IOSR Journal of Nursing and Health Science (IOSR-JNHS) e- ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 7, Issue 3 Ver. VI (May-June .2018), PP 68-86 www.iosrjournals.org DOI: 10.9790/1959-0703066886 www.iosrjournals.org 68 | Page Effect of Interactive Digital versus Printed Health Media Based At ADDIE Model on Postpartum Perinea Discomfort Niven R. Basyouni 1 , Vivian M. Samuel 2 , Marwa M. Abdella 3 1 Assistant professor of obstetric and Gynecologic Nursing Alexandria University 2 Lecturer of nursing education Alexandria University 3 Demonstrator of nursing education Alexandria University Corresponding Author: Dr/ Niven R. Basyouni Abstract: Background: Postpartum stage emerges as a very critical period in mothers' life. It is linked with profound changes "postpartum discomfort" perineal discomfort emerge to be the most one mothers are concerned about. Interactive digital health media such as Power Point has become a valuable tool in education. It enhances presentation information in well structure and precise manner. Its effect in health field; not been yet evaluated over the printed ones. For this objective the current study aimed to evaluate the effect of interactive digital versus printed health media on postpartum perineal discomfort. A quasi experimental design was utilized. Sixty pregnant women in their ninth month and meeting the inclusion criteria, attending antenatal clinic of Elshatby Maternity University hospital and followed by telephone to the 2 nd and 7 th days post partum, were allocated randomly for two groups. Group A where interactive digital health media (Power Point) was applied and group B were printed health media (booklet) was used. Finding revealed that Digital media group showed a statistical significant difference in acquisition of knowledge, practice as compared to printed media group. In relation to perineal pain scores interfering with daily activities; scores of pain decreased among digital group during sitting and walking while no statistical difference was found between both groups in relation to urination or defecation. All subjects in both groups showed a high level of satisfaction with both types of media. It can be concluded that interactive digital health medium is more effective than printed one for mother's teaching. Researchers recommended embed using interactive digital health media in mother's health teaching with Ensuring provision of policies, equipment, resources, time, proper setting and environment in every maternity hospital to integrate advanced methods of health teaching. Key words: postpartum perineal discomfort, perineal pain, evaluation, health teaching media What this paper adds;  The growing technology in health education for women regarding their maternity cycle in general and postpartum in particular has been lately predicted, but this huge technology progress should be fully evaluated to appraise if this progress matters or produce any added gains or advantages to women . -------------------------------------------------------------------------------------------------------------------------------------- Date of Submission: 21-05-2018 Date of acceptance: 05-06-2018 --------------------------------------------------------------------------------------------------------------------------------------- I. Introduction Throughout ages, women's health is affected by several significant stages including postpartum period. Witch is associated with great multiple physiological and psychological changes. These changes strongly impact on women live, as they are not only intrusive with their physical and emotional state, but also with interpersonal and family relations. Hence, women need substantial energy to adapt with these changes (1) . Regrettably, the number of maternal mortality and morbidity reported during childbirth and postnatal period still alarmingly high. Worldwide, over 500,000 women die of complications related to pregnancy and childbirth each year. Over 99% of those deaths occur in developing countries including Egypt which maternal mortality rate represents 33 per 100,000 live child births in 2015 (2, 3) . Never less important than these complications many postpartum adaptations occur, resulting from return to the non-pregnant state, causing numeral discomforts both somatic and expressive. Among those are after-pains, perineal discomfort, urinary retention, constipation, breast engorgement, nipple soreness and postnatal depression. Researchers identified that; mothers are most bothered by perineal discomfort that also prejudices the woman's capability and readiness to care for her self or her newborn (4) . Perinea discomforts Perineal pain is a common sequel vaginal delivery within the first 8 weeks postpartum. It is affecting around half of women at ten days postpartum and may persist in ten percent of them till eighteen months.