Development of a Maternal Care Program During Childbirth in Sisaket Province

Abstract

This research and development aimed to develop and study the outcomes of maternal care during childbirth in Si Sa Ket Province. The study was divided into 3 phases: Phase 1 was an environmental analysis, Phase 2 was a model development, and Phase 3 was an outcome evaluation. The sample consisted of 109 professional nurses/physicians who cared for maternity care in hospitals under the Si Sa Ket Provincial Public Health Office. They were randomly selected by proportional stratification and systematic sampling. The maternity medical records of 60 copies were divided into an experimental group of 30 copies and a control group of 30 copies. They were randomly selected continuously according to the specified criteria. The research instrument was a maternity care model in Si Sa Ket Province. Data were collected using a maternal care record form during childbirth, which had a validity and reliability of 1, and an outcome record form. The results were analyzed using descriptive statistics and a t-test comparative statistics.

The results of the study found that the maternity care model during labor consisted of a set of knowledge in care and a care model as follows: 1) Policy 2) Provider 3) Materials & medical supplies 4) Revise CPG 5) Referral system 5) Tele-health 6) Risk management 8) Monitoring, which had a content validity and reliability of 1. It was possible to be used at a high level of 84.15 percent. When comparing the treatment costs and the amount of blood loss after childbirth in the group receiving care according to the developed model, it was significantly lower than the group receiving care according to the original model (t= -1.71, p < .01: t=-3.15, p=.04), respectively. The maternal mortality rate and general characteristics of the infants after birth were not different, which may be due to the limited time for data collection. Therefore, it is possible to be used in practice. However, before using it, it should be adjusted to be appropriate for one's own context or the service unit.