Efficacy of progressive muscle relaxation on stress anxiety and pregnancy outcome among primigravidae

Abstract

Title of the study: A study to evaluate the efficacy of Progressive Muscle Relaxation (PMR) on stress, anxiety and pregnancy outcome among primigravidae in a selected hospital at Chennai. Purpose: Help the antenatal mothers to cope up with psychological morbidity such as stress and anxiety during pregnancy. Objectives: The objectives of the study were to, Evaluate the efficacy of progressive muscle relaxation on stress and anxiety among primigravidae Evaluate the efficacy of progressive muscle relaxation on pregnancy outcome among primigravidae Identify the relationship between stress and anxiety with pregnancy outcome among primigravidae Associate the selected background variables with stress and anxiety among primigravidae The investigator reviewed related literature and Callista L. Roy s adaptation model (1976) was used for conceptual framework. Methodology: The research design adopted for this study was randomized controlled trial conducted at department of obstetrics, Sri Ramachandra Hospital with a sample size of 250 primigravidae , 125 in each group, allotted using lottery method of randomization. The instruments had 9 parts: Part I- Background Variables, Part II- Stress scale, Part III- State and trait anxiety inventory , Part IV- Pregnancy outcome, Part V -Maternal complications, Part VI- foetal/ neonatal complications, Part VII- Postpartum depression scale, Part VIII -Progressive muscle performance check list and Part IX -Daily performance dairy. Data were collected from the primigravidae at 21-22 weeks of gestational age, 31-32 weeks of gestational age, during delivery and 6 weeks following delivery. The progressive muscle relaxation was the intervention (video) installed on one -to- one basis for two consecutive days and issued audio cassette/ CD followed by self practice at home daily once for 10 weeks by the primigravidae, weekly reinforcement through phone and direct reinforcement during visits to antenatal clinic for the study group along with routine care, but for the control group the video was