Published Paper Details:

Background of the study: Caesarean section is a maneuver to deliver the baby through a transabdominal incision in the uterus. At global level the rate of caesarean section is on the rise. India is also experiencing a rapid increase in institutional deliveries. Post operative pain is one of the most common medical complaints and has an increased prevalence amongst post caesarean mothers. Some of this may be due to the prevalence of low back pain in pregnancy and postpartum, with a Swedish study showing 72% experiencing pain during pregnancy and 43% postpartum. Postpartum numbers were lower, at 16%, with increased prevalence among those with a history of back pain, and increased disability associated with weak hip abductors, back extensors, and subjects both low back and pelvic girdle pain, that is pain near the sacroiliac joints and pelvic girdle. Muscle weaknesses in the back and hips have been postulated as a cause for this, and physical therapy showed some benefit. Problem statement: A quasi experimental study to evaluate the effectiveness of posture maintenance on reduction of disability related to pain among post caesarean mothers in selected hospitals, Agartala, West Tripura. Objectives of the study: 1. To assess the level of pain. 2. To assess the pre test level of disability related to pain after caesarean section among the post caesarean mothers in both experimental and control group. 3. To administer the techniques of posture maintenance on reduction of disability related to pain among post caesarean mothers in the experimental group. 4. To evaluate the effectiveness of posture maintenance on reduction of disability related to pain among post caesarean mothers in experimental group. 5. To compare the post test level of disability related to pain after caesarean section in between experimental and control group.6. To find out the association between the pre test level of disability related to pain among post caesarean mothers with their selected demographic variables. Methods: The research design was Quasi Experimental pre test post test control group design. The conceptual framework used for this study is based on 'King's Goal attainment theory'. Convenient sampling technique was used to select 20 samples for experimental and 20 for control group. The tools used for data collection was Visual analog scale, structured questionnaire for socio demographic data and Oswestry disability questionnaire. The reliability of the tool was 0.72, it was found reliable. Pre test was taken then the intervention i.e. posture maintenance was implemented on post caesarean mothers of experimental group after the 12 hours of cesarean section. No intervention was given to control group. Gathered data was analyzed by using appropriate descriptive and inferential statistics. Results: The findings showed that 25% in the age group of 20-25 years and 30-35 years in experimental group. 35% in the age group of 25-30 years and 30-35 years in control group. 40% in experimental group were secondary school passed and 25% in control group were higher secondary and senior basic school passed. 85% in experimental group and 70% in control group were housewife. 60% in experimental group and 75% in control group were from joint family. 65% in experimental group and 60% in control group were primipara. 85% having previous CS in both experimental and control group. 85% having disability related to pain in both experimental and control group. 85% in experimental group and 95% in control group were having previous sources of information. 100% in both experimental group and control group were getting information from health professionals. 55% in the height range of 1.50-1.60m in experimental group and 40% in the height range of 1.40- 1.50m and 1.50-1.60m in control group. 40% in the weight range of 55-60 kg and 60- 65 kg in experimental group. 55% in the weight range of 55-60 kg in control group. 60% in the BMI range of 20-25 in experimental group and 60% in the BMI range of 25-30 in control group.Among 40 post caesarean mothers 100% having severe pain during pretest in both experimental and control group. During post test 95% having mild pain and 5% having moderate pain in experimental group and 85% having mild pain and 15% having moderate pain in control group. The mean pretest score of experimental group was 28.5 and SD was 4.8. the mean posttest score was 10 and SD was 5.12."t"value was 9.05. The mean posttest score of control group was 15.25 and SD was 2.48. There were significant association between the pre test level of disability related to pain among post caesarean mothers with the age of the mothers in experimental group at 0.05 level of significance. Conclusion: The overall findings of the study clearly showed that, the posture maintenance procedure was effective in reducing the disability related to pain among post cesarean mothers.