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mHealth and pregnancy

Mary Amoakoh-Coleman, Alexander Berend-Jan Borgstein, Stephanie Fv Sondaal, Diederick E Grobbee, Andrea Solnes Miltenburg, Mirjam Verwijs, Evelyn K Ansah, Joyce L Browne, Kerstin Klipstein-Grobusch
BACKGROUND: Low- and middle-income countries (LMICs) face the highest burden of maternal and neonatal deaths. Concurrently, they have the lowest number of physicians. Innovative methods such as the exchange of health-related information using mobile devices (mHealth) may support health care workers in the provision of antenatal, delivery, and postnatal care to improve maternal and neonatal outcomes in LMICs. OBJECTIVE: We conducted a systematic review evaluating the effectiveness of mHealth interventions targeting health care workers to improve maternal and neonatal outcomes in LMIC...
2016: Journal of Medical Internet Research
Solomon Shiferaw, Mark Spigt, Michael Tekie, Muna Abdullah, Mesganaw Fantahun, Geert-Jan Dinant
BACKGROUND: Although there are studies showing that mobile phone solutions can improve health service delivery outcomes in the developed world, there is little empirical evidence that demonstrates the impact of mHealth interventions on key maternal health outcomes in low income settings. METHODS: A non-randomized controlled study was conducted in the Amhara region, Ethiopia in 10 health facilities (5 intervention, 5 control) together serving around 250,000 people...
2016: PloS One
Anne Caroline Benski, Giovanna Stancanelli, Stefano Scaringella, Josea Léa Herinainasolo, Jéromine Jinoro, Pierre Vassilakos, Patrick Petignat, Nicole C Schmidt
BACKGROUND: Madagascar's maternal health mortality ratio in 2013 was 478 deaths per 100,000 live births. Most deaths are related to direct complications during pregnancy and childbirth and could be reduced by providing comprehensive antenatal care (ANC). OBJECTIVE: The objective of the study was to assess the usability and feasibility of a mobile health system (mHealth) to provide high-quality ANC, according to World Health Organization (WHO) recommendations. METHODS: PANDA (Pregnancy And Newborn Diagnostic Assessment) is an easy-to-use mHealth system that uses affordable communications technology to support diagnosis and health care worker decision-making regarding ANC...
June 30, 2016: Journal of Telemedicine and Telecare
D Modi, J Patel, S Desai, P Shah
BACKGROUND: The Innovative Mobile-phone Technology for Community Health Operation (ImTeCHO) is a mobile-phone application that helps Accredited Social Health Activists (ASHAs) in complete registration through the strategies employed during implementation that is linking ASHAs' incentives to digital records, regular feedback, onsite data entry, and demand generation among beneficiaries. OBJECTIVE: To determine the proportion of pregnancies, deliveries, and infant deaths (events) being registered through the ImTeCHO application against actual number of events in a random sample of villages...
July 2016: Journal of Postgraduate Medicine
Matthijs R Van Dijk, Nicole A Huijgen, Sten P Willemsen, Joop Se Laven, Eric Ap Steegers, Régine Pm Steegers-Theunissen
BACKGROUND: Poor nutrition and lifestyle behaviors exert detrimental effects on reproduction and health during the life course. Therefore, lifestyle interventions during the periconceptional period can improve fertility, pregnancy outcome, and health of subsequent generations. OBJECTIVE: This survey investigates the compliance, usability, and initial effectiveness of the Web-based mHealth platform, Smarter Pregnancy. METHODS: A free subscription to the mHealth platform, Smarter Pregnancy, was provided to couples contemplating pregnancy (n=1275) or already pregnant (n=603)...
2016: JMIR MHealth and UHealth
Jean B Nachega, Donald Skinner, Larissa Jennings, Jessica F Magidson, Frederick L Altice, Jessica G Burke, Richard T Lester, Olalekan A Uthman, Amy R Knowlton, Mark F Cotton, Jean R Anderson, Gerhard B Theron
OBJECTIVE: To examine the acceptability and feasibility of mobile health (mHealth)/short message service (SMS) and community-based directly observed antiretroviral therapy (cDOT) as interventions to improve antiretroviral therapy (ART) adherence for preventing mother-to-child human immunodeficiency virus (HIV) transmission (PMTCT). DESIGN AND METHODS: A mixed-method approach was used. Two qualitative focus group discussions with HIV-infected pregnant women (n=20) examined the acceptability and feasibility of two ART adherence interventions for PMTCT: 1) SMS text messaging and 2) patient-nominated cDOT supporters...
2016: Patient Preference and Adherence
Stephanie Felicie Victoria Sondaal, Joyce Linda Browne, Mary Amoakoh-Coleman, Alexander Borgstein, Andrea Solnes Miltenburg, Mirjam Verwijs, Kerstin Klipstein-Grobusch
INTRODUCTION: Maternal and neonatal mortality remains high in many low- and middle-income countries (LMIC). Availability and use of mobile phones is increasing rapidly with 90% of persons in developing countries having a mobile-cellular subscription. Mobile health (mHealth) interventions have been proposed as effective solutions to improve maternal and neonatal health. This systematic review assessed the effect of mHealth interventions that support pregnant women during the antenatal, birth and postnatal period in LMIC...
2016: PloS One
Christina L Heminger, Jennifer M Schindler-Ruwisch, Lorien C Abroms
BACKGROUND: Smoking during pregnancy has deleterious health effects for the fetus and mother. Given the high risks associated with smoking in pregnancy, smoking cessation programs that are designed specifically for pregnant smokers are needed. This paper summarizes the current landscape of mHealth cessation programs aimed at pregnant smokers and where available reviews evidence to support their use. METHODS: A search strategy was conducted in June-August 2015 to identify mHealth programs with at least one component or activity that was explicitly directed at smoking cessation assistance for pregnant women...
2016: Substance Abuse and Rehabilitation
Stephanie Wallwiener, Mitho Müller, Anne Doster, Wolfgang Laserer, Corinna Reck, Jan Pauluschke-Fröhlich, Sara Y Brucker, Christian W Wallwiener, Markus Wallwiener
PURPOSE: To analyze the current proportions and characteristics of women using Internet (eHealth) and smartphone (mHealth) based sources of information during pregnancy and to investigate the influence, this information-seeking behavior has on decision-making. METHODS: A cross-sectional study was conducted at two major German university hospitals. Questionnaires covering socio-demographic data, medical data and details of Internet, and smartphone application use were administered to 220 pregnant women...
April 15, 2016: Archives of Gynecology and Obstetrics
Damian Hacking, Yan Kwan Lau, Hanne Jensen Haricharan, Marion Heap
Cell phone-based health information (mobile health or mHealth) campaigns are an emerging technology. This evaluation focused on the aspect of cost of two health information campaigns, one on hypertension and one on pregnancy. Researchers could either contract out the technical components of the campaigns or attempt to run the campaigns themselves, in-house. The in-house campaigns cost an estimated ZAR13 548.72 v. the private provider quotes which ranged from ZAR27 542.97 to ZAR34 227.59. Running the campaigns in-house was more labour intensive and required more technical expertise, but had a reduced delivery failure rate (9...
January 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
JiWon Choi, Ji Hyeon Lee, Eric Vittinghoff, Yoshimi Fukuoka
INTRODUCTION: Physical inactivity is prevalent in pregnant women, and innovative strategies to promote physical activity are strongly needed. The purpose of the study was to test a 12-week mobile health (mHealth) physical activity intervention for feasibility and potential efficacy. METHODS: Participants were recruited between December 2012 and February 2014 using diverse recruitment methods. Thirty pregnant women between 10 and 20 weeks of gestation were randomized to an intervention (mobile phone app plus Fitbit) or a control (Fitbit) group...
May 2016: Maternal and Child Health Journal
Siew Hwa Lee, Ulugbek B Nurmatov, Bright I Nwaru, Mome Mukherjee, Liz Grant, Claudia Pagliari
OBJECTIVE: To assess the effectiveness of mHealth interventions for maternal, newborn and child health (MNCH) in low- and middle-income countries (LMIC). METHODS: 16 online international databases were searched to identify studies evaluating the impact of mHealth interventions on MNCH outcomes in LMIC, between January 1990 and May 2014. Comparable studies were included in a random-effects meta-analysis. FINDINGS: Of 8593 unique references screened after de-duplication, 15 research articles and two conference abstracts met inclusion criteria, including 12 intervention and three observational studies...
June 2016: Journal of Global Health
Maria A Kennelly, Kate Ainscough, Karen Lindsay, Eileen Gibney, Mary Mc Carthy, Fionnuala M McAuliffe
OBJECTIVE: Maternal adiposity confers an increased risk of GDM in pregnancy. A low glycemic index (GI) dietary intervention has been found to improve glucose homeostasis and reduce gestational weight gain. Mobile Health (mHealth) Technology-assisted interventions are becoming commonplace as an aid to treating many chronic diseases. The aim of this study is to assess the impact of a 'healthy lifestyle package' with mHealth smart phone technology as support compared with usual care on the incidence of GDM in an overweight and obese pregnant population...
January 2016: Contemporary Clinical Trials
Jane C Willcox, Paige van der Pligt, Kylie Ball, Shelley A Wilkinson, Martha Lappas, Elizabeth A McCarthy, Karen J Campbell
BACKGROUND: Evidence suggests that women are failing to meet guidelines for nutrition, physical activity, and weight gain during pregnancy. Interventions to promote a healthy lifestyle in pregnancy demonstrate mixed results and many are time and resource intensive. mHealth-delivered interventions offer an opportunity to provide trusted source information in a timely and cost-effective manner. Studies regarding women's and health professionals' views of mHealth in antenatal care are limited...
2015: JMIR MHealth and UHealth
Leanne M Mauriello, Deborah F Van Marter, Cindy D Umanzor, Patricia H Castle, Emma L de Aguiar
PURPOSE: To test an iPad-delivered multiple behavior tailored intervention (Healthy Pregnancy: Step by Step) for pregnant women that addresses smoking cessation, stress management, and fruit and vegetable consumption. DESIGN: A randomized 2 × 5 factorial repeated measures design was employed with randomization on the individual level stratified on behavior risk. Women completed three sessions during pregnancy and two postpartum at postdelivery months 1 and 4. SETTING: Women were recruited from six locations of federally funded health centers across three states...
September 2016: American Journal of Health Promotion: AJHP
Linda Waldman, Marion Stevens
Information and Communications Technology (ICT) offers enormous opportunity and innovation to improve public health and health systems.This paper explores the intersections between mHealth and sexual and reproductive health and rights in both policy and practice. It is a qualitative study, informed by policy review and key informant interviews. Three case studies provide evidence of what is happening on the ground in relation to ICTs and reproductive health and rights. We argue that in terms of policy, there is little overlap between health rights and communication technology...
May 2015: Reproductive Health Matters
Chris Smith, Judy Gold, Thoai D Ngo, Colin Sumpter, Caroline Free
BACKGROUND: Contraception provides significant benefits for women's and children's health, yet an estimated 225 million women had an unmet need for modern contraceptive methods in 2014. Interventions delivered by mobile phone have been demonstrated to be effective in other health areas, but their effects on use of contraception have not been established. OBJECTIVES: To assess the effects of mobile phone-based interventions for improving contraception use. SEARCH METHODS: We searched for randomised controlled trials (RCTs) of client-provider interventions delivered by mobile phone to improve contraception use compared with standard care or another intervention...
2015: Cochrane Database of Systematic Reviews
Jane Catherine Willcox, Karen Jane Campbell, Elizabeth Anne McCarthy, Shelley Ann Wilkinson, Martha Lappas, Kylie Ball, Brianna Fjeldsoe, Anne Griffiths, Robyn Whittaker, Ralph Maddison, Alexis Shub, Deborah Pidd, Elise Fraser, Nelly Moshonas, David Andrew Crawford
BACKGROUND: Overweight, obesity and excess gestational weight gain (GWG) are associated with negative health outcomes for mother and child in pregnancy and across the life course. Interventions promoting GWG within guidelines report mixed results. Most are time and cost intensive, which limits scalability. Mobile technologies (mHealth) offer low cost, ready access and individually-tailored support. We aim to test the feasibility of an mHealth intervention promoting healthy nutrition, physical activity and GWG in women who begin pregnancy overweight or obese...
2015: Trials
Régine P M Steegers-Theunissen, Eric A P Steegers
The worldwide epidemic of non-communicable diseases (NCD), including obesity, is a burden to which poor lifestyles contribute significantly. Events in early life may enhance susceptibility to NCD, with transmission into succeeding generations. This may also explain, in part, why interventions in adulthood are less effective to reduce NCD risk. New insights reveal that the early embryo, in particular, is extremely sensitive to signals from gametes, trophoblastic tissue and periconception maternal lifestyles...
May 2015: Reproduction, Fertility, and Development
William Evans, Peter E Nielsen, Daniel R Szekely, Jasmine W Bihm, Elizabeth A Murray, Jeremy Snider, Lorien C Abroms
BACKGROUND: Mobile health (mHealth) is growing rapidly, but more studies are needed on how to optimize programs, including optimal timing of messaging, dose of exposure, and value of interactive features. This study evaluates final outcomes of text4baby (a text message service for pregnant and postpartum women) from a randomized trial performed in a population of pregnant female soldiers and family members. OBJECTIVE: The study aims were to evaluate (1) treatment effects and (2) dose-response effects of text4baby on behavioral outcomes compared to control (no text4baby) condition...
2015: JMIR MHealth and UHealth
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