2022, Vol. 5, Issue 2, Part A

author(s)
Kamlesh Singh, Dr. Dolly John Shiju and Pooja Chaurasiya

abstract
Ante-partum hemorrhage can threaten both health of mother and that of baby. In ante- partum hemorrhage, there may be some pain in the abdomen if placenta separates from uterus. This condition needs urgent medical attention. If there is a risk of further bleeding or bleeding becomes severe, an intravenous infusion and possibly a blood transfusion may be necessary. APH complicates 2-5% of all pregnancies and is associated with significant maternal & perinatal morbidity & mortality. Obstetric hemorrhage remains one of the important causes of maternal mortality accounting for 11% of maternal deaths in the 2003-2005. Confidential enquiry into maternal and child health report (CEMACH), report the mortality rates due to obstetric hemorrhage was 0.66% per 100,000 maternities. It affects 3-5% of all pregnancies. It is three time more common in multiparous than primiparous women. Respondents in the group first which received VAT as exhibited a mean score of 12.9 in the pre-test with a standard deviation of 1.23. In the post test it was increased to 29.5 with SD 2.04. The paired t test value obtained was 3.096 which was greater than the table value at 0.001 level of significance. Hence the hypothesis was accepted for the first group and this proved that VAT significantly increased the level of knowledge of the students regarding APH. With regard to the second group which received lecture method, mean score in the pre-test was 12.133 with standard deviation of 1.041. It was increased to 19.6 in the post test with SD of 1.81. Paired t test was used to find out the significance and the obtained t value was 2.66. The obtained t value was greater than the table value at 0.001 level of significance. Hence the hypothesis was accepted and the lecture method was highly effective in to increased knowledge among the students. It is undoubtedly clear from the above data that the t test value obtained for group 1 which received VAT was greater than that of group 2 which received lecture method. Data further reveals that there was a significant difference of 1.3 in the t test score between the two groups. Hence it was observed that VAT is more effective in increasing the knowledge regarding APH.