Accepted for/Published in: JMIR Research Protocols
Date Submitted: Oct 12, 2024
Date Accepted: Jul 9, 2025
Monitoring of Pregnant Women Using Mobile Application REST (Risk identification, Evaluation counseling, Systematic monitoring, Troubleshooting): Protocol for a Cluster Randomized Controlled Trial
ABSTRACT
Background:
The Maternal Mortality Rate (MMR) in Indonesia is still quite high and has not reached the national target. The success of maternal health programs can be assessed through the main indicator of the Maternal Mortality Rate. Pregnancy monitoring is one of the efforts to reduce the increase in maternal mortality rates. Objectives: Improving maternal and child safety and health during pregnancy and childbirth through pregnancy monitoring using mobile applications.
Methods:
The research design uses the Cluster Randomized Controlled Trial design, involving pregnant women in 11 sub-districts in Purworejo which are randomization at the cluster into 11 clusters in the intervention group and 11 clusters in the control group. The intervention group received monitoring using a mobile app while the control group received standard pregnancy monitoring in the Antenatal class. The mentoring program includes the use of a REST mobile application (Risk identification, Evaluation counseling, Systematic monitoring, Troubleshooting) which consists of 10T pregnancy checks. The application is used by midwives and pregnant women starting from the second trimester of pregnancy to childbirth.
Results:
The expected results of this study are that the use of REST mobile applications for pregnancy monitoring will increase the number of ANC visits, reduce the incidence of complications in pregnant women, normal delivery methods, and the birth weight of the baby more than equal 2500 grams. Data were analyzed in April 2025, and dissemination of results is expected by the end of 2025.
Conclusions:
Pregnancy monitoring using the REST mobile application will have a significant influence on the number of ANC visits, the reduction of pregnancy complications, the improvement of normal delivery methods, and the birth weight of the baby within normal limits. Registration: ClinicalTrials.gov NCT05741931, https://clinicaltrials.gov/study/NCT05741931
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