The Outcomes of Antenatal Nursing Care for Pregnant Women Receiving Tocolytic Therapy with Terbutaline for Preterm Labor Inhibition in the Labor Room Unit at Srinagarind Hospital
DOI:
https://doi.org/10.64960/srimedj.v41i5.271662Keywords:
antenatal nursing care, pre-term labor inhibition, terbutalineAbstract
Background and objectives: Preterm birth is a major cause of perinatal mortality and infant morbidity. Terbutaline is an important medication used to suppress preterm labor. This study aimed to evaluate the outcomes of antenatal nursing care among pregnant women receiving terbutaline for the suppression of preterm labor, focusing on the medication administration process, adverse effects, and duration of treatment.
Methods: This retrospective descriptive study collected data from the medical records of pregnant women who received inpatient terbutaline therapy between January 1, 2024, and December 31, 2025. Data were gathered using a four-part data collection form with established content validity (IOC = 1.00). Descriptive statistics, including frequency, percentage, mean, and standard deviation, were used for data analysis.
Results: A total of 163 cases were included in the study. Most participants were multiparous (53.37%), had no previous history of preterm labor (90.18%), and were at a gestational age of 28–31 weeks (30.06%). Regarding medication administration, nurses demonstrated complete adherence (100%) to 13 of the 14 medication administration steps. The only step with lower compliance was attaching the medication dosage label, which achieved a compliance rate of 84.66%. The most common adverse effects were palpitations, fatigue, and maternal and fetal tachycardia. The most frequent duration of terbutaline administration was 2 days (19.02%), followed by more than 7 days and 1 day, respectively.
Conclusion: Continuous nursing care and monitoring of medication administration contribute to effectivemedication management. However, communication regarding medication dosage among members of the multidisciplinary team requires improvement. Patients receiving continuous terbutaline therapy for more than 72 hours should be closely monitored to prevent serious complications.
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