The role of m-health in providing antenatal care in rural areas

Authors

  • Basavanapalli Menaka Department of Obstetrics and Gynecology, KAMSRC L. B. Nagar, Hyderabad, Telangana, India
  • Vasundhara Kamineni Department of Obstetrics and Gynecology, KAMSRC L. B. Nagar, Hyderabad, Telangana, India
  • M. Vijaya Sree Department of Obstetrics and Gynecology, KAMSRC L. B. Nagar, Hyderabad, Telangana, Indiayderabad, Telangana.,India.

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20174062

Keywords:

Antenatal care, High-risk pregnancies, Mobile health

Abstract

Background: The maternal mortality rate is high in India and many deaths are due to preventable causes related to pregnancy. Mobile-health is an innovative strategy wherein, mobile phones are used for pregnancy tracking and giving support during the antenatal period. Aims and objectives of the study was to know the role of m-Health in providing antenatal care in rural areas.

Methods: This was a prospective, comparative study carried out at Kamineni Hospital, LB Nagar, Hyderabad and the Primary Health Centres (PHC) of Uppal and Narapally, Ranga Reddy district over a period of one year nine months and consisted of 204 registered antenatal cases divided into study and control groups. Both groups received routine antenatal support and the study group, in addition received mobile health support also. Various parameters were compared in both the groups.

Results: The study group had more antenatal visits, better correction of anemia, less number of patients who were lost to follow-up, and more number of Caesarean deliveries.

Conclusions: Mobile health helps in pregnancy tracking and increasing the antenatal visits. It helps in timely referrals for high-risk pregnancies in remote areas and it has the potential to provide obstetric care and consultations to both low risk and at-risk women in rural areas where specialist care is not always available.

References

WHO, UNICEF, UNFPA WBG, Division and the UNP. Trends in maternal mortality 1990 to 2015. 2015; Available at http://datatopics.worldbank.org/hnp/files/Trends in Maternal Mortality 1990 to 2015 full report.

Millennium Development Goals: At a Glance 2015. UN Department of Public Information. 2010. Available from- www.un.org/millenniumgoals.

Thaddeus S, Maine D. Too far to walk: maternal mortality in context. Soc Sci Med. 1994;38:1091-110.

Al Mahmud A, Keyson DV. Supporting antenatal care in developing countries through mobile diagnostic system. In Proceedings of the 3rd ACM Symposium on Computing for Development 2013:26. ACM.

International Telecommunications Union. ICT facts and figures: The world in 2010. Geneva: International Telecommunications Union. ICT data ans Statistics Division; 2010.

Harrison KA. Tropical obstetrics and gynaecology. 2. Maternal mortality. Transactions of the Royal Soc Trop Medic Hygiene. 1989;83(4):449-53.

Rooney C. Antenatal care and maternal health: how effective is it? A review of the evidence Maternal Health and safe Motherhood Programme division of Family Health. Geneva. WHO; 1992.

Sanou B. The World in 2014: ICT Facts and Figures;2014.

Tomlinson M, Rotheram-Borus MJ, Swartz L, Tsai AC. Scaling Up mHealth: Where Is the Evidence? PLoS Med. 2013;10:1-5.

Ormel H (Royal Tropical Institute Amsterdam. mHealth and eHealth, innovations in public health and SRHR: state of evidence, opportunities and challenges. Amsterdam; 2013. Available: http://www.mhealthinfo.org/resources-database.

Amplifying the Impact: Examining the Intersection of Mobile Health and Mobile Finance: A discussion guide for collaborative insight presented by the World Economic Forum, in partnership with the mHealth Alliance. Washington DC, US and Geneva, Switzerland; 2011. Available at: http://mhealthknowledge.org/resources/amplifying-impact-examining-intersection-mobile-health-and-mobile-finance

Qiang, Yamamichi M, Hausman V, Miller R, Altman D. Mobile Applications for the Health Sector. World Bank Rep. Washington DC, USA; 2012.

Lunde S, Sciences L, Group C. The mHealth Case in India. Wipro Council for Industry Research. Available at http://www.wipro.com/documents/the-mHealth-case-in-India.pdf

Mushamiri I, Luo C, Iiams-Hauser C, Ben Amor Y. Evaluation of the impact of a mobile health system on adherence to antenatal and postnatal care and prevention of mother-to-child transmission of HIV programs in Kenya. BMC Public Health 2015;15(1):102.

Roberts S, Birgisson N, Julia Chang D, Koopman C. A pilot study on mobile phones as a means to access maternal health education in eastern rural Uganda. J Telemed Telecare. 2015;21(1):14-7.

Lund S, Nielsen BB, Hemed M, Boas IM, Said A, Said K, et al. Mobile phones improve antenatal care attendance in Zanzibar: a cluster randomized controlled trial. BMC Pregnancy Childbirth 2014;14:29.

Ivey TL, Hughes D, Dajani NK, Magann EF. Antenatal management of at-risk pregnancies from a distance. Aust N Z J Obstet Gynecol. 2015;55(1):87-9.

Battle JD, Farrow L, Tibaijuka J, Mitchell M. mHealth for Safer Deliveries: A mixed methods evaluation of the effect of an integrated mobile health intervention on maternal care utilization. Healthcare, Elsevier. 2015;3(4):180-4.

Khorshid MR, Afshari P, Abedi P. The effect of SMS messaging on the compliance with iron supplementation among pregnant women in Iran: A randomized controlled trial. J Telemed Telecare. 2014;20:201-6.

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Published

2017-08-28

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Original Research Articles