ACKNOLWEDGEMENT Gratitude is the inward feeling of kindness received. Thankfulness is the natural impulse to express that feeling.

Thanks giving are the following of that impulse. Any accomplishment requires the effort of many people. Though only my name appears on the cover of this dissertation, a great many people have contributed to its production, a great many people have contributed to its production, I awe my gratitude to all those people who have made this dissertation possible and because of whom my graduate experience has been one that I will cherish forever. First of all I praise and thank the lord of all I praise and thank the lord almighty with all my strength for his constant love, protection, guidance and blessings, throughout my study. I will proclaim his greatness forever. He is the source of all life. I wish to express thanks to Mr. Tom Sebastian, chairman, Sushrutha College of Nursing. For his support throughout the course of this study. I am expressing my gratitude, to Prof A. Nagarajan, Principal, Sushrutha College of Nursing. I am grateful to him and heartfelt thanks for his constant guidance and encouragement throughout this study. I am expressing my gratitude highly thankful to Mrs. Mohana L. HOD of Obstetric and Gynecological Nursing. Sushrutha College of Nursing for her guidance and support throughout my study. I am highly obliged to all the faculties of Master of Science in Nursing program, especially to Mr. Jebin.T, Mrs. Devika S, Sushratha College of Nursing for their constructive contribution.

I express my sincere thanks to all the experts in the field of obstetric and Gynecological Nursing for validating the content of the tool and providing valuable suggestion., especially Mrs. Lalitha H, Govt College of Nursing. My deep gratitude to medical officer and all the partners of Hillside Hospital , Bangalore for permitting to conduct the study and I thank all the staff members of Hillside Hospital for their corporation. I wish to express my thanks to Prof Jeenath Justin, statistician, Bangalore for helping in the statistical analysis of data. I sincerely thank Mrs. Shashikala, librarian of Sushrutha College of Nursing for the valuable help in selecting journal/book during reference work. I am grateful to my parents Mr. Markandaiah R and Mrs Vasantha, my in-laws Dr. S. Bheemappa & Mrs. S.N. Chandramma. I thank my husband Dr. S.B. Harish Babu for their undivided support and interest who inspired my and encouraged me to go my own way in each & every step of my life and carrier, without who I would be unable to complete my dissertation. I express my deepest thanks to all my participants for their co-operation for this study. I would like to express my greatest gratitude to the people who have directly or indirectly helped & supported me throughout my dissertation.

Place:- Bangalore Date:

Signature of Candidate (Mrs. Anitha N M)