Objective: To identify the effectiveness of instruction oriented intervention for primipara women upon episiotomy and self
perineal care.
Methodology: A quasi-experimental study was carried out to determine the effectiveness of instruction-oriented
intervention for primipara women upon episiotomy and self-perineal care. A purposive "non-probability" sample of (60)
primipara mothers was selected from Ibn AL-Balady Pediatric and Maternity Hospital, Al-russafa, Baghdad. The sample
has been divided into two groups; (30) primipara women who were considered as a study group, and another (30) primipara
women who were considered as a control one. The study group was exposed to an instruction-oriented intervention. While,
the control group was not exposed to the intervention. A questionnaire was developed as a tool of data collection for the
purpose of the study. A pilot study was carried out to test the reliability of the questionnaire for the period from March 13th
to March 25th, 2009. Data were analyzed through the application of descriptive and inferential statistical data analysis
approach.
Results: The results have revealed that the study group participants had benefit from the implementation of instructional
intervention and dramatic change had occurred in their episiotomy and self-perineal care knowledge. The study concluded
that the majority of mothers had adequately met their needs of perineal care, cleanliness of the perineum, using ice pack,
taking a soothing bath tube, dry heat, refrain from the marital relationship (coitus), mothers nutrition to prevent
constipation, used bath room, pelvic muscle exercise, follow-up were adequately met.
Recommendations: The study recommended that the oriented instructional intervention can be presented to all pregnant
mothers who are attending the primary health care centers. Moreover, an instructional intervention might be useful if it is
constructed and implemented in the hospital for women with episiotomy.
Statistical methods and statistical decisions making were used to arrange and analyze the primary data to get norms which are used with Geographic Information Systems (GIS) and spatial analysis programs to identify the animals production and poultry units in strategic nutrition channels, also the priorities of food insecurity through the local production and import when there is no capacity for production. The poultry production is one of the most important commodities that satisfy human body protein requirements, also the most important criteria to measure the development and prosperity of nations. The poultry fields of Babylon Governorate are located in Abi Ghareg and Al_Kifil centers according to many criteria or factors such as the popu
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