Development of a care system for pregnant women at risk of premature birth in the antenatal care department of Luang Por Koon Parisuttho Hospital.

Abstract

     This research was action Research aimed at developing a care system for pregnant women at risk of preterm labor at Luang Pho Khun Parisuttho Hospital. The D-M-E-T-H-O-D framework was applied together with follow-up telephone calls and structured health education. The sample consisted of 25 pregnant women with gestational ages between 28 and 36 weeks and 6 days, purposively selected. The research instruments included a general information record form, a knowledge assessment form, and satisfaction questionnaires for both pregnant women and nurses. Content validity was confirmed, and reliability yielded a Cronbach’s alpha coefficient of 0.83. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation.

     Results showed that the mean gestational age at delivery increased from 34.2 weeks to 36.0 weeks, and the rate of readmission decreased. The average knowledge score increased from 6.1 to 8.7 points after participation. Pregnant women reported high satisfaction with the system (88.0%), and nurses reported high satisfaction (96.0%).