Vol 11, Issue 1, 2018
Online - 2455-3891
Print - 0974-2441
INCIDENCE OF MINOR AILMENTS OF PUERPERIUM AND RELATED KNOWLEDGE AMONG
POSTNATAL MOTHERS
SOUMYA RAJ K, RESHMA RAJAN, SUVI KJ
Department of Obstetrics and Gynecology, Amrita College of Nursing, Amrita University, Kochi, Kerala, India.
Email: Reshmarajan66601@gmail.com
Received: 30 June 2017, Revised and Accepted: 14 October 2017
ABSTRACT
Objective: The objective of the study was to identify the incidence and knowledge of minor ailments of puerperium among postnatal mothers and to
develop an information leaflet on the management of minor ailments of puerperium.
Methods: A quantitative approach with descriptive design and convenience sampling technique was used in this study. With these methods, the
researcher selected 100 postnatal mothers attending Obstetrics and Gynecology ward, AIMS, Kochi. A semi-structured questionnaire along with a
checklist was used to assess the knowledge and the incidence of minor ailments among postnatal mothers.
Result: The result showed that the common incidence of minor ailments was afterpain (67%), perineal discomfort (50%), constipation (43%), and
fatigue (67%). Majority of the postnatal mothers had average knowledge (65%) level, and some of them had good knowledge (21%), and some of
them had poor knowledge (14%).
Conclusion: The study revealed that the main four problems of minor ailments of puerperium were afterpain, perineal discomfort, constipation,
and fatigue. Number of studies from different part of the world, including India, shows that a large proportion of postnatal mother experiences
minor ailments of puerperium. This provides evidence for giving importance to minor ailments of puerperium. Researchers also provided a baseline
information leaflet on the management of minor ailments of puerperium.
Keywords: Puerperium, Minor ailments, Incidence, Postnatal mother.
INTRODUCTION
Postpartum period or postnatal period is the period beginning
immediately after the birth of a child and extending for about 6 weeks [1].
The World Health Organization (WHO) describes the postnatal period as
the most critical and yet the most neglected phase in the lives of mothers
and babies; most deaths occur during the postnatal period [2]. It is the
time after birth, a time in which the mother’s body, including hormone
levels and uterus size, returns to a nonpregnant state.
Episiotomy refers to incision of the perineum during the second
stage of delivery to spread the pelvic outlet and to prevent delay in
fetal head delivery. Nowadays, episiotomy is not a popular method
in developed countries but is routinely used in Asian countries
where women have short perineum and strong tissues. Episiotomy
has some complications including perineal pain and discomfort,
bleeding, infection, damage to anal sphincter and mucosa, wound
opening, rupture expansion, difficulty in sitting and holding
one’s infant, disruption of maternal-infantile relationships, and
reduction of sexual desire. Therefore, wound healing is of particular
importance [3].
A study done by Pragati Nayak to assess the knowledge level and
home management of minor ailments of puerperium among postnatal
mothers in selected hospitals of Bangalore reported that 42% have
inadequate, 43% have moderate, and only 17% of the subjects had
adequate knowledge on minor ailments of puerperium [4].
A study was conducted in the village of Chhainsa Haryana, India,
regarding selected minor ailments of puerperium shows that 64% are
affecting with breast problems, 17% affecting with constipation, and
22% with fatigue [5].
The minor ailments of puerperium are the minor discomforts faced by
the women during puerperium. The impact of the events of labor and
birth and transition from nonparenthood to parenthood brings physical
disorder and depression. The management of minor disorders prevents
the risk of severe forms of postpartum disorder. Minor ailments of
puerperium which commonly found in postnatal mothers are afterpain,
constipation, abdominal tenderness, burning on urination, edema on
legs, diuresis, perineal pain, and breast engorgement [6]. In this study,
there searchers assessed minor ailments of puerperium. The objective of
the study was identified the incidence and knowledge of minor ailments
of puerperium among postnatal mothers and to develop an information
leaflet on the management of minor ailments of puerperium.
METHODS
The present study used the quantitative approach with descriptive
design and convenience sampling technique. With these methods, the
researcher selected 100 postnatal mothers attending Obstetrics and
Gynecology ward, AIMS, Kochi. Population: Target population were all
the postnatal mothers attending obstetrics and gynecology department
and accessible population were all postnatal mothers in the obstetrics
and gynecology ward during the period of data collection. There were a
total of 100 samples that are within 7 days after delivery.
RESULTS
The study showed that the major problems found among postnatal
mothers are afterpain, perineal discomfort, constipation, and fatigue.
Majority of the subjects had average knowledge, some had good
knowledge, and only a few have poor knowledge. In this study, the
postnatal mothers are divided into two groups based on the postnatal
days such as one group belongs between 1 and 3 days and other group
belongs to 4–7 days.
© 2018 The Authors. Published by Innovare Academic Sciences Pvt Ltd. This is an open access article under the CC BY license (http://creativecommons.
org/licenses/by/4. 0/) DOI: http://dx.doi.org/10.22159/ajpcr.2018.v11i1.21022
Research Article