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Harizopoulou VC, Saranti E, Antonakou A, Vivilaki V. The importance of online childbirth preparation courses. Eur J Midwifery 2024; 8:EJM-8-14. [PMID: 38596215 PMCID: PMC11002958 DOI: 10.18332/ejm/185867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 02/21/2024] [Accepted: 03/28/2024] [Indexed: 04/11/2024] Open
Affiliation(s)
- Vicentia C. Harizopoulou
- First Department of Obstetrics and Gynecology, Papageorgiou General Hospital, Thessaloniki, Greece
| | - Evangelia Saranti
- First Department of Obstetrics and Gynecology, Papageorgiou General Hospital, Thessaloniki, Greece
| | - Angeliki Antonakou
- Department of Midwifery Science, School of Health Sciences, International Hellenic University, Thessaloniki, Greece
| | - Victoria Vivilaki
- Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, Greece
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Hao J, Yang L, Wang Y, Lan Y, Xu X, Wang Z, Li Z, Ma L, Li J, Zhang S, Sun Y. Mobile Prenatal Education and Its Impact on Reducing Adverse Pregnancy Outcomes: Retrospective Real-World Study. JMIR Mhealth Uhealth 2023; 11:e46910. [PMID: 38117555 PMCID: PMC10765290 DOI: 10.2196/46910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 11/03/2023] [Accepted: 11/29/2023] [Indexed: 12/21/2023] Open
Abstract
BACKGROUND Pregnancy is a pivotal phase in a woman's life, demanding special attention to ensure maternal and fetal health. Prenatal education plays a vital role in promoting healthy pregnancies and reducing adverse outcomes for pregnant women. Mobile prenatal education programs have gained traction due to their accessibility and timeliness, especially in light of finite health care resources and the constraints imposed by the COVID-19 pandemic. OBJECTIVE This study aims to develop and evaluate the effectiveness of a mobile-based prenatal education program in improving pregnancy outcomes. METHODS We developed a mobile-based prenatal education curriculum in collaboration with a multidisciplinary maternal care team from Peking Union Medical College Hospital (PUMCH) in Beijing, China. Data were retrospectively collected from 1941 pregnant women who had registered for the PUMCH mobile prenatal education program and subsequently delivered at PUMCH between May 2021 and August 2022. The study compared pregnancy outcomes between the completing group, which were pregnant women who had completed at least 1 course, and the noncompleting group. We also analyzed differences among course topics within the completing group and assessed course topic popularity among pregnant women. RESULTS The PUMCH mobile prenatal education curriculum consists of 436 courses across 9 topics. Out of the participants, a total of 1521 did not complete any courses, while 420 completed at least 1 course. Compared with the noncompleting group, pregnant women who completed courses exhibited a significant reduction in the risk of gestational diabetes mellitus, induced abortion, postpartum infection, fetal intrauterine distress, and neonatal malformation. Among those in the completing group, a total of 86% (361/420) started course completion during the first and second trimesters. Furthermore, completing courses related to topics of pregnancy psychology and pregnancy nutrition was associated with reduced risks of premature rupture of membranes and small for gestational age infants, respectively. Pregnancy psychology and postpartum recovery were the preferred topics among pregnant women. CONCLUSIONS The study demonstrates the potential of mobile-based prenatal education programs in improving pregnancy outcomes and supporting health care providers in delivering effective prenatal education. The rise of mobile prenatal education presents an opportunity to improve maternal and child health outcomes. Further research and broader implementation of such programs are warranted to continually improve maternal and child health.
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Affiliation(s)
- Jie Hao
- Institute of Medical Information & Library, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Lin Yang
- Institute of Medical Information & Library, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yaxin Wang
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, China
| | - Yushan Lan
- Institute of Medical Information & Library, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Xiaowei Xu
- Institute of Medical Information & Library, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Ziyang Wang
- Institute of Medical Information & Library, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Zanmei Li
- Institute of Medical Information & Library, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Liangkun Ma
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, China
| | - Jiao Li
- Institute of Medical Information & Library, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Suhan Zhang
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, China
| | - Yin Sun
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, China
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Espinosa Cifuentes M, Artieta-Pinedo I, Paz-Pascual C, Bully-Garay P, García-Alvarez A. EMAeHealth, a digital tool for the self-management of women's health needs during pregnancy, childbirth and the puerperium: protocol for a hybrid effectiveness-implementation study. BMJ Open 2022; 12:e055031. [PMID: 36575817 PMCID: PMC9438065 DOI: 10.1136/bmjopen-2021-055031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
INTRODUCTION EHealth can help health service users take a more active role in decision-making and help health professionals guide the patient in this process. A digital tool has been designed to support maternal education (ME), and it is organised into four areas: (1) information, (2) communication, (3) health self-management and (4) clinical data. The main objective of the study is to evaluate the effectiveness of the EMAeHealth digital tool, and assess its usability and acceptability under routine conditions. METHODS AND ANALYSIS Hybrid implementation-effectiveness design: (1) A cluster randomised, prospective, longitudinal, multicentre clinical trial to evaluate the effectiveness of EMAeHealth in (A) improving health-related quality of life (primary outcome), (B) improving self-efficacy for labour and childbirth and self-efficacy in breast feeding and (C) reducing the number of visits to the obstetric emergency services and health centre in situations of 'non-pathological pregnancy', 'false labour pains' and 'non-pathological puerperium'. The EMAeHealth intervention plus usual care will be compared with receiving only usual care, which includes traditional ME. N=1080 participants, 540 for each study arm. Two measurements will be made throughout the pregnancy and three in the first 16 weeks post partum. (2) A mixed-method study to evaluate the usability and acceptability of the tool, barriers and facilitators for its use, and implementation in our health system: focus groups (women, professionals and agents involved) and a quantitative analysis of implementation indicators. ANALYSIS It will be carried out by intention to treat, using mixed models taking into account the hierarchical structure of the data and per protocol to evaluate the effectiveness of the express use of the digital tool. ETHICS AND DISSEMINATION Clinical Research Ethics Committee of Euskadi, Spain, (Ref: PI2020044) approved this study. The results will be actively disseminated through manuscript publications and conference presentations. TRIAL REGISTRATION NUMBER NCT04937049.
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Affiliation(s)
- Maite Espinosa Cifuentes
- Primary Care Subdirectorate, Osakidetza-Basque Health Service, Vitoria-Gazteiz, Spain
- Primary Health Care Research Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
| | - Isabel Artieta-Pinedo
- Primary Health Care Research Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
- Zuazo Primary Care Health Centre, Osakidetza-Basque Health Service, Bizkaia, Spain
- School of Nursing, University of the Basque Country, Barakaldo, Spain
| | - Carmen Paz-Pascual
- Primary Health Care Research Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
- Sestao Primary Care Health Centre, Osakidetza-Basque Health Service, Bizkaia, Spain
- Midwifery Training Unit, University of Basque Country, Barakaldo, Spain
| | | | - Arturo García-Alvarez
- Primary Care Subdirectorate, Osakidetza-Basque Health Service, Vitoria-Gazteiz, Spain
- Primary Health Care Research Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
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Huang X, Sun W, Wang R, Wu H, Yu S, Fang X, Liu Y, Akinwunmi B, Huang J, Ming WK. Present Situation and the Future Development of Web-Based Prenatal Education in China: Cross-sectional Web-Based Survey. J Med Internet Res 2022; 24:e28637. [PMID: 35771613 PMCID: PMC9284362 DOI: 10.2196/28637] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 07/31/2021] [Accepted: 08/12/2021] [Indexed: 11/29/2022] Open
Abstract
Background Pregnancy serves as an important chapter in the life of women since more attention needs to be paid to both their physical and psychological health during this period. Adequate prenatal knowledge plays a key role in ensuring the health and safety of not only the pregnant women but also their fetuses and the entire family. With the development of information technology, web-based prenatal education has been brought into focus owing to its accessibility to comprehensive information, with high-quality information available to improve the quality of the overall gestation period, labor process, perinatal outcomes, and fetal outcomes. Objective This study aims to investigate the present situation of web-based prenatal education and to predict the future research direction of web-based prenatal education in China, thereby providing insights into improving the quality of health care of pregnant women. Methods A national cross-sectional study was conducted on 590,912 pregnant women in 31 provincial administrations of mainland China between August 2018 and August 2019. These pregnant women were initially recruited from local hospitals across the nation during antenatal and postnatal periods via a web-based education school. Demographic information and course completion status (including the categories and the number of courses they completed) of all the participants were collected. Results A total of 590,912 pregnant women participated in the web-based prenatal education in 2018. Among them, 188,508 (31.90%) participants were excluded because they did not complete any course, while 17,807 (3.01%) actively participated in web-based prenatal education and completed more than 100 courses. There were 5 categories of web-based courses; almost half of the pregnant women attended the courses on first and second trimesters (293,262/590,912, 49.63% and 298,168/590,912, 50.46%, respectively). We found that pregnant women were more concerned about the gestational diet, fetal-related knowledge, and other precautions before the labor. Conclusions In the era of digitalization where information is rapidly disseminated, web-based prenatal education could become a more convenient, productive, and effective pathway for pregnant women since it could help them obtain adequate and optimal pregnancy-related information and gain more intellectual awareness about their pregnancy or preparation for pregnancy.
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Affiliation(s)
- Xinyu Huang
- International School, Jinan University, Guangzhou, China
| | - Weiwei Sun
- International School, Jinan University, Guangzhou, China
| | - Renyu Wang
- School of English for International Business, Guangdong University of Foreign Studies, Guangdong, China
| | - Huailiang Wu
- International School, Jinan University, Guangzhou, China
| | - Shinning Yu
- International School, Jinan University, Guangzhou, China
| | - Xuanbi Fang
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China
| | - Yiyan Liu
- Faculty of Social Science, The Chinese University of Hong Kong, Hong Kong, China (Hong Kong)
| | - Babatunde Akinwunmi
- Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA, United States
| | - Jian Huang
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore, Singapore
| | - Wai-Kit Ming
- Department of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong, China (Hong Kong)
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Martin C, Jones C, Marshall CA, Huang C, Reeve J, Fleming MP, König J, Jomeen J. Fear of childbirth measurement: appraisal of the content overlap of four instruments. J Reprod Infant Psychol 2020; 40:329-341. [DOI: 10.1080/02646838.2020.1861226] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Colin Martin
- Institute for Clinical and Applied Health Research (ICAHR), University of Hull, Hull, UK
| | - Catriona Jones
- Institute for Clinical and Applied Health Research (ICAHR), University of Hull, Hull, UK
| | - Claire A. Marshall
- East Yorkshire Perinatal Mental Health Liaison Team, Humber Teaching NHS Foundation Trust, Hull, UK
| | - Chao Huang
- Institute for Clinical and Applied Health Research (ICAHR), University of Hull, Hull, UK
| | - Joanne Reeve
- Academy of Primary Care, Hull York Medical School, University of Hull, Hull, UK
| | - Mick P. Fleming
- Faculty of Wellbeing, University College Isle of Man, Isle of Man, UK
| | - Julia König
- Department of Clinical and Biological Psychology, Catholic University of Eichstätt-Ingolstadt, Eichstätt, Germany
| | - Julie Jomeen
- Faculty of Health Sciences, Southern Cross University, Lismore, Australia
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Paz-Pascual C, Artieta-Pinedo I, Espinosa M, Bully P. Development of two instruments for assessing maternity health needs: protocol of a clinimetric study. BMC Pregnancy Childbirth 2020; 20:701. [PMID: 33203371 PMCID: PMC7670976 DOI: 10.1186/s12884-020-03377-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Accepted: 10/28/2020] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND There is an unquestionable need to adapt health care to the needs of each woman, to foster her self-confidence and provide her with the autonomy to manage her own maternity. This involves empowering her to choose and face her model of childbirth and childcare responsibly. The range of self-management health needs tests offered by the scientific community at this stage of life is practically non-existent. In this project, we intend to develop and evaluate the validity, reliability and ease of use of two self-administered analysis instruments for: 1.- Needs of women preparing for childbirth and 2.- Identification of alarm symptoms in the puerperium. METHODS This is a descriptive study of the clinimetric characteristics and usability of two developed self-applied digital instruments for measuring needs in childbirth and postpartum based on the recommendations made in the consensus-based standards for the selection of health measurement instruments (COSMIN) and by the International Test Commission (ITC). The study consists of two phases: 1 - Evaluation of the clinimetric properties of the two instruments, which were developed and then altered, based on their comprehensibility and global usability estimated from a pilot study and 2 - Pre-implementation study. DISCUSSION The final product will be two valid, reliable, usable instruments for self-assessment of health needs that are highly acceptable to young couples and the professionals who serve them. They will be a valuable resource for meeting the needs of the population more efficiently and guiding decision-making, and they will contribute to the greater sustainability of the health system.
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Affiliation(s)
- Carmen Paz-Pascual
- Atención Primaria en Salud, Prevención y Enfermedades Crónicas, IIS, Biocruces Bizkaia, Osakidetza, Plaza de Cruces 12, 48903 Barakaldo, Bizkaia Spain
- Primary Care Midwife, Markonzaga Health Centre, Sestao, Bizkaia Spain
- Midwifery Training Unit of the Basque Country, Bilbao, Spain
| | - Isabel Artieta-Pinedo
- Atención Primaria en Salud, Prevención y Enfermedades Crónicas, IIS, Biocruces Bizkaia, Osakidetza, Plaza de Cruces 12, 48903 Barakaldo, Bizkaia Spain
- Primary Care Midwife, Zuazo Health Centre, Barakaldo, Bizkaia Spain
- School of Nursing, University of the Basque Country, Leioa, Bizkaia Spain
| | - Maite Espinosa
- Atención Primaria en Salud, Prevención y Enfermedades Crónicas, IIS, Biocruces Bizkaia, Osakidetza, Plaza de Cruces 12, 48903 Barakaldo, Bizkaia Spain
| | - Paola Bully
- Methodological and Statistical Consulting, Sopuerta, Bizkaia Spain
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Blackman I, Hadjigeorgiou E, McNeill L. Causal links to missed Australian midwifery care: What is the evidence? Eur J Midwifery 2020; 4:41. [PMID: 33537642 PMCID: PMC7839148 DOI: 10.18332/ejm/127769] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 08/28/2020] [Accepted: 09/23/2020] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION The incidences and types of missed nursing care in the acute care and community sectors are both ubiquitous and quantifiable, however, there are few research studies relating to the type and frequency of missed maternity-based care for mothers and families. The aim of this study is to estimate the incidences and types of Australian missed midwifery care and to identify those factors that have causal links to it. METHODS A non-experimental, descriptive method using a Likert developed MISSCARE scale was used to ascertain consensus estimates made by Australian midwives. Electronic invitations were extended to their membership using an inclusive link to the MISSCARE survey. Inclusion criteria were all ANMF members who were midwives and currently employed within the Australian public and private healthcare systems. Data analysis was undertaken using both Rasch analysis and Structural Equation Modelling. RESULTS The type and frequency of missed Australian midwifery care can be quantified and several demographic factors are significant predictor variables for overall missed midwifery care. The most prevalent aspects of missed care in the Australian midwifery setting are midwives’ hand hygiene, supportive care, perinatal education, and surveillance type midwifery practices. CONCLUSIONS As the frequencies and types of missed midwifery care in Australia have been identified, it is possible for midwives to be mindful of minimising care omissions related to hand hygiene, providing supportive care and education to mothers as well as surveillance-type midwifery practices.
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Affiliation(s)
- Ian Blackman
- College of Nursing and Health Sciences, Flinders University, Marion, Australia
| | - Eleni Hadjigeorgiou
- Nursing Department, Faculty of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - Liz McNeill
- College of Nursing and Health Sciences, Flinders University, Marion, Australia
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Alexander K, Short V, Gannon M, Goyal N, Naegle M, Abatemarco DJ. Identified gaps and opportunities in perinatal healthcare delivery for women in treatment for opioid use disorder. Subst Abus 2020; 42:552-558. [DOI: 10.1080/08897077.2020.1803178] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- Karen Alexander
- Jefferson College of Nursing, Thomas Jefferson University, Philadelphia, PA, USA
| | - Vanessa Short
- Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA
| | - Megan Gannon
- Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA
| | - Neera Goyal
- Department of Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA
| | - Madeline Naegle
- Rory Meyers College of Nursing, New York University, New York City, NY, USA
| | - Diane J. Abatemarco
- Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA
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