The Effects of a Midwifery Continuity of Care Program Using the Line Application on Behaviors to Prevent Preterm Birth and Gestational Age at Birth of Pregnant Teenagers in Urban Area
Keywords:
Continuity of Care, Line Application, Preterm Birth, Teenage PregnancyAbstract
This randomized control trial (RCT) research aimed to study the effects of a midwifery continuity of care program with the use of line application on behaviors to prevent preterm birth and to improve gestational age at birth in pregnant teenagers living in urban areas. The sample included 64 prime gravidarum teenage pregnant women who received prenatal care at antenatal care unit, Faculty of Medicine Vajira Hospital in Bangkok. They were divided into an experimental group and control group (32 participants/group). The experimental group received midwifery continuity of care with the use of line application program and routine nursing care. While the control group only received routine nursing care. Data were collected using questionnaires on behaviors to prevent preterm birth and gestational age at birth record. The research instrument was examined for content validity by qualified experts, yielding values of .82. The Cronbach’s alpha coefficient was equal to .85. Data were analyzed by using descriptive statistics, t-test statistics, and analysis of covariance (ANCOVA). The results were as follows.
1. The mean score of behaviors preventing preterm birth in the experimental group, after receiving the midwifery continuity of care with the use of line application program, was statistically significantly higher (M = 103.81, SD = 11.92) than before receiving the program (M = 91.53, SD =10.43) at the p-value of .01.
2. The mean score of the behaviors preventing preterm birth in the experimental group, after receiving the midwifery continuity of care with the use of line application program was statistically significantly higher (M = 103.81, SD = 11.92) than the control group (M = 94.84, SD = 9.47) at the p-value of .01.
3. The mean score of gestational age at birth in the experimental group, after receiving the midwifery continuity of care with the use of line application program was statistically significantly higher (M = 39.27, SD = 0.81) than the control group (M = 38.61, SD = 0.86) at the p-value of .01.
To prevent preterm birth, midwives and the healthcare teams should consider applying the midwifery continuity of care with the use of line application program for pregnant women in other groups, not limited to pregnant teenagers, who are at risk of preterm birth.
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