Impact of Structured Nurse-Led Intervention on Maternal Knowledge, Practices, and Labour Outcomes in High-Risk Pregnancy
DOI:
https://doi.org/10.63682/jns.v13i1.8772Keywords:
High-risk pregnancy, Nurse-led intervention, Antenatal education, Maternal knowledge, Labour outcomes, Maternal practices, Structured teaching, Pregnancy complicationsAbstract
Background: Many high-risk pregnancies result in negative health outcomes for mothers and babies, mainly occurring in regions with few resources. Handling prenatal care by means of organized educational classes or seminars improves mothers’ and babies’ health. This study checks if a planned nurse-guided educational program for antenatal mothers increases their knowledge, influences their antenatal habits, and improves outcomes for their babies during labour.
Methods: To carry out the study, 160 antenatal mothers were picked using purposeful sampling, with 80 assigned to the experimental group and 80 to the control group. Both before and after the training, teachers were assessed with structured knowledge and practice quizzes and found impressive positive results on their skill assessments at work. Nurses in the experimental group offered a planned interventional program on high-risk pregnancy to the women involved, whereas the control group got standard routine antenatal care. Chi-square tests and both descriptive and inferential statistics were used to look at the data.
Results: After taking the post-test, the experimental group showed much higher scores than the control group in both knowledge (p ≤ 0.001) and practice (p ≤ 0.001). In particular, half of the individuals in the intervention group reached “good practice” levels after the intervention, in contrast to the control group where no changes were noted. Moreover, the results of our study suggest that when the intervention was undertaken, the occurrence of PROM, preterm birth, fetal distress, and low birth weight dropped sharply (p ≤ 0.001). More members of the experimental group had simple deliveries (41.25%) than did the participants in the control group (16.25%).
Conclusion: The plan led by nurses raised the mothers’ awareness and prompted them to follow good practices during pregnancy, improving labour outcomes among high-risk cases. As a result, nurses should regularly provide health information to expectant mothers to reduce complications and make their own and their children’s health better
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