Effects of a Preterm Birth Prevention Program on Preterm Birth Perception and Behaviors to Prevention of Preterm Birth among Pregnant Women with Low Risk

Main Article Content

Sudarat Thepbuddee
Thiwawan Thepha

Abstract

This quasi - experimental study was two groups, pretest - posttest design, aimed to examine the effects of a preterm birth prevention program on perception and behaviors to prevention of preterm birth among pregnant women at low risk. The sample group, totaling 52 individuals, was divided into two groups of 26. The intervention group received a preterm birth prevention online program. The research instruments were online forms included in the general information questionnaire, the preterm birth perception questionnaire, and the preterm birth and preterm labor prevention behaviors questionnaire. Instruments were verified, obtaining a content validity index 1.00 for all and Cronbach’s alpha coefficient values of .786 and .704, respectively. Data were analyzed using descriptive statistics, Chi - square, Fisher exact test, paired t-test, independent t-test, Wilcoxon test, and Mann - Whitney U test.


Research findings revealed that the program significantly increased the average score of perception of preterm birth in the intervention group compared to pretest (p-value < .05) and compared to the control group (p-value < .05). Additionally, the average score of preventive behaviors of preterm birth were significantly higher in the intervention group compared to pretest (p-value < .05), but no significant difference was found compared to the control group. Moreover, the program also significantly assisted stress management in the intervention group compared to the control group (p-value < .05). These findings indicate that the program can enhance preterm birth perception and preventive behaviors of preterm birth, particularly in stress management. Therefore, midwives should provide information on preterm birth and emphasize stress management for all pregnant women.

Article Details

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1.
Thepbuddee S, Thepha T. Effects of a Preterm Birth Prevention Program on Preterm Birth Perception and Behaviors to Prevention of Preterm Birth among Pregnant Women with Low Risk. KJN [Internet]. 2024 Dec. 29 [cited 2025 Jan. 8];31(2):340-54. Available from: https://he01.tci-thaijo.org/index.php/kcn/article/view/272768
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Research Articles

References

Kaewsiri P, Hemadhulin S, Ansook P, Naosrisorn P. The empowerment of pregnant women to prevent the risk of preterm labor: nurse’s roles. Srinagarind Medical Journal 2020;35(2):238-45. (in Thai)

Centers for Disease Control and Prevention. Preterm birth [Internet]. 2021 [cited 2021 Dec 5]. Available from: https://kku.world/0mdzq

Kaeonoi A, Phumonsakul S, Gerdprasert S. Factors related to health promoting behaviors and gestational age at birth of pregnant women at risk of preterm birth. Ramathibodi Nursing Journal 2018;24(3):264-78. (in Thai)

Saengtaweesin W, Boonkasidecha S, Kanjanapattanakul W, Horpaopan S. Preterm. In Makornsan C, editor. Thailand medical services profile 2011-2014. Nonthaburi: Department of Medical Services; 2014. p. 1-21. (in Thai)

Ohuma EO, Moller AB, Bradley E, Chakwera S, Hussain-Alkhateeb L, Lewin A, et al. National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis. The Lancet 2023;402(10409):1261-71. doi: 10.1016/S0140-6736(23)00878-4.

Chawanpaiboon S, Vogel JP, Moller AB, Lumbiganon P, Petzold M, Hogan D, et al. Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis. The Lancet Global Health 2019;7(1):e37-46. doi: 10.1016/S2214-109X(18)30451-0.

Ministry of Public Health. HDC - report [Internet]. 2021 [cited 2021 Dec 4]. Available from: https://hdcservice.moph.go.th/hdc/reports/report.php?source=pformated/format1.php&cat_id=1ed90bc32310b503b7ca9b32af425ae5&id=ecdbfc8b4725386c34623ce99f0f4b8d (in Thai)

Bureau of Official Inspection. Ministry of Public Health’ inspection plan 2018. Nonthaburi: Ministry of Public Health; 2018. (in Thai)

Laelago T, Yohannes T, Tsige G. Determinants of preterm birth among mothers who gave birth in East Africa: systematic review and meta-analysis. Italian Journal of Pediatrics 2020;46(1):10. doi: 10.1186/s13052-020-0772-1.

Vogel JP, Chawanpaiboon S, Moller AB, Watananirun K, Bonet M, Lumbiganon P. The global epidemiology of preterm birth. Best Practice and Research Clinical Obstetrics and Gynaecology 2018;52:3-12. doi: 10.1016/j.bpobgyn.2018.04.003.

Noosing J, Siriarunrat S, Tachasuksri T. Relationships between lifestyle factors and premature labor among pregnant women. Thai Red Cross Nursing Journal 2021;14(1):226-40. (in Thai)

Chaiyingcheaw K, Anusornteerakul S, Ungpansattawong S. The relationship between perception of preterm labour and prevention behavior among women of advanced maternal age. Nursing Journal of the Ministry of Public Health 2017;26(3):196-207. (in Thai)

Suwannasan A, Rujiraprasert N. Perception and preventive behaviors of recurrent preterm labour among pregnant women after hospital discharge. Journal of Nursing and Health Care 2019;37(2):93-102. (in Thai)

Nuiman T. Effect of empowerment program on behaviors for prevention of preterm labour among muslim teenage pregnant women [Dissertation]. Songkla: Prince of Songkla University; 2011. (in Thai)

Mekchay P. The effects of a program to promote adaptation in combination with husband support on preterm labour preventive behaviors among pregnant women with preterm labour pain [Dissertation]. Songkla: Prince of Songkla University; 2012. (in Thai)

Abd-Elhakam EM, Ramadan EA, El-Houfey AA, El haliem Said SA. Effect of an educational program based on health belief model on prevention of preterm birth among newly pregnant women. International Journal of Management 2020;11(10):1029-45. doi: 10.34218/IJM.11.10.2020.093.

Rosenstock IM. Historical origins of the health belief model. Health Education Monographs 1974;2(4):328-35.

Abraham C, Sheeran P. The Health Belief Model. In. Mark Conner PN, editor. Predicting and Changing Health Behavior. 3th ed: McGraw-Hill; 2015. p.30-68.

Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 8th ed. Philadelphia: Lippincott Williams and Wilkins; 2008.

Shahnazi H, Sabooteh S, Sharifirad G, Mirkarimi K, Hassanzadeh A. The impact of education intervention on the health Belief model constructs regarding anxiety of nulliparous pregnant women. Journal of Education and Health Promotion 2015;4:27. doi: 10.4103/2277-9531.154120.

Boonyaporn T, Jantarasiew B, Noodang J. Factors that influence pregnant women with preterm labor’s decision making for hospital admission. Chonburi Hospital Journal 2019;44(3).217-26. (in Thai)

Sah S. Factors influencing perception [Internet]. 2022 [cited 2022 Nov 1]. Available from: https://benchpartner.com/factors-influencing-perception-ob

Petcharak K, Intharueang U, Chitjumnong F. The relationship between perception of preterm labour and prevention behavior among women of post partum. Medical Journal of Srisaket Surin Buriram Hospitals 2019;34(1):87-100. (in Thai)