A Study to Assess the Effectiveness of Structure Teaching Programme on Knowledge Regarding Birthing Ball Therapy on Labour Pain During First Stage of Labour among 3rd Year GNM Students at Sions Bagalkot, Karnataka

Introduction: Birthing ball was originally developed in 1963 and it is used as a physical therapy for the neuro development treatment. It was introduced as a childbirth tool in 1980 by perez and simikin. Perez in 2001 stated that the birthing ball was physically beneficial use during pregnancy and labor by producing optimal positioning and pain reduction during contraction while eliciting non habitual movement1. The studies conducted on the child birth describes that the child birth and the delay in the progress of the labors as the most severe pain that they has ever experienced and this makes mother discomfort, agitated and anxious. The cause of the pain can be either psychological or physical factors, relief of the pain can be achieved by several methods like psycho prophylactic methods, systemic drugs, local and regional nerve block, and general anesthesia. Sitting on the birthing ball encourages2. Pregnancy is one of the wonderful and noble services imposed by nature. The traditional trend of managing labor and delivery as a normal process has given way to a risk management approach. Discomfort is one of the biggest obstacles of labor and delivery. Women in the developing countries with merge health facilities usually lie in bed during the first stage of labor. Lying on the back (supine) puts the weight of the pregnant uterus on abdominal blood vessels and contraction may be less strong than when upright. Effective contraction helps cervical dilatation and the descent of the baby. Being upright will make contractions stronger and more efficient. It will allow gravity to keep the baby?s head pressed down, which will help the cervix to dilate faster so that labor is speeded up. Birthing ball helps the mother to be in an upright position and also it opens pelvis, encouraging baby to move down3. Results: After the administration of STP 71% of subjects acquired the good knowledge on Birthing ball therapy where as in pre-test there were only 27% GNM students had average knowledge. Analysis of the knowledge scores in the pre-test and post-test revealed that the mean and with mean and SD 12.7?2.85, whereas mean percentage in post-test was 80.90% with mean and SD27.08?2.78. Paired ?t? test used indicated a significant difference between mean pre test (12.7?2.85) and posttest (27.80?2.78) knowledge scores of 3rd year GNM students at 0.05 level of significance [t=36.05, (pless than0.05) ]. Aims and objectives of the following study: (1) To assess the pretest knowledge regarding Birthing Ball therapy on labour pain during first stage of labour among GNM 3rd year students at SIONS Bagalkot. (2) To determine the effectiveness of structure teaching programme on knowledge regarding birthing ball therapy on labour pain during first stage of labour among GNM 3rd year students at SIONS Bagalkot. (3) To find out the association between post-test knowledge score about birthing ball therapy with their socio demographic variables. Hypothesis: H1: There will be a significant difference between pre-test and post-test knowledge scores of 3rd year GNM students. H2: There will be a significant association between post test knowledge level of GNM 3rd year students.