Development of a Model for Prevention of Preterm Birth in the Hospital in Mahasarakham Province Network

Abstract

Purpose: To develop and evaluate the effectiveness of an operational model for preterm birth prevention within the hospital network of Mahasarakham Province.

Study Design: Action Research.

Materials and Methods: The target population included 1) 20 multidisciplinary team members (nurses in labor/antenatal care units and physicians) from 11 hospitals in Mahasarakham Province, and 2) 120 mothers who delivered preterm babies during the study period (December 1, 2023, to May 31, 2024). Quantitative data were collected using questionnaires and hospital databases, while qualitative data were gathered through in-depth interviews and focus group discussions.

Main Findings: The developed operational model consisted of four main components: 1) systematic screening and risk assessment, 2) health education and awareness for pregnant women, 3) multidisciplinary referral and care, and 4) continuous monitoring and evaluation. After the implementation of this model, the preterm birth rate among high-risk pregnant women showed a statistically significant decrease (p<.05). Additionally, healthcare professionals reported a high level of satisfaction with the operational model.

Conclusion and Recommendations: The developed operational model is effective in reducing the preterm birth rate in Mahasarakham Province. It can be adapted and utilized as a guideline for other hospital networks. Continuous scaling and further development are recommended to enhance its long-term effectiveness.