Effectiveness of Program of Care for Pregnant Women at Risk for Preterm Labor on the Rates of Preterm Labor and Preterm Birth in Pathum Rat hospital, Roi-Et

Abstract

Purposes:  To evaluate the effect of a care program for pregnant women at risk for preterm labor on the rates of preterm labor and preterm births, pro-posed.

Design: Quasi-experimental research

Material and methods: The sample were pregnant women at risk of labor, premature labor. The group received 30 antenatal care services in Pathum Rat Hospital by dividing the sample into 2 groups. The experimental group of 15 received care according to the program,  control group of 15 received a manual on preterm labor and normal care. Data were collected by tracking the gestational age when pregnant, was pregnant, premature, and the gestational age at birth. The data were analyzed using frequency, percentage, mean, and standard deviation, and Z –test statistics

Main  findings: Pregnant women at risk of miscarriage, preterm labor, who have participated and did not join the program, there were no different proportions of miscarriages (p = 0.143) However, there was a different proportion of preterm births (p = 0.049), the proportion of normal delivery was 88.0% (95% CI; 0.12, 0.89) and satisfaction with the program. Overall, it was the highest (Mean = 4.60, SD = 10.4).

Conclusion and recommendations: The results of this study show that the program by providing knowledge and perception  about preterm labor, along with monitoring and visiting by phone, as a result, the proportion of normal delivery increased.