Development of a care model for pregnant women to prevent premature Labor in Sakon Nakhon Province.

Abstract

     This action research aims to study the pattern and results of developing a care model for pregnant women to prevent premature birth. Sakon Nakhon Province. The sample group consisted of pregnant women who received prenatal care services at service centers in the pilot areas of 5 districts: Mueang Sakon Nakhon, Kusuman District, Kut Bak District, Sawang Daen Din District and Phon Na Kaeo District. During the period 22 August 2020 - 20 August 2021, Number of people 50 people. Purposive Sampling and qualified according to specified criteria. The tools used to collect data include a general information questionnaire, a knowledge assessment for pregnant women to prevent premature birth, and a screening form for risk factors for premature birth. Data analysis: General information and risk factors used percentage values, premature birth prevention knowledge scores used averages, standard deviations. Compare before and after participating in the activity using paired t-test statistics.
     The results of the study found that, Sample group of pregnant women There are 3 top risk factors: work hard 24%, Stress 16%, History of premature birth 12%, The most common additional factors are: Have chronic health problems such as DM, HT Anemia, BMI 10 percent more or less than normal, after participating in the activity, the mean knowledge score on prevention of premature birth increased from 7.52 (SD =1.501) to 9.28 (SD= .858), significantly different at the .05 level. and the 5 pilot districts had a decrease in premature births in 3 districts: Kusuman District, Sawang Daen Din District. and Kut Bak District, 13.33 percent, 10.64 percent, and 8.15 percent decreased to 8.15 percent, 7.65 percent, and 5.56 percent, respectively.