care Unit ( NICU) among staff nurses in selected hospitals at Mangalore.

Health care associated infections (nosocomial) are responsible for significant morbidity and mortality among neonatal intensive care patients. The purpose of the study was to assess the effectiveness of Self instructional module in the prevention of nosocomial infection. The study also aimed at improving the knowledge of staff nurses regarding prevention of nosocomial infection. An evaluative approach with one group pre-test post-test design was used in the study.</p> <p>The result of the study showed that in the pre-test knowledge assessment, the mean percentage of response was 50.73% with mean and SD of 15.223 ± 2.5, which was increased to 92.83% with mean and SD of 27.85± 1.20 in the post-test. The results showed a significant difference suggesting that the self instructional module was effective in increasing the knowledge of staff nurses regarding prevention of nosocomial infection (t =26.82, p < 0.05).

P2L2A0 Emergency Lower Segment Caesarean Section (LSCS) with Atrial Septal Defect (ASD) with severe Pulmonary Arterial Hypertension (PAH) with Bidirectional flow with Pulmonary Edema with Sepsis.

Severe pulmonary Arterial Hypertension with Pulmonary Edema with Sepsis in a postnatal mother with Atrial Septal Defect (ASD) followed by LSCS is uncommon. Atrial Septal Defect (ASD) is the commonest adult congenital heart defect (CHD). 15 % of these patients will eventually develop pulmonary hypertension if left untreated. ASD closure is not recommended when pulmonary hypertension is irreversible. Congenital heart disease should be considered in the evaluation of dyspnoea in a young adult. The management of ASD with associated pulmonary hypertension is difficult. It is pertinent that a detailed hemodynamic assessment be undertaken. The present case report focusses on a patient with severe ASD with pulmonary hypertension with pulmonary edema and sepsis who was with 35 weeks of gestation and the control of symptoms during Caesarean section.