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Thesis Details
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TITLE
DEDICATION
DECLARATION
CERTIFICATE
ACKNOWLEDGEMENT
ABSTRACT
CONTENTS
LIST OF TABLES
LIST OF FIGURES
LIST OF ILLUSTRATIONS
1. INTRODUCTION
1.1 Back ground of the Problem
1.2 Scope and purpose of the Study.
1.3 Aim of the present study
1.4 The objectives
1.5 Definitions of the concepts used.
1.5.1 Neonate
1.5.2 Neonatal Reflexes
1.5.2.1 Babinski reflex
1.5.2.2 Grasping Reflex
1.5.2.3 Rooting Reflex
1.5.3 Maternal Stress
1.5.4 Maternal Expectation
1.5.5 Maternal Acceptance
1.5.6 Gestation period
1.5.7 Mode of delivery
1.5.8 Birth Weight
1.6 Hypotheses
2. REVIEW OF LITERATURE
2.1 Neonates
2.1.1 Definition
2.1.2 General characteristics of Neonates
2.1.3 Neonatal reflexes
2.1.4 Neonatal assessments
2.1.5 Factors influencing the neonates
2.1.6 The neonate in its Biological Context
2.1.7 Determinants of the Behaviour of the neonate
2 1.8 Evaluation of literature and position of the present study
2.2 Stress
2.2.1 Definition
2.2.2 Maternal Stress
2.2.3 Maternal stress and its effect on early child development
2.2.4 Importance of Maternal hormones for Fetal brain development
2.2.5 Evaluation of literature and position of the present study
2.3 Expectations
2.3.1 Definition
2.3.2 Maternal expectation
2.3.3 Classification of maternal expectation
2.3.3.1 Positive Expectation
2.3.3.2 Negative Expectation
2.3.4 Maternal expectation and its relation with the early child development
2.3.5 Evaluation of literature and position of the present study
2.4 Gestation period
2.4.1 Definition
2.4.2 Significance of gestation period
2.4.3 Gestation and neonates
2.4.4 Preterm neonates
2.4.5 Evaluation of literature and position of the present study
2.5 Mode of delivery
2.5.1 Definition
2.5.2 Description
2.5.2.1 Normal delivery
2.5.2.2 Breech presentation
2.5.2.3 Forceps delivery
2.5.2.4 Vaccum assisted birth
2.5.2.5 Cesarean section
2.5.3 Studies related to mode of delivery and neonates
2.5.4 Evaluation of literature and position of the present study
2.6 Gender
2.6.1 Definition
2.6.2 Gender differences and neonates
2.6.3. Evaluation of literature and position of the present study
2.7 Birth weight
2.7.1 Definition
2.7.2 Birth weight and neonates
2.7.3 Evaluation of literature and position of the present study
2.8 Maternal Acceptance
2.8.1 Definition
2.8.2 Maternal acceptance, and its significance in child development
2.8.3 Evaluation of literature and position of the present study
2.9 Reflexes
2.9.1 Definition
2.9.2 Stimulus
2.9.3 Reflex Arc
2.9.4 Ethological theory
2.9.5 Species - specific Innate behaviour
2.9.6 Bowibys theory
2.9.7 Piagets Cognitive theory
2.9.8 Evaluation of literature and position of the present study
2.10 Culture
2.10.1 Definition
2.10.2 Culture and Child development
2.10.3 Culture and Early Childhood prenatal development
2.10.4 Evaluation of literature and position of the present study
3. METHOD OF INVESTIGATION
3.1. Nature of study
3.2. Design of study
3.3. The sample
3.3.1. Selection of sample
3.3.2. Area chosen for the study
3.3.3. Characteristic of the sample
1. Diagrammatic representation of the selected sample
3.4. The tools
3.5. Making of the Tools
3.5.1. Construction of the Questionnaires
3.5.1.1. Collection of statement
3.5.1.2. Editing of statement for the present scale
3.5.1.3. Pre-testing
3.5.1.4. Determination of scoring weights
3.5.1.5. Scoring of the items of the scales
3.5.1.6. Analysis and Editing of items based on pretest
3.5.1.7. Reliability of the scales
1. Reliability coefficient of the scales
3.5.1.8. Validity of the scales
3.5.1.8.1. Face validity
3.5.2. Neonatal Reflex Test
3.5.2.1. Rationale for using neonatal Reflex test
3.5.2.2. Preliminary study
3.5.2.2.1. Inter-observer Agreement Method
3.5.2.3. Reliability and validity of Neonatal reflex test
2. Reliability coefficient of the Neonatal tests
3.6. Pilot study
3. Difference between the two trial of the Neonatal tests
4. Reliability coefficient of the pilot study
3.7. Description of the tools
3.7.1. Tool I: Maternal stress scale
3.7.1.1. Administration of the tool
3.7 1.2. Scoring Pattern
3.7.2. Tool 11: Maternal Expectation Scale
3.7.2.1. Administration of the tool
3.7.2.2. Scoring Pattern
3.7.3. Tool III: Maternal Acceptance Scale
3.7.3.1. Administration of the tool
3.7.3.2. Scoring Pattern
3.7.4. Tool IV: Neonatal Reflex Tests
3.7.4.1. Administration of the tool
3.7.4.2. Scoring Pattern
3.8. Main study
3.8.1. Collection of data for main study
3.8.1.1. Session 1
3.8.1.2. Scoring
3.8.1.3. Session 2
l. Photograph showing a neonate exhibiting Babinski reflex (Experiment No.1)
2.Photograph showing a neonate exhibiting Grasping reflex (Experiment No.2)
3.Photograph showing a neonate exhibiting Rooting reflex (Experiment No.3)
3.8.1.4. Scoring
3.8.1.5. Session 3
3.8.1.6. Scoring
3.9. Statistical Techniques
4. Results
4.1 Correlation between the study variables
4.1.1. Correlation between Neonatal reflexes and Maternal factors.
5. Correlation of Neonatal reflexes and study Variables
2. Figure showing the correlation between Neonatal Reflexes and Maternal Stress
4.1.1.1 Correlation between Neonatal reflexes and Maternal stress.
4.1.1.2. Correlation between Neonatal reflexes and Maternal Expectation.
4.1.1.3. Correlation between Neonatal reflexes and Maternal Acceptance.
4.1.1.4. Correlation between Neonatal reflexes and Birth weight.
3. Figure showing the correlation between Neonatal Reflexes and Birth Weight
4.1.2. Correlation among the study variables.
6. Correlation among the Variables
4. Figure showing the correlation between Maternal Stress and Maternal Expectation
4.1.2.1. Correlation between Maternal stress and Maternal Expectation
4.1.2.2. Correlation between Maternal stress and Maternal Acceptance.
4.1.2.3. Correlation between Maternal stress and Birth weight of Neonate
4.1.2.4. Correlation between Maternal acceptance and Maternal Expectation
4.1.2.5. Correlation between Birth weight of Neonates and Maternal Expectation.
4.1.2.6. Co-relation between Birth weight of Neonates and Maternal Acceptance.
4.2 Comparative Analysis of the Data of Neonatal Reflexes.
7. Comparison of the Reflexes of Kerala and Bahrain Neonates
5. Comparison of the Neonatal Reflexes of Kerala and Bahrain Neonates
4.2.1. Comparison of the reflexes of Kerala and Bahrain Neonates.
4.2.1.1. Comparison of reflexes of term Neonates bona in Kerala and Bahrain.
4.2.1.2 Comparison of reflexes of Normal delivered term Neonates born in Kerala and Bahrain
4.2.1 3. Comparison of reflexes of caesarean delivered term Neonates born in Kerala and Bahrain.
8. Comparison of Reflexes based on Gestation period
6. Comparison of the Neonatal Reflexes based on Gestation Period
4.2.2. Comparison of Neonatal reflexes based on the gestation period.
4.2.3. Comparison of Neonatal reflexes based on mode of delivery.
9. Comparison of Reflexes based mode of delivery
7. Comparison of the Neonatal Reflexes based on Mode of Delivery
10. Comparison of Reflexes based mode of gender
8. Comparison of the Neonatal Reflexes based on Gender
4.2.4. Comparison of Neonatal reflexes based on gender.
4.3 Comparison of Maternal factors of Kerala and Bahrain.
11. Comparison of Maternal factors of Bahrain and Kerala
9. Comparison of Maternal Factors of Kerala and Bahrain
5. Discussion
5.1 Section I - Correlation between the study variables.
5.1.1. Correlation between Neonatal reflexes and Maternal factors.
5.1.1.1. Correlation between Neonatal reflexes and Maternal stress.
5.1.1.2 Correlation between Neonatal reflexes and Maternal Expectation.
5.1.1.3. Correlation between Neonatal reflexes and Maternal Acceptance.
5.1.1.4. Correlation between Neonatal reflexes and Birth weight.
5.1.2. Correlation among the study variables.
5.1.2.1. Correlation between Maternal stress and Maternal Expectation
5.1.2.2. Correlation between Maternal stress and Maternal Acceptance.
5.1.2.3. Correlation between Maternal stress and Birth weight
5.1.2.4. Correlation between Maternal acceptance and Maternal Expectation
5.1.2.5. Correlation between Birth weight and Maternal Expectation.
5.1.2.6. Correlation between Birth weight and Maternal Acceptance.
5.2 Section -- 2 - Comparative Analysis of the data of Neonatal Reflexes.
5.2.1. Comparison of the reflexes of Kerala and Bahrain Neonates.
5.2.1.1. Comparison of reflexes of term Neonates born in Kerala and Bahrain.
5.2.1.2 Comparison of reflexes of Normal delivered term Neonates born in Kerala and Bahrain
5.2.1.3. Comparison of reflexes of caesarean delivered term Neonates born in Kerala and Bahrain.
5.2.2. Comparison of Neonatal reflexes based on the gestation period.
5.2.3. Comparison of Neonatal reflexes based on mode of delivery.
5.2.4. Comparison of Neonatal reflexes based on gender.
5.3 Comparison of Maternal factors of Kerala and Bahrain.
6. Summary and Conclusion
6.1. The problem for investigation
6.2. Objectives
6.3. Hypothesis
6.4 Definition of the concepts
6.4.1. Neonate
6.4.2. Neonatal reflexes
6.4.2.1. Babinski reflex
6.4.2.2. Grasping reflex
6.4.2.3. Rooting reflex
6.4.3. Maternal stress
6.4.4. Maternal expectations.
6.4.5. Maternal acceptance
6.4.6. Gestation period
6.4.7 Mode of delivery
6.4.8 Birth weight
6.5. The sample
6.6. The tools
6.7. Collection of Data for the main study
6.8. Treatment of Data
6.9. Results
6.10. Conclusion
6.11. Problems faced by the investigator
6.12. Suggestions and general recommendations
6.13. Implication of the present study.
BIBLIOGRAPHY
APPENDIX -I PROFORMA
APPENDIX -II OBSERVATION SCHEDULE
APPENDIX - III MATERNAL STRESS - SCALE
APPENDIX - IV MATERNAL EXPECTATION - SCALE
APPENDIX - V MATERNAL ACCEPTANCE SCALE (POST NATAL SELF-TEST)
APPENDIX - VI