Development process of High Risk Pregnancy Udon Model 7 step Health Promoting Hospital Udon Thani Province

Abstract

Abstract

This action research was conducted in order to develop and evaluate the effectiveness of the care process called the High Risk Pregnancy Udon Model 7 steps in screening and taking care of high-risk pregnant women. 50 committees of the maternal and child health board, 200 nurses, medical staffs and 95 pregnant women were recruited by randomized sampling and included in the study. Focused group discussion and multiple-choice exam were used to collect data during May 2020 to May 2021. Qualitative data were presented as frequency, percentage, standard deviation and analyzed with Paired t-test using Cronbach’s Coefficient of alpha 0.86.

The High Risk Pregnancy Udon Model 7 steps care process were effective and accordance to the high risk pregnancy problem as shown in the results that it associated with decreased maternal death rate by 17.65 deaths per 100,00 births. Capabilities and understanding of high risk pregnancy care were improved as shown by the score were significantly higher when compare pre and post training, (p-value <0.01). Pregnant women were very satisfied with the care process, mean satisfactory score was 4.68. The study encouraged those the medical staffs should improve the screening and referral system of high pregnancy cases. Further studies should focus on developing caring process for cases of pregnant women with corona virus 2019 infection and drug addiction

Keywords: High risk pregnancy, care process, Tambon health promoting hospital