International Journal of Studies in Midwifery and Women’s Health

Primiparous Women's Understanding of Episiotomy Wound Management at Chengalpet Hospital

Abilasha M., Mythili S., Mohamed Yaseen, Mohamed Ejjas — Thu, 27 Aug 2026 00:00:00 +0000

The objective of the study is to assess knowledge of perineal self-care practices on an episiotomy wound among primiparous women and to identify the association between knowledge of perineal self-care practices and selected sociodemographic variables. During this critical recovery window, postnatal mothers routinely experience a combination of severe physical and emotional discomforts that can significantly compromise their overall quality of life. A primary driver of maternal exhaustion is acute sleep deprivation, which is continuously exacerbated by the unpredictable, round-the-clock feeding demands of a newborn infant. This baseline exhaustion is frequently worsened by external environmental factors, such as an influx of well-meaning household visitors and persistent ambient noise, both of which strip the mother of their opportunities for restorative rest. Compounding this severe fatigue is the acute, localized physical pain originating from a perineal episiotomy wound. For a first-time mother, this localized surgical discomfort transforms basic daily movements—such as sitting, walking, changing positions, and comfortably nursing the infant—into major physical challenges, heavily intensifying the psychological stress and feelings of helplessness. In developing nations like India, these universal postpartum challenges are heavily magnified by deep-rooted sociocultural barriers and systemic gender inequalities. Within these traditional family frameworks, young primiparous women often possess very limited autonomy over their own lives, finding themselves completely dependent on their husbands and older family elders for essential healthcare decisions. This lack of personal agency, combined with widespread maternal illiteracy and a lack of access to community health resources, creates a dangerous knowledge gap. Many women remain entirely unaware of the immense clinical benefits of structured postpartum hygiene. Consequently, maternal health conditions frequently deteriorate across rural communities, driven by the cumulative strain of frequent pregnancies, associated maternal illnesses, and preventable secondary infections localized at the unhealed episiotomy site. The methodology of the present study was a non-experimental descriptive research design. The sample for this study consists of 30 primiparous women with episiotomy wounds at Chengalpattu Government Hospital. A purposive sampling technique was used for the sample selection. The tools used for data collection standard tool consist of two parts: part one was socio-demographic data, and part two was perineal self-care practices on an episiotomy wound questionnaire. Descriptive statistics (frequency, percentage) and inferential statistics (Chi-square) were used to analyze the data and to test the hypothesis. To assess knowledge of perineal self-care practices on episiotomy wounds among primiparous women with their selected demographic variables. The results showed that 3(10%) had adequate knowledge on perineal self-care, 19(63%) had moderate knowledge on perineal self-care, and 8(27%) had inadequate knowledge on perineal self-care. The recording showed no significant associations between knowledge of perineal self-care practices on the episiotomy wound among primiparous women. The demographic variables showed that age (X2 =2.345), parity (X2 =0.78), educational status (X2 =1.2836), place of residence (X2 =0.993), history of present illness (X2 =3.439), birth weight of the baby (X2 =3.322), types of episiotomy (X2 =0.390), occupation (X2 =4.906) types of family (X2 =5.624), body built (X2 =2.837), indication of episiotomy (X2 = 1.661) these demographic variables showed there in statistically significant association of knowledge on perineal selfcare practices.

A Comparative Evaluation of Cabbage Leaf Application with Hot and Cold Compresses for the Management of Breast Engorgement Among Postnatal Mothers

Achsha Shiny A — Tue, 08 Sep 2026 00:00:00 +0000

Background: Breast engorgement is one of the most common postpartum breast conditions experienced by lactating mothers during the early puerperium. It is characterized by breast fullness, pain, tenderness, firmness, and edema resulting from increased vascularity and accumulation of breast milk. If not managed promptly, breast engorgement may interfere with effective breastfeeding, reduce maternal comfort, and lead to complications such as blocked ducts, mastitis, and early cessation of breastfeeding. Non-pharmacological interventions such as cabbage leaf application and hot and cold compresses are widely practiced; however, evidence comparing their effectiveness remains limited.

Objectives: The study aimed to compare the effectiveness of cabbage leaves and hot and cold compresses in the treatment of breast engorgement among postnatal mothers.

Methods: A quantitative approach with a quasi-experimental pre-test–post-test comparative research design was adopted. The study was conducted among 30 postnatal mothers with breast engorgement selected through purposive sampling from selected maternity hospitals. Participants were allocated into two groups of 15 mothers each. Group I received chilled cabbage leaf application, while Group II received hot and cold compresses according to the intervention protocol. Breast engorgement and pain were assessed before and after the intervention using the Six-Point Breast Engorgement Scale and the Numerical Pain Rating Scale. Data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (paired t-test, independent t-test, and Chi-square test).

Results: In the illustrative dataset prepared for this manuscript, both interventions were associated with reductions in breast engorgement and pain scores following treatment. Within-group comparisons showed improvement after the interventions, while the comparative analysis between the two groups demonstrated similar effectiveness. These results are presented as a sample for manuscript preparation and should be replaced with findings from the actual study before publication.

Conclusion: Cabbage leaf application and hot and cold compresses are simple, inexpensive, safe, and non-pharmacological interventions that may help relieve breast engorgement and improve maternal comfort. The study highlights the importance of evidence-based nursing interventions in promoting successful breastfeeding and improving the quality of postpartum care.

Identifying Maternal and Pregnancy-Related Factors Linked to Gestational Diabetes Mellitus in Bangladesh

Gauri Halder, Shahanaz Parveen, Mosammet Khaleda Akter, Hamida Khanam Lia — Tue, 13 Oct 2026 00:00:00 +0000

Background: Gestational Diabetes Mellitus (GDM) is a major public health concern associated with adverse maternal and fetal outcomes. Its prevalence is increasing worldwide, particularly in developing countries.

Objective: To identify risk factors associated with GDM among pregnant women attending community clinics in Bangladesh.

Methods: A descriptive cross-sectional study was conducted among 122 pregnant women at 24–28 weeks of gestation attending community clinics in Bangladesh, using convenience sampling. Data were collected through face-to-face interviews using a structured questionnaire and an initial screening form. Blood pressure, BMI, and a 50-g glucose challenge test were assessed; a 1-hour blood glucose level >11.0 mmol/L was considered diagnostic of GDM, while levels between 7.8 and 11.0 mmol/L were followed by a diagnostic Oral Glucose Tolerance Test (OGTT) according to standard guidelines. Data were analyzed using SPSS with descriptive and inferential statistics, including chi-square/Fisher’s exact tests and binary logistic regression. Statistical significance was set at p<0.05 with a 95% confidence interval.

Results: The prevalence of GDM was 17.2%. Significant associations were observed between GDM and gestational age, BMI, hypertension, irregular menstrual cycles, first-degree family history of diabetes, previous abortion, and history of a large-sized baby.

Conclusion: GDM was relatively common among pregnant women attending community clinics. Early screening, identification, and management of modifiable risk factors are essential to improve maternal and fetal health outcomes.