Leena Annie Mathew obg Sahyadri 2013

115 Pages·2013·0.88 MB·English

“EFFECTIVENESS OF COLD CABBAGE LEAVES Vs
HOT APPLICATION ON BREAST ENGORGEMENT
AMONG POSTNATAL MOTHERS IN A SELECTED
HOSPITAL, MANGALORE”

By
LEENA ANNIE MATHEW

Dissertation submitted to
Rajiv Gandhi University of Health Sciences, Bangalore,
Karnataka

In partial fulfilment
of the requirements for the degree of

MASTER OF SCIENCE
in
OBSTETRICS AND GYNAECOLOGICAL NURSING

Under the guidance of
Mrs. R. NALINI

Department of Obstetrics and Gynaecological Nursing
Sahyadri College of Nursing
Sahyadri Campus, Adyar,
Mangalore-575007
2013
Rajiv Gandhi University of Health Sciences, Karnataka.

DECLARATION BY THE CANDIDATE

I hereby declare that this dissertation/thesis entitled “EFFECTIVENESS OF
COLD CABBAGE LEAVES Vs HOT APPLICATION ON BREAST
ENGORGEMENT AMONG POSTNATAL MOTHERS IN A SELECTED
HOSPITAL,MANGALORE” is a bonafide and genuine research work carried out
by me under the guidance of Mrs.R.NALINI, Head of the Department of Obstetrics
and Gynaecological Nursing, Sahyadri College of Nursing, Mangalore.

Date: Signature of the Candidate

Place: Mangalore LEENA ANNIE MATHEW
CERTIFICATE BY THE GUIDE

This is to certify that the dissertation entitled “EFFECTIVENESS OF
COLD CABBAGE LEAVES Vs HOT APPLICATION ON BREAST
ENGORGEMENT AMONG POSTNATAL MOTHERS IN A SELECTED
HOSPITAL,MANGALORE” is a bonafide research work done by Ms.LEENA
ANNIE MATHEW in partial fulfilment of the requirement for the degree of Master
of Science in Nursing (Obstetrics and Gynaecological Nursing).

Date: Signature of the Guide
Place: Mangalore
Mrs. R. NALINI
Head of the Department,
Obstetrics and Gynaecological Nursing
Sahyadri College of Nursing,
Adyar, Mangalore-575007
ENDORSEMENT BY THE HOD, PRINCIPAL/
HEAD OF THE INSTITUTION

This is to certify that the dissertation entitled “EFFECTIVENESS OF
COLD CABBAGE LEAVES Vs HOT APPLICATION ON BREAST
ENGORGEMENT AMONG POSTNATAL MOTHERS IN A SELECTED
HOSPITAL,MANGALORE” is a bonafide research work done by Ms.LEENA
ANNIE MATHEW, under the guidance of Mrs.R.NALINI, Head of the Department
of Obstetrics and Gynaecological Nursing, Sahyadri College of Nursing,
Mangalore.

Seal and Signature of the HOD Seal and Signature of the Principal

Mrs. R. NALINI Prof. (Mrs.) IRENE VEIGAS

Date: Date:
Place: Mangalore Place: Mangalore
COPYRIGHT

DECLARATION BY THE CANDIDATE

I hereby declare that the Rajiv Gandhi University of Health Sciences,
Karnataka shall have the rights to preserve, use and disseminate this
dissertation/thesis in print or electronic format for academic/research purpose.

Date: Signature of the Candidate
Place: Mangalore Leena Annie Mathew

©Rajiv Gandhi University of Health Sciences, Karnataka
ACKNOWLEDGEMENT
I shall give thanks to you Lord and King
and praise you, God and Saviour
for you have been my guard and support
I shall praise your name unceasingly
and gratefully with all my heart sing its praises
(Ecclesiaticus 51:1-2)
With profound joy and gratitude, the investigator acknowledges the help of
those who have been involved in the successful completion of this endeavour.
First of all, I praise and bow in reverence to Lord Almighty for His abundant
blessings showered upon me to complete this venture. His felt presence gave me
strength to successfully complete this study.
I owe a great deal of thanks to Mr.Manjunath Bhandary, Chairman of
Bhandary Foundation, for providing me an opportunity to pursue my post
graduation in nursing in this esteemed institution.
My deep gratitude to Prof. (Mrs.) Irene Veigas, Principal, Sahyadri College
of Nursing for her support, encouragement, prayerful blessing, and also for giving
permission to conduct my study
The present study has been undertaken under the expert guidance, support and
encouragement of my guide Mrs.R.Nalini, HOD, Department of Obstetrics and
Gynaecological Nursing. I express my sincere gratitude to her for the inspiring
guidance, valuable suggestions, advice, timely support, and constant encouragement
which made the study a successful one.
My heart fills with gratitude towards Mrs. Neetha Kamath, PG Coordinator,
for her keen interest, valuable suggestions, constant directions, and ongoing sincere
support.
My sincere thanks to Mrs. Maria Vijetha D’Souza and Mrs.Shanthi Renita
Moras, Lecturers, Obstetrics and Gynaecological Department for their timely help,
guidance and suggestions.
My heart fills with gratitude towards Mrs.Ganavathi K.M, Former HOD,
Obstetrics and Gynaecological Department, for her keen interest ,whole hearted
inspiration and encouragement.
Let me extend my sincere thanks to the teaching faculty of Sahyadri College of
Nursing, Prof (Mr.)Raja.A.,Mr.Manish Kumar, Mrs.swetha, Mr.Shajan, Mrs.Leena,
Mrs.Smitha Mathew and ,Mr.Jomon C.U for their valuable suggestions and sincere
support.
My sincere thanks to former teaching faculty of Sahyadri College of Nursing
Mr.Shivakumar and Mrs.Tisvy Thomas for their valuable suggestions.
I am deeply obliged to the authority of Government Lady Goschen Hospital
where the study was conducted for granting permission and extending full
cooperation, help and support in carrying out the research.
I am thankful to Mrs.Sucharita Suresh, Statistician, Father Mullers Institute
of Health Sciences for her expert guidance in the statistical analysis procedures.
I extend my special heartfelt thanks to all the experts who have contributed
their valuable time and suggestions in validating the tool and, for their judgment,
constructive criticism and enlightening suggestions.
I am extremely thankful to the library staff of Sahyadri College of Nursing
and RGUHS Library, Bangalore.
A word of thanks to Mr.Roshan Patrao for his enthusiastic and sincere effort
in technical support.
I express my sincere thanks to Ms. Marie Fernandes, who edited my
manuscript meticulously.
I express my sincere appreciation and thanks to all the participants for their
whole hearted participation and cooperation in the study, without them it would have
been impossible to complete the study.
My sincere thanks to all my colleagues and my friends especially Mily
Thomas, Jissy Jacob, and Sherin.k. Varghese, whose constant support, concern and
assistance made this a pleasant learning experience and my well wishers those who
have contributed for the success of the study.
I would like to express my deepest gratitude to my beloved parents
Mr. T.M.Mathukutty and Mrs Leelamma Mathew, my sister Mrs.Leema Aby, and
brother in law Mr. Aby John for their love, encouragement and constant moral
support throughout my study.
I dedicated this fruitful work to my beloved parents Mr. T.M. Mathukutty and
Mrs. Leelamma Mathew, who are the source of inspiration in my educational career
and in my life.
My sincere thanks and gratitude to all those who directly or indirectly helped
me in the successful completion of this dissertation.

With heartfelt gratitude and prayers,

Date:
Place: Mangalore Ms. Leena Annie Mathew
ABSTRACT
Background of the study:
The human species is the only one among mammals in which breastfeeding
and weaning are not governed only by instinct. During the period of breastfeeding
women are more vulnerable to get difficulties such as breast engorgement, sore nipple
and mastitis. Breast engorgement is a painful and unpleasant condition affecting large
numbers of women in the early postpartum period. During a time when mothers are
coping with the demands of a new baby, it may be particularly distressing. Health
professionals play a crucial role in the prevention and management of this type of
difficulty. The present study was conducted to assess the effectiveness of cold
cabbage leaves Vs hot application on breast engorgement among postnatal mothers in
a selected Hospital, Mangalore.
Objectives:
The objectives of the study were to:
• assess the breast engorgement before and after cold cabbage leaves and hot
application among postnatal mothers.
• determine the effectiveness of cold cabbage leaves application on breast
engorgement among postnatal mothers.
• determine the effectiveness of hot application on breast engorgement among
postnatal mothers.
• compare the effectiveness of cold cabbage leaves and hot application on
breast engorgement among postnatal mothers