Development of a Self-Screening Tool for Preterm Birth Risk in Pregnant Women
Keywords:
preterm birth, self-screening, research and developmentAbstract
This research and development project aimed to develop a self-screening tool for preterm birth risk in pregnant women. The study was divided into two phases: Phase 1 was an environmental analysis and literature review to develop the risk self-screening form; Phase 2 was the examination of the reliability of the developed form. The hospitals selected as data collection sited were chosen using a stratified random sampling method. The sample consisted of 35 pregnant women who received antenatal care services at a hospital under the Public Health Office of Sisaket Province. The participants were selected by consecutive sampling. Data was collected using the developed self-screening of preterm birth risk assessment which had a content validity of 1. The results were analyzed using inter-rater reliability statistics with the test-retest method.
The literature search retrieved a total of 9,487 articles from databases (PubMed 1,845 articles, CINAHL 897 articles, Scorpus 930 articles, Google Scholar 3,452 articles, Cochrane 104 articles, the certified database of Thai-Journal Citation Index Centre of Thailand 109 articles).,These articles were screened based on the inclusion and exclusion criteria, leaving 22 articles for the development of the assessment, which consisted of 33 risk factors for preterm birth, divided into 4 parts as follows: 1) general information of pregnant women, 2) chronic diseases, 3) obstetric history, and 4) history of current pregnancy. These risk factors were refined into a 28-item self-risk screening instrument that pregnant women could answer as “yes or no”, and a 5-item clinical screening form conducted by medical personnel. The result of the analysis of the reliability of the self-screening form using the Intra-class correlation coefficient statistics found that the correlation coefficient of each aspect and the whole version was equal to 1.00 (ICC = 1.00, p < .001). Therefore, it is possible to use the developed self-screening form for preterm birth risk assessment in practice by having pregnant women fill-in the self-screening assessment in order to provide appropriate care as needed and to prevent preterm birth. However, before using it, differenced in the consistency and accuracy of the screenings performed by pregnant women and health care providers should be studied to increase confidence in the screening form.
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