The Effects of a Preventive Program on the Intention Behaviors to Prevent Preterm Labor and Rate of Preterm Birth

Authors

  • Thitima Karabutr Boromarajonani College of Nursing, Chainat, Faculty of Nursing, Praboromarajchanok institute
  • Sinaporn Klomyong Boromarajonani College of Nursing, Chainat, Faculty of Nursing, Praboromarajchanok institute
  • Jatupat Sripum Boromarajonani College of Nursing, Chainat, Faculty of Nursing, Praboromarajchanok institute
  • Ratchaneekorn Ngarmkhum Boromarajonani College of Nursing, Chainat, Faculty of Nursing, Praboromarajchanok institute
  • Uma Prasertsri Jainad Narendra Hospital

Keywords:

Preterm Labor, Prevention Behavior, Rate of Preterm Labor

Abstract

Preterm labor is a significant public health issue in Thailand. It is a cause of preterm birth, which results in health problems for both mothers and infants. This pretest-posttest quasi-experimental research, based on Ajzen's theory of planned behavior , aimed to evaluate the effects of a new preventive program on the intention behaviors to prevent preterm labor, as well as the rate of preterm birth.  The sample consisted of 60 pregnant women receiving antenatal care at the Narendra General Hospital of Chainat Province, from March to July 2024. Participants were selected using the inclusion criteria, then randomly divided into experimental or control group (30 participants in each group). Data were collected using a questionnaire on intention to prevent preterm labor, as well as an assessment form on behaviors to prevent preterm labor, both yielding content validity indice of 1.00, and Cronbach's alpha coefficients of .86 and .89, respectively. Data were analyzed using descriptive statistics, chi-Square test, Fisher’s exact test, and t-test. The results were as follow.

1. After receiving the program, the experimental group had a significantly higher mean score for the intention to prevent preterm labor than before receiving the program (t = 25.73, p-value < .001 and t = 58, p-value < .001, respectively).

2. After receiving the program, the experimental group had a significantly higher mean score than the control group for preterm labor prevention behavior (t = 14.88, p-value < .001 and t = 15.29, p-value < .001, respectively).

3. The experimental group also had a significantly higher rate of full-term deliveries than the control group (p < .001).

Therefore, this program can be used to promote appropriate preventive behaviors against preterm labor among pregnant women, enabling them to carry their pregnancies to full term.

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Published

2024-11-07