The use of Omaha model to follow up pregnancy at home

Aim: This study was carried out to determine the efficiency and usability of the Omaha Model as a means to follow up pregnancy, to help the prospective midwives and nurses gain experience and to get them prepared for professional roles.
Method: The study was carried out in a quasi-experimental design in Canakkale between January 2005 and June 2008. Study population included 61 pregnant. During the first visit, the aim and process of the surveillance were accounted and the pregnant orally granted permission. They were followed up in the circle of public health nursing once a week for 30-60 minutes during 14 weeks. Follow-ups were done by the students within the guidance of the researchers. Firstly, problems were detected through “Problem Classisifation Scheme”. Data were collected, knowledge, behavior and statuses were determined through “Problem Rating Scale for Outcomes”. Nursing plan was prepared through “Intervention Scheme” and put into practice. Results were evaluated via re-practice of the Problem Rating Scale for Outcomes. Data collected in accordance with Omaha model were descriptively analyzed thorough SPSS 10.0 and Excel.
Findings:
 Average age of the pregnant participants ranging from 17 to 40 was 26.03±4.68. It was found out that 45.9% of the pregnants had antepartum, 41.0% had problems with digestion, 41.1% with family planning, 39.3% had aches, 34.1% irregular sleep, 27.9% circulatory problems, 29.5% dental problems. Nursing interventions were planned for 60.51% of the problems through “ Teaching, Guidance, and Counseling, for 26.61% through “Treatments and Procedures” for 10.10% through “Case Management” and 2.78% through “Surveillance” categories. The results of the nursing intervention were evaluated via Problem Rating Scale for Outcomes and it was determined that it had positive reflection onto the care. In accordance with the results, some suggestions were put forth.
Key Words: Omaha Model, pregnancy, public health education, surveillance