Volume 4 • Issue 2 • 1000159 Adv Practice Nurs, an open access journal ISSN: 2573-0347 Open Access Research Article Advanced Practices in Nursing A d v a n c e d P r a c t i c e s i n N u r s i n g ISSN: 2573-0347 Bhujabal, et al., Adv Practice Nurs 2019, 4:2 Keywords: Total striae gravidarum score; Perineal trauma Introduction Striae gravidarum is a common, disfguring gestational change that afects between 55% and 90% of women. Stretch marks observed during pregnancy that may be an indicator of poor skin elasticity. Te type and amount of collagen in connective tissue are considered to determine the individual’s elastic index. Te skin surface is made up of a complex network of crossing thin lines. Biopsy tissue samples of striae gravidarum show a disorganization shortening and thinning of the elastic fbre network compared with tissue samples of normal skin [1]. One who does not have striae gravidarum may have lesser chance to develop perineal trauma during delivery as compared with women who have higher striae gravidarum. As from Evidence Based nursing, episiotomy should not be given mandatorily but it not possible to control the episiotomy completely due to lack of standardized tool which will help the midwifery for taking decision regarding whether to give episiotomy or not [2]. Tough there are many factors contributing to development of perineal trauma during child birth but striae gravidarum can be used as an additional tool for detecting the woman who is at more risk for developing perineal trauma during delivery. It can also be used as an additional non-invasive tool for prevention of perineal trauma by midwives in peripheral health centres where no advance facilities are available to detect which women is at more risk for developing perineal trauma [3]. Objectives of the study • To assess the striae gravidarum score of primi-para mothers • To fnd out the association between striae gravidarum score and perineal trauma during delivery Methods A observational and cross-sectional design was used in this study. Non-probability consecutive sampling technique was adopted for selecting 372 primi-para mothers in District Headquarter Hospital, Khurda. Te data collection was done by using demographic profoma and Atwal Numerical scale for assessing severity of striae gravidarum [4] Content validity of the tool was established with the help of experts from related feld. Pilot study was conducted on 32 samples and found that the tool was feasible and researchable. Data obtained were analyzed in terms of the objectives using descriptive and inferential statistics [5,6]. Data was collected from April 2018 onwards. Research and Ethical clearance was obtained from Research and Ethics committee of KIIT Deemed to be University, Bhubaneswar. Permission was obtained from the chief District Medical Ofcer of selected District. Te investigator herself collected the data using Demographic profoma and Atwal Numerical Scale among 372 primi-para mothers in District Headquarter Hospital, Khurda. Data was analysed using descriptive and inferential statistics. Demographic data was analysed in terms of frequency and percentage. Atwal numerical scale was used to assess the total striae gravidarum score. Chi-square test was used to fnd out the association between Total striae gravidarum score and perineal trauma and the demographic variables [7] Results Te data obtained from the study population were analyzed and interpreted in terms of objectives and hypothesis of the study. Findings related to sample characteristics Majority of the primi mothers 180 (48.4%) were in the age group of 21-30 years. Te proportion of 372 primi-para mothers 213 (57.2%) were delivered between 38-40 weeks of gestation. Majority of the *Corresponding author: Bhujabal D, Department Nursing, Obstetrics and Gynaecological Nursing, Kalinga Institute of Nursing Sciences (KINS), KIIT Deemed to be University, Bhubaneswar, Odisha, India, Tel: 0674 2726967; E-mail: bhujabaldiptimayee@gmail.com Received August 01, 2019; Accepted September 23, 2019; Published September 30, 2019 Citation: Bhujabal D, Rath K, Baxla P (2019) Association of Striae Gravidarum Score with Perineal Trauma among Primi-para Mothers. Adv Practice Nurs 4:159. Copyright: © 2019 Bhujabal D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Striae gravidarum are a form of scaring on the skin with an off colour hue. Striae gravidarum found during pregnancy may be indicative of poor skin elasticity. Patients with striae gravidarum are at higher risk for lacerations at the time of vaginal delivery than patients who do not have abdominal stretch marks. A observational study was undertaken to fnd out the association of striae gravidarum score with perineal trauma among primi-para mothers. The conceptual framework adopted for this study was based on the Erikson, Tomlin, Mary Ann’s model of Adaptive Potential Assessment Model. In this study consecutive sampling technique was used to select 372 primi mothers who are meeting sampling criteria. Atwal numerical scale was used to assess the total striae gravidarum score and Observation for perineal trauma among primi-para mothers was done in labour room of District Headquarter Hospital, Khurda. Descriptive and inferential statistics were used to analyze data in the study. Chi-square test was performed to fnd out the association between total striae gravidarum score with perineal trauma. The fndings of the study revealed that total striae gravidarum was signifcantly associated with episiotomy given or not given. The study was come to an end that risk for perineal trauma during delivery is associated with total striae gravidarum score. Association of Striae Gravidarum Score with Perineal Trauma among Primi-para Mothers Diptimayee Bhujabal*, Kalyani Rath and Pramila Baxla Department of Nursing, Obstetrics and Gynaecological Nursing, Kalinga Institute of Nursing Sciences (KINS), KIIT, Bhubaneswar, Odisha, India