A Development of Care Model for Women During Labor Stage to Prevent Birth Asphyxia at Phonesawan Hospital, Nakhonphanom Province

Abstract

Objective : The purpose of this research and development was to development care model for women during labor stage to prevent birth asphyxia in Phonsawan hospital, Nakhonphanom province. Research during July 2017 to September 2018.

Materials and methods : The target population consisted of 11 staffs who were responsible for care women during labor stage consisted a medical doctor, head nurse, professional nurses. This research was divided into 3 phases: 1) Explore situation and the factors effecting of care for women during labor stage by collection of statistical data, analysis of medical records, literature review, environmental observation, in-depth interview and focus group. 2) Developed of care model for women during labor stage from the results of previous phase by focus group for development of care model 3) Evaluation phase; using the model after tryout for ten months by comparing results birth asphyxia incidence before and after the development of the model.

Result : The results showed as follows. A care of model for women during labor stage to prevent birth asphyxia consisted of: 1) the adequate and flexible nurse staffing managed 2) developed knowledge and skills of nurses for birth asphyxia 3) provided materials and equipment of care for women during labor stage and infant 4) developed effective of reporting and consultant guideline. After the model was implemented, birth asphyxia rate after development was lower than those before implementation. The incidence of 9.62 per 1,000 live born to 5.71 per 1,000 live born.

Conclusion : Studies show that A care of model for women during labor stage to prevent birth asphyxia in Phonsawan hospital, Nakhonphanom province. Can actually to prevent birth asphyxia