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.