The effect of nursing counseling based on Neuman Systems Model on perceived stress, coping with stress and birth outcomes among pregnant women at high risk of pre-term labor

In this study, we explored the impact of the Nursing Pregnant Education and Counseling Program, grounded in the Neuman Systems Model, on stress, coping, and birth outcomes for high-risk pregnant women susceptible to pre-term labor. The study has a pretest-posttest quasi-experimental design. Participants were split into two groups: one undergoing the Nursing Pregnant Education and Counseling Program (n=30), and the other receiving standard clinical care(n=30). We found a significant difference in stress perception and coping scores between women in the intervention and control groups, favoring the intervention group. Moreover, we observed a notable rise in full-term deliveries in the experimental group, along with a decreased rate of complications for babies compared to the control group. Use of this program for high-risk pregnant women resulted in reductions in maternal stress, improved use of active coping strategies, and favorable impacts on birth outcomes.