Effectiveness of Self -Care Instructional Guideline on Maternal and Neonatal Outcomes Among Pregnant Women After Bariatric Surgery

Background: Maternity nurses had an important role in caring of post bariatric surgery pregnant
women in order to reduce different maternal and neonatal risks including nutritional deficiency, anxiety
and intrauterine growth retardation. Aim of the current study was to evaluate the effect of self-care
instructional guideline on maternal and neonatal outcomes among pregnant women after bariatric
surgery. Design: Pre-test post-test nonequivalent groups quasi-experimental design. Setting: The study
was conducted in outpatient clinic affiliated at Obstetrics and Gynecological Department at Alnamas
General Hospital affiliated at Alnamas city at Aseer Region in Kingdom of Saudi Arabia during the
period from the beginning of December 2018 till the end of August 2019. Subjects: A purposive
sample of total 120 of Primigravida women after bariatric surgery “were recruited in the current study,
they were allocated into two groups: control group included (60) Primigravida women they had
ordinary nursing care. Study group included (60) Primigravida women they had self-care instructional
guideline.” Tools: four tools were used for data collection, “General Characteristic Interviewing
Questionnaire& Knowledge Tool, Pregnant Women Self-Care Practice Assessment Tool, Maternal
Outcomes Measurements Tool and Neonatal Outcomes Measurements Tool” Results of the study
showed a highly statistically significant differences regarding knowledge and self-care practice between
study and control groups regarding self-care of pregnancy after bariatric surgery (p < 0.000) and there
was a statistically difference between two groups regarding maternal and neonatal outcomes including
anemia, antepartum hemorrhage, gestational diabetes, and postpartum hemorrhage among mother and
between intrauterine growth retardation, low birth weight and the Apgar score at the 5th minute among
neonates . Conclusion: self-care instructional guideline had a positive effect on maternal and neonatal
outcomes measurements. Recommendation: self-care instructional guideline should be provided for all
post bariatric pregnant women.