EFFECTIVENESS OF PERINATAL SERVICE PACKAGE INCLUDING RELAXATION TECHNIQUES ON STRESS LEVEL AMONG PRIMI GRAVIDA MOTHERS

Abstract

Introduction: Care during antenatal period is important for ensuring a healthy mother and baby . Antenatal period stress results in low-birth-weight babies, preterm babies. In mothers found anxiety and depression during pregnancy and puerperium. Aim: To evaluate effect of perinatal service package including relaxation techniques on level of stress among primigravida mothers during first and last trimester. Materials and Methods: An experimental study conducted ,One group pre test-post test with control group Research Design used to assess stress level among 144 Primigravida mothers,(72 in Experimental group and 72 in control group). Assessment of stress level done by administering structured stress scale in first and last trimester i.e.before and after relaxation techniques programme. For control group routine care provided and perinatal service package containing relaxation techniques programme provided to experimental group during antenatal period in each month till delivery. Results:Before intervention, at first antenatal check up in first trimester among control group mother stress level was found namely, 23(31.9% )mother had mild stress, 39(54.2%) mother had moderate stress and 10(13.9%) mother had severe stress level whereas among experimental group mother 8(11.1% )mother had mild stress, 59(81.9%) mother had moderate stress and 5(6.9%) mother had severe stress level. After intervention, in last trimester among control group mother stress level was found namely 4(5.6% )mother had mild stress, 26(36.1%) mother had moderate stress and 42(58.3%) mother had severe stress level whereas among experimental group mother 71(98.6% )mother had mild stress, 1(1.4%) mother had moderate stress and nobody had had severe stress level.In last trimester,there was significantly difference found between stress score of control group and experimental group mothers(p<0.001). There was no association found between level of stress in first trimester with demographic variables. Conclusion: Study findings concludes that perinatal service package including relaxation techniques programme was really helpful in reducing stress level of primigravida mothers in experimental group.