Browsing by Author "Bharati, Mamata"
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Publication Contributing Factors on Utilization of Postnatal Care Services among the Mothers of a Rural Municipality(Institute of Medicine, 2022) Parajuli, Bimala; Singh, Shreejana; Bharati, Mamata; Tandukar, Bimala; Maharjan, Reena; Bhandari, SushilaABSTRACT Introduction: The postnatal period is a period of adjustment for both the mother and her new family member. This is a critical stage because a large proportion of maternal and neonatal deaths occur during the postnatal period. This study aimed to identify the factors that influence mothers' use of postnatal care services. Methods: Descriptive cross-sectional study was conducted among 163 mothers with children aged eight days to less than one year. The data was collected through face-to-face interviews using a semi-structured interview schedule using a non-probability purposive sampling technique. SPSS version 20 was used to analyze the data, which was then described using descriptive and inferential statistics. Results: Only 10.4% had received full postnatal care services within seven days following last childbirth. There was a significant association with respondents' education level (p-value = 0.03), history of abortion (p-value = 0.005), importance of PNC at the ANC checkup (p-value = 0.001), place of delivery (p-value = 0.004), duration of hospital stay (p-value <0.001), and health complications during recent childbirth (p value= <0.001). In binary logistic regression analysis, it showed that respondents' education more than secondary 4.6 times than up to secondary and duration of hospital stay more than 24 hours 85.5 times more than less than 24 hours were more likely to fully utilize the postnatal care services. Conclusion: Despite the accessibility and availability of postnatal care services, the level of utilization is low. Respondents fully utilize the first postnatal service but do not use the full package as recommended by protocol. Keywords: Postnatal care, postnatal period, postnatal service usePublication Effect of Music Therapy on Intensity of Labor Pain among Primigravid Mothers admitted in a Tertiary Level Hospital(Nepal Health Research Council, 2023) Gautam, Samjhana; Chalise, Gita Dhakal; Bharati, Mamata; Shrestha, SaralaAbstract Background: Childbirth is a most welcomed and positive life experience for the majority of women, despite the pain. Most of them manage it well with minimal assistance while few of them require some intervention to reduce the pain. The objective of this study was to find out the effect of music therapy on intensity of labor pain among primigravid women. Methods: A quasi-experimental pre-test post-test non-equivalent control group design was used. Sample consisted of 42 primigravid women admitted in labor room of a teaching hospital in Kathmandu. The intensity of labor pain was measured using Visual Analogue Scale and Behavior Rating Scale in latent and active phase of labor in both experimental and control groups. Then 30 minutes of music therapy was provided to the experimental group in the latent and active phase of labor. The post-test was carried out in both groups after the music therapy to experimental group during the latent and active phase using the same instruments. The collected data was entered in Statistical Package for Social Sciences version 16. Descriptive statistics and inferential statistics were used to describe the findings. Findings: The mean difference of total pain between experimental and control groups during latent phase was 1.9 (t=2.31, p=0.023) in pre-test and 6.57 (t=3.91, p=0.000) in post-test. The mean difference of total pain between experimental and control groups during active phase was 1.00 (t=1.08, p=0.286) during pre-test and 6.95(t=3.744, p=0.001) during post-test. Conclusions: Music therapy tends to reduce labor pain both during the latent and active phase of labor.Publication Fear and Experience of Childbirth among Primiparous Women(Nepal Health Research Council, 2024) Pokhrel, Prajnya; Bharati, Mamata; Bhandari, SushilaBackground: The fear of childbirth is the feeling of fearfulness, anxiety or worry among women in relation to pregnancy and childbirth process which influence their experience of childbirth which is the subjective feeling of sadness or joyfulness regarding childbirth. The main objective of the study was to identify the relationship between fear and experience of childbirth among primiparous women. Methods: A descriptive cross-sectional study was done where non probability, purposive sampling technique was used to select a sample of 133 primiparous women attending Paropakar Maternity and Woman’s Hospital having term pregnancy (37-42 weeks of gestation) without any complications and willing to participate in the study. Data were collected through interview technique. Fear of childbirth was assessed by using standard Wijma Delivery Expectancy/ Experience Questionnaire (WDEQ) and experience of childbirth was assessed by using Childbirth Experiences Questionnaire (CEQ). Data analysis was done by using descriptive statistics like frequency, mean, percentage and standard deviation and inferential statistics i.e. Pearson’s correlation and chi square test in Statistical Package for Social Sciences version 16. Results: The study revealed that fear and experience of childbirth were negatively correlated (r= -0.254). The majority of the respondents (64.7%) had a moderate level of fear of childbirth. Most of the respondents (80.5%) had a positive experience of childbirth. Conclusions: This study concludes that there is negative relationship between the fear of childbirth and its experience. Women having higher fear of childbirth have less positive experience of childbirth. Keywords: Childbirth; experience of childbirth; fear of childbirth; mode of delivery.Publication Undergraduate Medical Science Students' Positive Attitude towards Online Classes during COVID-19 Pandemic in a Medical College: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Chalise, Gita Dhakal; Bharati, Mamata; Bajracharya, Jayendra; KC, Ambu; Pradhan, Subhadra; Adhikari, Bibhav; Shrestha, ManoranjanAbstract: Introduction: The outbreak of COVID-19 led to lockdown, which in turn led to the closure of schools and colleges. This situation created an opportunity to transform the conventional learning methods into an online or virtual method using various digital platforms. Nepalese Army Institute of Health Sciences started online classes as an alternative way to resume education during this pandemic. Therefore, this study aims to identify the prevalence of medical science students with a positive attitude towards online classes during the COVID-19 pandemic in a medical college of Kathmandu, Nepal. Methods: The study was conducted among 513 students using descriptive cross-sectional study design who were currently studying Bachelor of Medicine, Bachelor of Surgery, Proficiency Certificate Level Nursing, Bachelor of Science in Nursing, and Bachelor of Nursing Science under the Nepalese Army Institute of Health Sciences. Data was collected from June-July 2020 through an online self-administered questionnaire using Google forms. The results were presented through frequency, percentage, mean, and standard deviation. Results: In this study, 112 (87.5%) Bachelor of Science in Nursing, 189 (83.6%) Bachelor of Medicine, Bachelor of Surgery, and 63 (82.9%) Bachelor of Science in Nursing students had a positive attitude towards online classes, while 51 (61.5%) of Proficiency Certificate Level Nursing students had a negative attitude towards it. Conclusions: Most bachelor-level students had a positive attitude towards online classes. With a positive attitude, students’ participation and adaptability in online classes will be high, resulting in better academic performance.