RESUME

Name: Asharani. N

Age: 25 yrs

Sex: Female

Date of Birth: 18-05-1983

Nationality: Indian

Religion: Hindu

Father’s Name: Narayana S.R.

Marital Status: Single

Qualification: B.Sc. (P.C.) Nursing, RGUHS, Karnataka – 560 041

Educational Qualification:

Qualification / University / Institution / Marks
PUC 2000 / Government of Karnataka
Department of Pre-University Education / Sri Jagadguru Murugarajendra Vidyapeta (SJM College) / 69%
B.Sc. Nursing (P.C) 2006-2007 / Rajiv Gandhi University of Health Sciences / Bapuji College of Nursing, Davangere, Karnataka / 70.41%

Experience:

Period / Institution / Designation
11-09-2003 to 20-12-2003 / Navodaya Hospital & Regional Trauma Care Centre / Staff Nurse
22-12-2003 to 21-12-2004 / Bapuji Hospital / Staff Nurse
06-01-2005 to 30-09-2005 / S.S. Institute of Medical Sciences & Research / Staff Nurse

RAJIVGANDHIUNIVERSITYOFHEALTHSCIENCESKARNATAKA, BANGALORE.

ANNEXURE–II

PROFORMAFORREGISTRATIONOFSUBJECTSFORDISSERTATION.

1. / Nameofthecandidateandaddress (inblockletters) / ASHARANI N.
SAHYADRI COLLEGEOFNURSING.
FALNIR ROAD,
KANKANADY,
MANGALORE -575002.
2. / NameoftheInstitution / SAHYADRI COLLEGEOFNURSING.
FALNIR ROAD,
KANKANADY,
MANGALORE -575002.
3. / CourseofStudyandSubject / M.Sc.NURSING
OBSTETRICS AND GYNAECOLOGICAL NURSING.
4. / DateofAdmissiontotheCourse / 02.06.2008.
5. / Titleofthetopic :
A STUDY TO ASSESS THE KNOWLEDGE ON EXCLUSIVE BREASTFEEDING AMONG ANTENATAL MOTHERS WITH A VIEW TO PREPARE AND IMPLEMENT A STRUCTURED TEACHING PROGRAMME IN SELECTED HOSPITALS , KARNATAKA.
6. / BRIEF RESUME OF THE INTENDED WORK
6.1 Need for the study
Theme of Breastfeeding week : 1-7 Aug 2008
“Mothers support : Going for the Gold”
This year breastfeeding theme says that mother’s milk contain all the ingredients essential for proper growth and good health of children. “Global strategy for Infant and Young Child Feeding” as well as “National Guidelines” strongly call for initiating breastfeeding with in a hour of birth ,exclusive breastfeeding for first six months . The practice establishes a strong emotional bond between the mother and child and also helps in cognitive development of the later. Lactating mothers face multi -faceted constraints and difficulties in breastfeeding. They require support from various quarters – from family, society, work place and the government.1
The first year of life is crucial in laying the foundation of good health. To ensure the survival of healthy development of newborn child into a future adult certain specific biological and psychological needs must be met, at this time breast feeding is the ideal method suited for the psychological needs of the infant.2
Exclusive breast feeding is essential up to 6 months of life for infection control and improving nutritional status as an effective intervention to reduce child mortality. Exclusively breast feeding can save many lives by preventing malnutrition and reducing the risk of infection and hypothermia.3
International guidelines recommended exclusive breastfeeding for the first six months based on scientific evidence of the benefits for infant survival, growth and development. Breast milk provides all the energy and nutrients that an infant needs during the first six months. Exclusive breastfeeding reduces infant deaths caused by common childhood illness such as diarrhoea and pneumonia, fastens recovery during illness and helps space births.4
Breast milk is much easier to digest than any formula in the market, at the same time it provides protection against infection, prevents future food allergies, helps growth of healthy teeth and most important it improves brain development, studies have showed that breast fed babies are more intelligent ,improves their academic performance and they become smarter than formula fed babies.5
6.2Review of literature
A study was conducted by Gong YH, Jicy, Zheng, Shan JP, Hou R., on correlation of 4 month infant feeding modes with their growth, showed that by providing exclusive breast feeding for first 4 months (47.9)and it was not significantly related to maternal delivery age, education, labour pathway nor infant sex (p >0.05). This study reveals that exclusively breast fed babies had the highest weight at 0-6 months.6
A study was conducted by Akman I, Kuscu MK. on breastfeeding duration and postpartum psychological adjustment. The result was first month median Edinburgh Postpartum Depression Scale (EPDS) score of mothers who breastfed at 4th month was statistically significantly lower than those who were not breastfed(p=0001). The first month median EPDS score of mothers with secure attachment was lower than the median score of mothers with insecure attachment (p<0001). This study showed that decreased depression among mothers who are breastfed longer duration.7
A study was conducted by Data NC on breastfeeding mortality with infant showed children who were breastfed had 20% lower risk of dying between 28 days and one year than children who were not breastfed. Longer breastfeeding was associated with low risk of infant mortality and morbidity.8
A study was conducted by Mihrshahi S, Ichikawa N on prevalence of exclusive breast feeding and its association with diarrhoea and acute respiratory infection. The prevalence of diarrhoea and acute respiratory infection (sample: 1633 infants) of 0-3 months old infants was 14.3% and 31.2% respectively. The prevalence of both illness was significantly associated with lack of exclusively breast feeding. The adjusted odds ratio (OR) for diarrhoea was 0.69 (CI =0.47-0.98, p=0.039) and the adjusted OR for acute respiratory infection was 0.69 (CI= 0.54-0.88, p=0.003). These studies showed that nonexclusive breast feeding increases the risk of diarrhoea and acute respiratory infections.9
A study was conducted by Yadav RJ and Singh. P to assess the knowledge of mothers about breast feeding reveals that about 29% of the mothers started breast feeding within 24 hours of delivery10. In Karnataka, mothers delay the first feed for 3 days and this can cause breast engorgement by 4th or 5th postnatal day. This study concluded that education regarding exclusive breast feeding is necessary to promote the initiation and duration of breast feeding11.
6.3 Problem statement:
A STUDY TO ASSESS THE KNOWLEDGE ON EXCLUSIVE BREASTFEEDING AMONG ANTENATAL MOTHERS WITH A VIEW TO PREPARE AND IMPLEMENT A STRUCTURED TEACHING PROGRAMME IN SELECTED HOSPITALS, KARNATAKA.
6.4 Objectivesofthestudy
The objectives of the study are to:
  • assess the knowledge of antenatal mothers regarding exclusive breastfeeding.
  • develop and validate the structured teaching programme regarding exclusive breastfeeding.
  • assess the effectiveness of the structured teaching programme among antenatal mothers regarding exclusive breastfeeding.
  • find the association between knowledge score and demographic variables.

6.5Operationaldefinitions
Knowledge:
Knowledge is the awareness of familiarity with a person or object (Oxford Dictionary, 1998).In this study, knowledge refers to the correct responses of antenatal mothers to the items on the structured questionnaire measured in terms of knowledge score which is categorised as good, average, and poor regarding exclusive breastfeeding.
Exclusive breastfeeding (EBF):
Exclusive breastfeeding means giving only breast milk. This means no water, liquids, tea, herbal preparations or food through the first six months of life.
Antenatal mothers:
Antenatal mothers means before child birth or during pregnancy (Baillere’s Nurses’ Dictionary). In this study,an antenatal mother refers to antenatal mothers within 36-40 weeks of gestation.
Structured teaching programme:
A structured teaching programme refers to the process of teaching and giving information. In this study, structured teaching programme refers to systematically prepared lesson plan, planned instructions, and discussion on breastfeeding and its techniques. The contents of structured teaching programme are:
preparation, initiation of breastfeeding and importance of colostrum.
advantages, indications, and contraindications of breastfeeding.
interval, duration, and adequacy of breastfeeding.
exclusive breastfeeding and its benefits.
techniques and benefits of breastfeeding.
6.6 Assumptions
  • Breastfeeding helps in normal growth and development of an infant.
  • Breastfeeding helps in promoting bonding between mother and child.
  • Structured teaching programme helps in improving knowledge and practice of exclusive breastfeeding.

6.7 Delimitations
  • Selected hospitals.
  • Assessment of knowledge is only through recording responses to the structured questionnaire.

6.8Hypotheses (All hypotheseswillbetestedat0.05levelofsignificance).
H1:There will be significant difference between mean pre-test knowledge score and post-test knowledge score regarding exclusive breastfeeding among antenatal mothers.
H2:There will be significant association between mean pre-test knowledge score and selected demographic variables.
7. / MATERIAL AND METHODS
7.1 Sourceofdata
Data will be collected from antenatal mothers in selected hospitals.
7.1.1 Researchdesign
Quasi experimental one group pre-test post-test design.
Pre-test / Treatment / Post-test
O1 / X / O2
O1: pretest on structured knowledge questionnaire regarding exclusive breastfeeding.
X : Structured teaching programme.
O2: post test to assess the knowledge.
7.1.2 Setting
The study will be conducted in antenatal unit of selected hospitals.
7.1.3 Population
The population under study consists of antenatal mothers within 36-40 weeks of gestation in selected hospitals.
7.2 Methodsofdatacollection
7.2.1 Samplingprocedure
Purposive sampling technique.
7.2.2 Samplesize
The sample consists of 60 antenatal mothers.
7.2.3 Inclusioncriteriaforsampling
  • Antenatal mothers within 36-40 weeks of gestation.
  • Mothers who are able to understand English or Kannada.
  • Mothers who are willing to participate in the study.
  • Mothers available at the time of data collection.

7.2.4 Exclusioncriteriaforsampling
  • Antenatal mothers below 36 weeks of gestation.
  • Mothers who are not able to understand English or Kannada.
  • Mothers are not willing to participate in the study.
  • Mothers not available at the time of data collection.

7.2.5 Instrumentsused
  • Demographic Proforma.
  • Structured knowledge questionnaire on exclusive breastfeeding.

7.2.6 Datacollectionmethod
  • Sampling will be selected according to sampling criteria.
  • Written consent will be taken.
  • Assess the knowledge regarding exclusive breastfeeding through a structured knowledge questionnaire.
  • Administration of structured teaching programme by preparing the lesson plan, lecture-cum-discussion in a group of 8-10 members.
  • Administer post-test after 5-7days.

7.2.7 Data analysis plan
  • Knowledge of antenatal mothers will be analysed by descriptive statistics.
  • Effectiveness of structured teaching programme will be analysed by using paired‘t’ test.
  • Association between demographic variables and knowledge score of antenatal mothers regarding exclusive breastfeeding is analysed by using chi-square test.

7.3 Doesthestudyrequireanyinvestigationsorinterventionstobeconductedonpatients,orother humans oranimals?Ifso,pleasedescribebriefly.
Yes, administration of structured questionnaire.
7.4 Hasethicalclearancebeenobtainedfromyourinstitutionincaseof7.3?
Ethical clearance will be obtained form the concerned authorities.
8. / LIST OF REFERENCES
  1. Seda S. Theme of breastfeeding week. Nursing Journal of India 2008 Aug;99(8):1.
  2. Subbiah. N. A studytoassesstheknowledge, attitude, practiceofpostnatalmothersregardingbreastfeeding.TheNursingJournalofIndia 2003.
  3. Kameshwararao AA. Breastfeeding behaviour of Indian women. Indian Journal of Community Medicine 2004;29(2):62-4.
  4. Lucas A, Morley R, Cole TS, Lister G, Payne LC. Breast milk an subsequent IQ in children born pattern. The Lancet 1992;339:261-4.
  5. Gong YH, Ji CY, Zheng XX, Shan JP, Hou R. Correlation of 4-month infant feeding modes with their growth. Clin Med J (Engl) 2008Mar;121(5):392-8.
  6. Akman I, Kuscu MK, Yuradakul Z, Ozdemir N, Solakoglu M, Orhon L, Breast fed infants in the first six month of life. Niger Journal Medicine. 2008. Jul-Aug; 17(3): 317-23.
  7. Data NC. Breastfeeding reduces the risk of infant morbidity and mortality. Science Daily 2004 May 4.
  8. Mihrshahi S, Ichikaw N, Shuaib M, Oddy W, Ampon R, Dibley MJ, et al. Prevalence of exclusive breastfeeding in Bangladesh and its association with diarrhoea and acute respiratory infection. J Health Popul Nutr 2007 Jun;25(2):195-204.
  9. Yadav RJ, Sigh P. Knowledge, attitude and practice of mothers about breastfeeding in Bihar. Indian Journal of Community Medicine 29(3):130-1.
  10. Banapurmath CR. World breastfeeding week. Karnataka Paediatric Journal 2000;14(2&3):1-4.

9 / Signature of the Candidate
10 / Remarks of the Guide
11 / Name and designation of (In Block letters)
11.1 Guide / MRS. SINDHU SANTHOSH, M.Sc (N)
ASSOCIATE PROFESSOR & H.O.D OF
OBSTETRICS & GYNAECOLOGY
SAHYADRI COLLEGE OF NURSING
MANGALORE -02
11.2 Signature
11.3 Co-Guide (if any)
11.4 Signature
11.5 Head of the Department / MRS. SINDHU SANTHOSH, M.Sc (N)
ASSOCIATE PROFESSOR & H.O.D OF
OBSTETRICS & GYNAECOLOGY
SAHYADRI COLLEGE OF NURSING
MANGALORE -02,
11.6 Signature
12 / 12.1 Remarks of the Chairman and Principal
12.1 Signature

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