Asian Journal of Nursing Education and Research

Barkha Devi ¹, Bidita Khandelwal ², Mridula Das ³

Affiliations
1 Sikkim Manipal University, Gangtok, Sikkim, IN
2 Department of Medicine, Sikkim Manipal Institute of Medical Sciences, Sikkim, IN
3 Sikkim Manipal College of Nursing, Gangtok, Sikkim, IN

Abstract

Persistent oblique lie is extremely rare and is frequently missed during antenatal care, despite the routine antenatal examination and obstetrics ultrasonography. An oblique lie is usually only transitory, however for either a longitudinal or transverse lie commonly result when labor supervenes. The main risk of an oblique lie is in association with preterm rupture of membranes and cord prolapsed. Abnormal lie of the fetus present the midwife with a challenge of recognition and diagnosis both in the antenatal period and during labour. The past obstetrical history and abdominal palpation may be of help. The assessment of fetal lie, position and presentation by abdominal palpation is a fundamental antenatal care skill, by which the midwife uses her hands to gently feel the position and presentation of the baby through the mother's abdomen, in order to assess which way the baby is lying in the uterus. The clinical purpose of this activity is to enable appropriate interventions to be offered and care to be planned. Here we report a rare case of persistent oblique breech with oligohydramnios and non progress of labour. This case report looks at how the art of midwifery is used as a cost effective method in screening the antenatal women at labour along with the use of sophisticated technology. Overdependence and abuse of ultrasound remains a problem and it should be emphasized that ultrasound is to complement and not a substitute to clinical judgment. The effects of ultrasound on the low-risk pregnancy need to be evaluated. The overuse of such technology can have detrimental effects, not only for the midwife but also for the woman in labour. While this technology has made a great impact in obstetric nursing.

Keywords

Oblique Lie, Abdominal Palpation, Ultrasound, Oligohydramnios, Progress of Labour.

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Mridula Das ¹, Barkha Devi ¹, Ranjita Devi ¹, Sangay Doma Bhutia ¹

Affiliations
1 Sikkim Manipal College of Nursing, Gangtok, Sikkim, IN

Abstract

The investigators assessed the knowledge and attitude of adolescent students in the school of urban and rural community. Investigator adopted the non experimental survey approach with descriptive comparative research design where 30 students from the schools of each community were selected who were within 14-19 years of age group belonging to the selected schools of rural and urban community of Sikkim studying in 11th and 12th class , who have taken commerce, science or arts as the stream of study in the academic session of 2012-2013 and who were willing to participate in the study and present at the time of data collection were included in the study. A probability cluster sampling technique was used for the selection of the district and schools from urban and rural community of Sikkim, and probability simple random sampling technique was used for the selection of the adolescent students from the selected schools of urban and rural community, Sikkim. .Validated structured questionnaire and attitude scale was used to collect the data to see the knowledge and attitude of students and compare the relationship and association. The finding of the study reveals that the knowledge of urban school students (352) found to be better than the knowledge of rural school students (319). However, the attitude score of adolescent students of urban school was lower than the rural school student. The study also revealed that there is an inverse relationship between knowledge and attitude of urban community (P<0.05) but no relationship found between knowledge and attitude in rural community (P>0.05). Regarding the association of knowledge with selected factors, it was seen with gender and stream of study in rural community and with religion in urban community as seen by x2 value (P<0.05). On the contrary, the association of attitude was seen with the gender in urban community whereas no association was seen in rural community with any selected factors. These findings have important implication for the recruitment of adolescent students into nursing.

Keywords

Knowledge, Attitude, Nursing Profession, Adolescent Students, Urban Community, Rural Community.

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