Develop the process of preventing repeated pregnancy in adolescents by participating network partners in the context of community hospitals.

Abstract

     This operational research aims to develop the process of preventing repeated pregnancies in mothers of adolescents 10-19 years old. The participants in the study include 1) 60 teenagers who came to give birth at Na Loi Hospital, 2) 3 counseling/continuous ANC staff 3) 7 delivery room staff, 4) 8 adolescent clinic staff 5.) Hospital staff. 12 cases 6) 12 VHV buddy cases, 7) 60 parents or husbands of pregnant women conducted research in Na Loi District, Maha Sarakham Province, conducted between October 2020 - September 2022.
     The results of the research found that there was a development process of 3 operating cycles based on the concept of chemistry and magtagart PAOR. There is a link to the care process between family hospitals, VHVs and hospitals. Sor, 1) Department of Maternity Care (anc) provides knowledge about family planning, pregnant women and relatives in order to participate in making the right contraceptive planning decisions, 2) Adolescent Clinic for counseling (Youth Friendly HealthServices) In the case of postpartum mothers who have not yet decided on contraception, there is still hesitation. Provide knowledge about pregnancy prevention with the phone number of the person in charge of adolescent work for pregnant mothers to open communication channels. 3) The delivery room (Labour Room) provides knowledge about family planning after giving birth with relatives. Determine the date, time, and place for contraception, family planning no more than 7 days after birth who come to check the perineum. 4) Family (Home) participates in planning contraception because the family has the power to help. Reinforced in contraception 5) Follow up on home visits with hospital staff. VHV. Because there is a page to receive information from the place after the adolescent clinic in coordination with home visits. Postpartum mothers in adolescents 7 days after giving birth Resulting in results The process of preventing repeated pregnancy in teenage mothers ANC -YFHS - LR- Family planning - home Na Loi District Did not find teenage mothers who were pregnant again.