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Introduction The time of examination and evaluation is a stressful period where stress is on its highest levels. To some extent, low level of stress can help in motivating the students; however, on the contrary more stress can be discouraging. It will make students exhausted, overwhelmed, and confused. So, the present study focuses on assessing the academic test anxiety and self-esteem among undergraduates. The objectives of the study were: determining the academic test anxiety and self-esteem among students and find out the correlation and association between academic test anxiety and self-esteem. Materials and Methods A quantitative research approach had been adopted and descriptive correlational survey design was used to identify the academic test anxiety and self-esteem among first year students from selected constituent colleges of NITTE (Deemed to be University) at Paneer campus. The sample consisted of 300 first year undergraduate students. The participants were selected using convenient sampling technique. The data were collected using the sociodemographic pro forma, standardized Westside Test Anxiety Scale and State Self-Esteem Scale. The data were computed using descriptive statistics and inferential statistics like Karl Pearson's correlation coefficient test, Fisher's exact value, and chi-square value. Result Majority of (79.9%) of the participants were in the age group of 18 to 19 years. The mean age of the participants was 18.56 ± 0.928 with minimum age 17 and maximum age of 21. Regarding entry level percentage of marks (Pre-University Course/+ 2), 34.7% of participants secured with more than 80% of marks in their entry level examination followed by 38.2% of the participants scoring between 70 and 79% and only 16 (5.6%) participants counted between 45 and 59%. Majority (76%) of the participants were females. The study reveals that 32.3% of the participants experienced moderate level of test anxiety and 17% of the participants experienced severe level of test anxiety followed by 34.7% participants experiencing mild levels of test anxiety. The mean test anxiety score was 2.97 ± 0.55 which indicates that average participants were showing moderate level of test anxiety. There is a significant medium positive correlation between academic test anxiety and self-esteem (r value = 0.497 and p ≤ 0.001). As the p-value was more than 0.05 (p = 0.09, p = 0.86), there is no significant association found between previous academic performance with level of academic test anxiety or self-esteem. Conclusion The study concludes that, students' self-esteem can be enhanced and test anxiety can be reduced by creating an enabling environment for mentoring where they can practice assertiveness skills which will in turn boost their confidence to perform all academic tasks successfully.

Background and Objectives Osteoporosis is a multifactorial and slowly emerging global health problem. Along with menopause, one out of three women between the age group of 50 to 60 years in India suffers from osteoporosis. Indian women have an early age onset of osteoporosis as compared to their Western counterparts. The current study assessed osteoporosis knowledge and preventive practice among menopausal women. The study's objectives were to 1) assess the osteoporosis knowledge and preventive practice among women, 2) find the correlation between the knowledge and preventive practice among menopausal women, and 3) find the association of knowledge and preventive practice with selected demographic variables. Methods A quantitative nonexperimental research approach with a descriptive correlational survey design was adopted in the study. A total of 100 samples between the ages of 45 and 56 years were the participants. Data were collected using demographic proforma, a self-structured knowledge questionnaire, and a preventive practice checklist. Descriptive and inferential statistics were used to analyze the data. Results The majority of the menopausal women (65%) were between the age group of 53 and 56 years and 79% of menopausal women were having primary education, 77% of them were unskilled workers. Fifty percent of the participants had shown adequate knowledge with a median score of 12 and the remaining half of the participants had a knowledge score Conclusion The study showed a gross deficit in osteoporosis knowledge among menopausal women and they were following unhealthy practices in their lifetime. There is a need to prioritize designing appropriate awareness campaigns regarding osteoporosis among subjects who are at risk, according to their level of literacy.

The present study was conducted to assess the effect of San-Yin-Jiao (SP-6) acupressure on afterpains among multiparous women in a selected hospital in Mangalore. The objectives of the study were to assess the level of afterpains during immediate postnatal period, to find the effect of SP-6 acupressure on afterpains among experimental group, find an association between perception of afterpains and selected demographic variables and find an association between perception of afterpains and physiological responses. An experimental approach with pretest posttest control group design was adopted for the study. In the first phase, 40 multiparous women delivered in K. S Hegde Charitable Hospital, Mangalore were selected by purposive sampling technique and random allocation method was used to allocate the samples into experimental and control groups. The sociodemographic data and physiological responses were assessed with a structured questionnaire and visual analogue scale was used for measuring intensity of afterpains. The experimental group was given the treatment of SAN-YIN-JIAO (SP-6) acupressure for a period of 10 minutes. The study revealed that when the effect of SP-6 acupressure on afterpains were analyzed at each time period using repeated measures of ANOVA, significant differences were observed immediately after applying acupressure (F=19.40,p=0.000), as well as 30 min (F=13.23,p=0.004), 1 hour (F=13.35,p=0.004), and 2 hours(F=9.05,p=0.035) after the procedure. No difference was observed between the two groups at 3 hours after applying acupressure (F=5.89, p=0.073). The Independent t test was used to compare the difference between the experimental and control groups which indicated that there was a significant difference between the control and experimental group on reduction of after pains. Thus, acupressure to the SP-6 meridian can be an effective noninvasive nursing intervention for alleviation of after pains, with effects lasting for 2 hours post-treatment

Introduction Breastfeeding is not a choice but it is a responsibility. While breastfeeding may not seem the right choice for every parent, it is the best choice for every baby. Antenatal education motivates the mothers who are undergoing Cesarean section to prepare themselves, so as to establish a wonderful efficient latch. The aim of this study was to conclude which breastfeeding position may be the best choice for the mother with Caesarean section. The objectives of the study were (1) to identify the maternal comfort and infant feeding behaviors in groups 1 and 2, (2) to compare the maternal comfort and infant feeding behaviors between the groups, and (3) to find the association between maternal comforts with selected demographic characteristics. The literature also very well supports that especially the mothers with Cesarean section achieve very good maternal comfort, greater satisfaction, and favorable infant feeding behaviors in side-lying position. Thus, the researcher attempts to compare the cradle hold and side-lying breastfeeding position in terms of maternal comfort and efficient latch. Materials and Methods An evaluative research approach was used and the design selected for the study was quasiexperimental for two groups posttest only. Sample comprised of 70 antenatal mothers with elective Cesarean section (35 in each group) admitted at K.S. Hegde Hospital in Deralakatte, Mangalore. Purposive sampling technique was used to select the samples. Data were collected by using demographic proforma, maternal comfort rating scale, and infant behavior checklist. Results The results of the study shows that there was significant difference in the mean posttest scores between cradle hold and side-lying breastfeeding position. Mothers from the side-lying breastfeeding position group showed higher maternal comfort, mean posttest score, and favorable infant feeding behaviors than the cradle hold breastfeeding position. The independent sample t test revealed that the calculated t value for maternal comfort and infant feeding behaviors within the group and between the group less than the table value t (0.05, 68 = −2.042). Conclusion This study explores that mothers with Cesarean section show greater maternal comfort and favorable infant feeding behaviors in side-lying breastfeeding position between the groups and within the groups than the cradle hold.

Background Dysmenorrhea is a common problem which can alter the daily routines of females. Primary dysmenorrhea affects 40 to 90% women. Dysmenorrhea sufferers account for 3 among 4 women as per evidences. Traditional remedies are chosen to get some relief because of their least side effects. These remedies have a favorable effect in reducing dysmenorrhea. Ginger is used since ancient times as various forms of alternative medicine. One of the traditional uses of ginger is for pain relief, including menstrual pain. The aim of this study was to identify the effectiveness of ginger tea in dysmenorrhea. Objectives The objectives of this study are (1) Assess the level of dysmenorrhea among nursing students. (2) Determine the effectiveness of ginger tea on dysmenorrhea among nursing students. (3) Find the association between level of dysmenorrhea before the administration of ginger tea and demographic variables. Methodology A quantitative research approach with quasi-experimental design was considered. The sample comprised of 50 students with moderate and severe menstrual pain as per numerical pain rating scale. The baseline data was collected. Ginger tea was prepared by the researcher and administered 120 mL to the subjects; on the first 2 days of menstruation in the morning and night after breakfast and dinner, respectively. Level of different aspects of pain was assessed before the administration as well as 2 hours after administration of ginger tea using Pain Quality Assessment Scale. Pre- and post-test were taken before as well as 2 hours after administering the drink. A total of four doses are given and ratings were measured eight times. Data was analyzed using descriptive and inferential statistics. Results The present study revealed that the median score of all seven characteristics of pain was higher in the preintervention when compared with postintervention. Mann-Whitney U test showed that there was a significant difference in level of pain between the experimental and control groups (p < 0.05). Wilcoxon signed-rank test showed that there was a significant difference in pain measurements before and after the administration of ginger tea (p < 0.05). These findings indicate that ginger tea was effective in reducing menstrual pain. Chi-square test and likelihood ratio were used to find the association between baseline dysmenorrhea with demographic and clinical variables. It was found that there is no significant association (p > 0.05). The responses given by the experimental and control group was mentioned separately. Ginger tea effects and experience were verbalized by the experimental group alone. This supported the statistical finding that ginger tea is effective in reducing dysmenorrhea. Conclusion Findings revealed that the administration of ginger tea can bring a sudden relief among the subjects with dysmenorrhea. The awareness about alternative therapies must be created among public.

Background of the study: Cancers of the female reproductive tract and breast has a high incidence amongst Indian women. Cancer registries have also highlighted that more than 70% of cancers in females occur in the age group of 35-64, and that these cancers exercise an adverse influence on the productive role of women in our society. Chemotherapy is a type of cancer treatment that uses one or more anti-cancer drugs that can have severe adverse effects on the patient both during the therapy and for some time after. Title of the study: Information Booklet on Self-Care Management of Chemotherapy among gynecological Cancer Survivors at Selected Hospital. Objectives 1) To assess the knowledge on self-care management of chemotherapy among Gynecological cancer survivors 2) To determine the effectiveness of information booklet on self-care management of chemotherapy among Gynecological cancer survivors Hypothesis: H1: The mean posttest knowledge level will be significantly higher than mean pretest knowledge level on self-care management of chemotherapy among Gynecological cancer survivors. Methodology: Quantitative research approach and the design adopted was pre experimental in this study. The investigator selected total of 60gynaecologic cancer survivors receiving chemotherapy through purposive sampling technique. The researcher collected the data from the participants with the help of validated knowledge questionnaire and demographic Performa information before administering self care management information booklet. The information booklet was comprised of side effects and management of chemotherapy with pictorial depiction. The posttest was conducted at the immediate subsequent cycle of chemotherapy. The obtained data were analyzed by using descriptive & inferential statistics. Results: The result of the present study showed that the mean post-test knowledge score (11.63) of gynecologic cancer survivors were significantly higher than their mean pre-test knowledge score (7.90). The calculated‘t’ value was (15.562) and’ p’ value is less than 0.05.Hence the research hypothesis was accepted at 5% level significance.

Background: UNICEF, WHO and WABA, along with the scientific community, strongly recommend initiating breastfeeding within a half-hour of birth. Evidence shows that early initiation can prevent 22% of all deaths among babies below one month in developing countries. Every newborn, when placed on her mother's abdomen, soon after birth, has the ability to find her mother's breast all on her own and to decide when to take the first breastfeed. This is called the 'Breast Crawl'. Materials and Methods: An experimental approach with one group pre-test post test design was used for the study. The sample comprises of 60 nursing students who meets inclusion criteria were selected using Random sampling technique.pre test was conducted with structured knowledge questionnaire ,followed by administered the video assisted teaching programme on breast crawl. Post test was conducted after 7 days of intervention by using same tool Result: The collected data were analyzed using descriptive & inferential statistics The findings of the data showed that the mean post test knowledge of subjects were significantly higher than their mean pre test knowledge scores after the administration of video assisted teaching. ('t' value 14.93, P> 0.05).No association was found Conclusion: A baby is born with many instinctive abilities which enable her to perform the Breast Crawl. Hence video assisted teaching is very essential and beneficial in nursing field to educate nursing students.

Culture may be defined as a shared system of beliefs, values, and behavioural expectations that provide social structure for daily living. Much of the woman's behaviour during the postpartum period is strongly influenced by her cultural background. This study was conducted to identify the cultural practices among the postnatal mothers in selected hospitals at Mangalore. The data was collected from 200 samples between 17-09-12 and 03-11-12 in various hospitals at Mangalore. Descriptive survey research approach was adopted, and collected data were analyzed using descriptive and inferential statistics. Distribution of the samples based on demographical characteristics revealed that 49% of the samples were in the age group of 25-29 years, 48.5% of the samples had primary education, 49.5% of the samples were from Muslim religion, 89% of the home makers, 65.5% of the joint family and 76% of the rural mothers were participated in the study. Majority of the mothers were consumed home medicine, restricted to use cold water, restricted to perform spiritual activities, 16.5% of the mothers had a practice of applying herbal medicine to hasten the cord to dry during the postnatal period. 59.5% of the mothers were following unhygienic practice that using a cloth soaked in baby's urine to remove the coated tongue. Hence the study concluded that the postnatal mothers had followed some of the cultural practices mostly in rural areas.

The study was conducted to identify the effect of foot reflexology on the quality of life among menopausal women employed in various schools from 01.08.2011 to 01.10.2011. An evaluative approach with one group pre-test post-test design was used for the study. The present study was conducted among various schools in Mangalore. The collected data from 117 samples were analyzed using descriptive and inferential statistics. Distribution of the samples based on the quality of life revealed that 78.6% had a good quality of life, 15.4% had an average quality of life and 6% had a very good quality of life. With regard to the menopausal symptoms, 55.6%, 24.8% and 19.7% experienced mild, moderate and severe symptoms respectively. 52 women with moderate to severe symptoms were selected and administered foot reflexology for 10 consecutive days. The mean post-test scores of the subjects in the quality of life was 59.43 were significantly greater than the mean pre-test score of 53.89 and the mean post-test scores in the menopausal symptoms was 16.82 which was significantly lower than the mean pre-test score of 21.82. The study also revealed a negative correlation (r= -0.653, p

The study was conducted to explore the unique experiences of expectant fathers. The research approach used in this study was Phenomenology. Six expectant fathers who met the inclusion criteria were selected using purposive sampling technique from the OPD unit of the Fr. Muller Medical College Hospital, Mangalore and a private antenatal clinic, Saurabh clinic in Mangalore.In depth interviews were conducted in a selected room in the antenatal clinic with all privacy Colaizzi's data analysisframework was used to analyze the transcripts in this study From the analysis of the data, five themes emerged from the experiences of expectant fathers and they were as follows:Theme 1: Happiness and satisfaction - the response to pregnancy, Theme 2: Relationship with wife- Physically and emotionally, Theme 3: A change in social life, Theme 4: Coping with Pregnancy, Theme 5: Expectations about the baby

Objectives • To assess the intensity of labor pain and outcome of labor among the control group. • To assess the effectiveness of ambulation on intensity of labor pain and outcome of labor among the experimental group. • To assess the usefulness of ambulation by opinionnaire among experimental group. • To compare the effectiveness of ambulation on the intensity of labor pain and outcome of labor among experimental and control groups. • To find an association between the intensity of labor pain with selected demographic variables. Materials and methods An experimental research approach was used for the study. Random sampling technique was used to allocate the subjects into experimental and control groups. Visual analog scale was used to assess the intensity of pain and observational check list was used to assess the outcome of labor. The study comprised of 40 primigravida mothers and they were grouped as experimental and control through randomization. One group received ambulation treatment, the other did not. The researcher then observed the groups to determine the effect of the treatment. Results The collected data was analyzed by descriptive and inferential statistics. The intensity of pain revealed that 40% in the experimental and 55% in the control groups experienced severe pain. The labor augmentation revealed that both oxytocin and cerviprime gel was used for 30% in the experimental and 35% in the control groups. On the mode of delivery, majority of mothers (60%) had normal vaginal delivery both in experimental and control groups. On the duration of the first stage of labor revealed that 50% in the experimental and 20% in the control groups were between 10 to 12 hours. Second stage of labor revealed that majority were between 1 and 2 hours in both the control and experimental groups. The opinion of experimental group mothers on ambulation revealed that half of the mothers (50%) agreed for recommending the ambulation for their neighbors and friends and less than half (35%) of them have agreed for comfort during first stage of labor and 40% of them have agreed for ambulation should be made as a routine in labor room. In the experimental group, mean pain score (6.8) is less than the control group (7.5). The calculated Mann-Whitney Z-value (2.045) is greater than the Z α-value of 1.960 at 0.05 level of significance. In the experimental group, the mean duration of first stage of labor score (3.95) is significantly higher than the control group mean score (3.00). The mean outcome of labor in experimental group (13.95) is greater than the control group. Conclusion There was a significant difference in the duration of first stage of labor between the experimental and control groups. But, there was no significant difference in the overall outcome of labor between experimental and control groups. There was no significant association between intensity of labor pain with selected demographic variables. This may be because of small sample size. How to cite this article Savitha V, Nayak S, Paul S. Effect of Ambulation during First Stage of Labor on Labor Pain and Outcome of Labor among the Primigravida Mothers in a Selected Hospital, Mangalore. J South Asian Feder Obst Gynae 2013;5(1):1-3.