The results of family participation on childbirth and quality antenatal care to preterm birth at Health Promoting Hospital, Health Promotion Center 1, Chiang Mai

Abstract

because it is one of the leading causes of infant morbidity and mortality. Preterm births are approximately 10 percent of pregnancies from premature birth data of health promotion hospitals, Health Promotion Center 1, Chiang Mai, 2014 to 2016 were 8.15 %, 8.34 % and 9.04 %. Almost of preterm births is unknown origin; 25% cause by mothers and infants and 75% cause by spontaneous premature birth or cofactors ; such as age, weight, smoking, hard work and stress, etc. Therefore, researcher had idea to do this research “The results of family involvement in prenatal care of preterm birth in health promoting hospital, Health Promotion Center 1, Chiang Mai”.
The purpose of this study was to investigate the results of family participation on childbirth, antenatal quality care to preterm birth at health promoting hospital, Health Promotion Center 1, Chiang Mai. Retrospective analytic study was used; 5,370 pregnant women who delivered between October 1, 2014 to September 30, 2016, exclusion criteria on incomplete data. There were analyzed 4,940 samples. Data were analyzed to compare the number and percentage of preterm births between family group; 1) participate on childbirth, 2) antenatal quality care 3) participate on childbirth, antenatal quality care 4) non participate on childbirth, antenatal quality care . The result found that there had statistically significant (p <.01) difference preterm birth rate between 4 groups. The family group participate on childbirth and antenatal quality care had lowest preterm birth 3.25% and antenatal quality care 5.88% while the family did not participate on childbirth, antenatal quality care had preterm infants 11.33%. The result of control variable; age, occupation and pregnancy sequence by multiple log regression analysis found that the group of antenatal care quality and participate on childbirth could reduced preterm birth rates compared with non-participate group were significantly at 0.01 level.(RR = 0.51, 95% CI = 0.40-0.66, RR = 0.28, 95% CI = 0.19-0.41). Family members were participate on childbirth compared with non participate on childbirth and no antenatal care quality were not significant