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Accepted for/Published in: JMIR mHealth and uHealth

Date Submitted: Mar 2, 2023
Open Peer Review Period: Mar 1, 2023 - Mar 16, 2023
Date Accepted: Nov 29, 2023
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Mobile Prenatal Education and Its Impact on Reducing Adverse Pregnancy Outcomes: Retrospective Real-World Study

Lan Y, Wang Y, Xu X, Hao J, Li Z, Wang Z, Ma L, Li J, Liu N, Yang X, Zhang S, Lin H, Sun Y

Mobile Prenatal Education and Its Impact on Reducing Adverse Pregnancy Outcomes: Retrospective Real-World Study

JMIR Mhealth Uhealth 2023;11:e46910

DOI: 10.2196/46910

PMID: 38117555

PMCID: 10765290

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Online Prenatal Education for Improving Adverse Outcomes during Pregnancy: Retrospective Observational Study

  • Yushan Lan; 
  • Yaxin Wang; 
  • Xiaowei Xu; 
  • Jie Hao; 
  • Zanmei Li; 
  • Ziyang Wang; 
  • Liangkun Ma; 
  • Jiao Li; 
  • Nana Liu; 
  • Xuanjin Yang; 
  • Suhan Zhang; 
  • Hang Lin; 
  • Yin Sun

ABSTRACT

Background:

Pregnancy is one of the most sensitive and important chapters of a woman’s life. Adequate quality and quantity of prenatal education play a key role in improving the health of pregnant women and their offspring. Online-based prenatal education is an effective and timely manner that could increase the accessibility of prenatal education to address finite healthcare resources and the risk of face-to-face education during the COVID-19 pandemic.

Objective:

This study aims to develop an effective online education curriculum, and retrospectively estimate the effectiveness of this curriculum.

Methods:

The online education curriculum was developed based on the experiences and professional knowledge of obstetricians and nurses, and the curriculum was provided to pregnant women after deploying in the app. A total of 533 pregnant women who learned the curriculum we developed were retrospectively involved in this study, between May 2021 and August 2022. The hypothesis testing was conducted between the learning group and the control group. The learning group consisted of pregnant women who had received a specific topic course. Besides, we also analyzed the composition of topics among all courses and found the pregnant women’s favorite course topic.

Results:

The online education curriculum was developed with 449 sessions that contain 9 topic types. Among all pregnant women, 56.67% (302/533) attended online education in the first and second trimesters and 43.33% (231/533) in the third trimester. The pregnant women who received painless labor had a lower rate of macrosomia (2.24% VS. 6.04%, P<.05). Pregnancy nutrition could reduce adverse birth outcomes (1.07% VS. 3.97%, P<.05). Gestational hypertension is reduced by Obstetric examination and Daily health care (0.62% VS. 2.83%, P<.05; 0.81%VS.3.11%, P<.05). The results also suggested painless labor and postpartum recovery are pregnant women’s favorite topics.

Conclusions:

Prenatal education is essential for the health of pregnant women and their offspring. We had developed the online education curriculum and the effectiveness of some courses had been estimated. During the COVID-19 pandemic, the online education we developed could provide more professional information to pregnant women and release the burden of healthcare.


 Citation

Please cite as:

Lan Y, Wang Y, Xu X, Hao J, Li Z, Wang Z, Ma L, Li J, Liu N, Yang X, Zhang S, Lin H, Sun Y

Mobile Prenatal Education and Its Impact on Reducing Adverse Pregnancy Outcomes: Retrospective Real-World Study

JMIR Mhealth Uhealth 2023;11:e46910

DOI: 10.2196/46910

PMID: 38117555

PMCID: 10765290

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