A Quasi Experimental Study to Assess the Effectiveness of Early Suckling on Maternal and Neonatal Outcome during Third Stage of Labour at DMM Hospital, Chennai.

This chapter presents the summary implication and recommendation that would create a evidence based approach to the midwives and envelope nurse lead midwifery care. The study focused on effectiveness of early suckling on maternal and neonatal outcome. The study was conducted in the labour room of DMM hospital, Sowkarpet, Chennai. The Quasi experimental design was used for the study. The investigator adopted a directional hypothesis which states that mothers who received early suckling during labour will have significant difference in the maternal and neonatal outcome. Related literatures enabled base for the study regarding early suckling and maternal and neonatal outcome. The conceptual model Widenbach’s model of helping art theory was applied Pilot study was done to confirm the feasibility of the study. Following prior permission from the hospital committee and verbal consent from the samples, data was collected. Observation technique was used for data collection. Observation from each mother was collected by the investigator, personally, by using a questionnaire which had two sections comprising of demographic variable maternal and neonatal outcome variables. The samples were identified by convenient sampling technique and a post test was conducted during third stage of labour. Based on the objectives, the data was analysed by descriptive and inferential statistics. MAJOR FINDINGS: ❖ In the experimental group mothers majority of 22 (73.33%) were between the age group of 26 to 30 years, and majority of 29 (96.67%) were had spontaneous Labour progress with minimal aid. Regarding second stage of Labour, experimental and Control group mothers, all the 60 mothers (100%) were got the duration of (15 to 30) minutes. ❖ In the experimental Group majority of 30 (100%) of the all the newborns were effectively suckling without disturb. And majority of 27 (90%) of the newborns were maintaining good flexion. Regarding body temperature in majority of 25 (86.67%) of the newborns were maintaining 95O to 96Of. ❖ There is a significant difference between the post test level of maternal outcome between the experimental and control group at p < 0.001 level (t value = 11.825***). ❖ There is a significant difference between the post test level of neonatal outcome between the experimental and control group at p < 0.001 level (t value = 13.096***). ❖ Total duration of second stage of labour had shown statistically significant association with placental separation at p < 0.01 level. ❖ Labour progress had shown statistically significant association with newborn body temperature in the experimental group at p < 0.01 level. ❖ Neonatal bonding is significant with hemoglobin level of the mother, at p < 0.01 level. NURSING IMPLICATIONS: The nurse midwives can play an important role in initiation of early suckling, Since this method is cost effective and highly possible resource this method must be initiated by nurses to provide the mother and newborn with numerous benefits of the nature. NURSING EDUCATION: Though initiation of early suckling is in the theory it is not practiced, this is the right time to include non-pharmacological techniques like early suckling in the nursing curriculum which equip the nursing students with the necessary skills in teaching the same to the other. NURSING SERVICE: Midwives should take privilege to make the labour process as natural and enhance early suckling and reduce unnecessary oxytocin usage. Early suckling during labour performs to be one of the future midwife-led care models. This policy should be inculcated among all the midwifery staff and students. In service education programme should be conducted for the midwive on the various benefits of early suckling. NURSING ADMINISTRATION: Nurse administrators should motivate the midwives to give importance to early suckling to improve the maternal and neonatal well being. Early suckling is a simple cost effective method to steer up the physical and emotional well being of the mother. Nurse administrators should facilitates evidence based practice in relation with early suckling. NURSING RESEARCH: Initiation of early suckling is fast outweighing the concept of nonpharmacological as well as simple method which can be effectively carried out by midwives. As a nurse researcher we should take privilege to motivate the nurses in initiating early suckling which yields numerous benefits to mother and newborn. RECOMMENDATIONS: ❖ Same study can be done including the effect of early suckling on milk secretion during postnatal period. ❖ Comparative study can be done between nipple stimulation technique and early suckling. ❖ This study can be done in any one particular independent variable in increasing sample