The Effectiveness of Community-Based Prenatal Nursing Programs in Reducing Complications in High-Risk Pregnancies in Indanan, Sulu

This study determined the effectiveness of a community-based prenatal nursing program in reducing complications among high-risk pregnant women in selected barangays of Indanan, Sulu. Specifically, it described the respondents' profile, identified the common pregnancy complications experienced, assessed the level of community-based prenatal nursing interventions, evaluated the effectiveness of the prenatal nursing program, and examined the relationship between the interventions and program effectiveness. A quantitative descriptive-correlational research design was employed using purposive sampling. Fifty high-risk pregnant women participated in the study. Data were collected using a validated researcher-made structured questionnaire and analyzed through frequency, percentage, weighted mean, and Pearson Product-Moment Correlation Coefficient. The findings showed that most respondents were 20–29 years old, were in their first or second pregnancy, and had a monthly family income of ₱15,001 and above. Swelling of the hands and feet was the most commonly reported pregnancy-related condition, followed by hypertension, infection during pregnancy, gestational diabetes, and fetal distress. Community-based prenatal nursing interventions were perceived to be frequently implemented, with risk assessment and regular monitoring receiving the highest rating. The overall prenatal nursing program was rated effective, particularly in healthcare accessibility, maternal knowledge, and continuous monitoring with family support. However, correlation analysis revealed no statistically significant relationship between community-based prenatal nursing interventions and program effectiveness (r = 0.015, p = 0.916). The findings indicate that the perceived effectiveness of the program may be influenced by maternal, socioeconomic, and healthcare-related factors beyond nursing interventions. The study recommends strengthening community-based prenatal services, enhancing health education, and promoting family involvement.