Association of Health Literacy Among Nulliparous Individuals and Maternal and Neonatal Outcomes

Yee, Lynn M.; Silver, Robert M.; Haas, David M.; Parry, Samuel; Mercer, Brian M.; Reddy, Uma M.; Saade, George R.; Simhan, Hyagriv N.; Grobman, William A.

doi:10.1001/jamanetworkopen.2021.22576

Cited by 33 publications

(16 citation statements)

References 35 publications

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“…health literacy interventions offer a way to improve outcomes for women's most at risk of health inequalities. This study is also in the same line with Nawabi, et al (2021) (48) who studied health literacy in pregnant women and showed that health literacy sensitive interventions during pregnancy is beneficial for all pregnant women regardless of their educational and health literacy levels. Moreover, the current study agrees with Berkman et al (2011) (49) who studied low health literacy and health outcomes: an updated systematic review and reported that Low health literacy is associated with poorer health outcomes and poorer use of health care services.…”

Section: Discussionsupporting

confidence: 89%

Effect of Counseling Program based on Health Literacy Model regarding Gestational Diabetes on Maternal and Fetal outcomes

Mohamady

Elmoneim²,

Abd-Elhakam³

2022

Tanta Scientific Nursing Journal

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Background: Gestational diabetes is associated with adverse maternal and fetal complications. Nurses have a significant role in counseling based on health literacy of women about proper lifestyle and health related skills in coping with gestational diabetes to prevent and reduce adverse effects on pregnancy outcomes. Aim: Evaluate the effect of counseling program based on health literacy model regarding gestational diabetes on maternal and fetal outcomes. Subjects and Method: Design: A quasi-experimental one group pre-test, post-test design was used for this study. Setting: It was conducted at outpatient clinic at Obstetrics and Gynecological department in Benha University Hospitals. Subjects: A purposive sample of 171 pregnant women medically diagnosed with gestational diabetes was included in the study. Tools: Five tools were used for data collection: Tool (I) A structured interviewing questionnaire sheet, Tool (II) Diabetic Attitude Scale, Tool (III) Diabetic Self-Care Practices sheet, Tool (IV) Self-administered Health literacy questionnaire and Tool (IIV) Assessment of Maternal and fetal outcomes. Results: There were a high statistically significant correlation between knowledge, selfcare practices of the studied pregnant women and counseling based on health literacy model pre and immediately post program, and significant correlation between attitudes and counseling based on health literacy model pre and immediately post program, High statistically significant relation between self-care practices and pregnancy complication and neonatal complication, significant statistically relation between self-care practices and labor complications during follow up at time of delivery Conclusion: Counseling program based on health literacy model regarding gestational diabetes has a positive effect on women's knowledge ,attitudes and self-care practices with favorable maternal & fetal outcomes. Recommendations: Development of a training program and evidence based interventions to provide a better view of the women health literacy promotion strategies related to gestational diabetes.

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Section: Discussionsupporting

confidence: 89%

Effect of Counseling Program based on Health Literacy Model regarding Gestational Diabetes on Maternal and Fetal outcomes

Mohamady

Elmoneim²,

Abd-Elhakam³

2022

Tanta Scientific Nursing Journal

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“…We found that Flo helps women to be more knowledgeable about their cycle health, specifically, on how to manage menstrual symptoms, irregular cycle or related conditions, how to recognise cycle symptoms requiring medical attention as well as how their cycle affects their physical and mental health. Increasing women's knowledge in these areas might help to improve their quality of life as well as reduce financial costs related to the visits to the healthcare provider, over-the-counter drugs and medical or surgical treatment [69][70][71]. Furthermore, we found that of those respondents who fell pregnant, one in seven believe that Flo helped them to get pregnant.…”

Section: Knowledge and Health Improvements Among Flo App Usersmentioning

confidence: 77%

“…This is of particular importance as studies have shown that the prevalence of low levels of health literacy among pregnant women can reach up to 44% [26,30,[66][67][68]. Poor health literacy among pregnant women can result in an increased number of missed or later initiated prenatal care appointments, increased odds of not taking vitamin supplements during pregnancy [26,66], stronger beliefs of harms of medication or nonadherence to medications in pregnancy [67,68], and overall adverse maternal and neonatal outcomes [69]. Findings that Flo improves user knowledge on fertility and pregnancy health are not surprising as Flo app users track fertile days and ovulation with Flo to know where throughout the cycle they have higher chances to conceive.…”

Section: Knowledge and Health Improvements Among Flo App Usersmentioning

confidence: 99%

Characterisation of self-reported improvements in education and health among users of Flo period tracking app: cross-sectional survey

Zhaunova¹,

Bamford²,

Radović³

et al. 2022

Preprint

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Introduction: Low health literacy among girls, women, and people who menstruate is associated with worse reproductive health outcomes. Mobile apps promise tools for improving women’s health literacy, however, there is little information about subscribers’ perceptions of app functionality and its impact on their knowledge and health. Objective: This study aimed to explore knowledge and health improvements related to menstrual cycle and pregnancy, as well as improvements in general health in Flo app users. We also investigated what components of the Flo app were associated with the above mentioned improvements, and evaluated whether those improvements differed based on education level, free or a premium subscription to the app, short or long term use of the app, and frequency of use. Methods: Flo subscribers who had been using the app for no less than 30 days completed an online survey. A total of 2214 of complete survey responses were collected. The survey included demographic questions, questions about motivations guiding usage of the Flo app, to what extent and what components of the app may have helped improve their knowledge and health (i.e., reproductive, sexual, physical, mental health, health behaviours, and communication with healthcare providers).Results: Most study participants reported menstrual cycle (89.0%) and pregnancy (84.6%) knowledge improvements from Flo app use. 62.3% of Flo users reported ‘period predictions’ and 72.2% reported ‘reading and/or watching articles and video sources in the app’ helped them feel the most informed about their cycle and pregnancy health. Higher educated, Flo Premium, frequent, and short term app users reported using the app mainly for getting pregnant and pregnancy tracking. Lower educated and long time users reported using the app to learn more about their body, sexual health, irregular cycles and related conditions, and to avoid pregnancy. Importantly, intended uses of the app for both lower and higher educated users matched areas in which they have gained knowledge and achieved their health goals upon the Flo app use. Flo Premium, frequent, and long term users were more likely to report improvements in knowledge and health in all areas they chose to use the app for and even beyond.Conclusion: There is a need to increase reproductive health literacy in the global female population. This study has shown that the use of the period tracking app, Flo, as self-reported by its users, improved their menstrual cycle and pregnancy knowledge and health. Additionally, more frequent, long-term, and Flo Premium users were more likely to report knowledge and health improvements across multiple health areas. Thus, the use of digital health apps, such as the Flo app, should be considered for integration into healthcare systems to increase women’s health literacy in the wider population.

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“…In our study cohort, women with mental disorders had low SES. Previous studies have shown controversial findings between low SES measured by income and educational attainment and the risk of preterm birth, low birth weight, and need for neonatal intensive care unit treatments ( 11 , 12 , 21 , 22 ).…”

Section: Discussionmentioning

confidence: 97%

“…There are conflicting results over the impact of maternal SES in pregnancy and outcomes. In many studies, there is heterogeneity of cohorts and the associations between variations remain unclear ( 11 , 21 , 22 ). In the study, the prevalence of GDM in this study was 16% as expected.…”

Section: Discussionmentioning

confidence: 99%

Preconception Mental Health, Socioeconomic Status, and Pregnancy Outcomes in Primiparous Women

Björkstedt

Koponen

Kautiainen

et al. 2022

Front. Public Health

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Background:One in four women of childbearing age has some degree of mental disorders and are, therefore, prone to both pregnancy complications and adverse health outcomes in their offspring. We aimed to evaluate the impact of preconception severe mental disorders on pregnancy outcomes in primiparous women.MethodsThe study cohort was composed of 6,189 Finnish primiparous women without previously diagnosed diabetes, who delivered between 2009 and 2015, living in the city of Vantaa, Finland. Women were classified to have a preconception severe mental disorder if they had one or more outpatient visits to a psychiatrist or hospitalization with a psychiatric diagnosis 1 year before conception. Data on pregnancies, diagnoses, and pregnancy outcomes were obtained from national registers at an individual level.ResultsPrimiparous women with preconception severe psychiatric diagnosis were younger, more often living alone, smokers, and had lower educational attainment and lower taxable income than women without psychiatric diagnosis (for all p < 0.001). Of all women, 3.4% had at least one psychiatric diagnosis. The most common psychiatric diagnoses were depression and anxiety disorders. The most common comorbidity was the combination of depression and anxiety disorders. There were no differences in the need for respiratory treatments, admissions to the neonatal intensive care unit, or antibiotic treatments between the offspring's groups.ConclusionAlthough primiparous women had severe mental disorders, the well-being of newborns was good. The most common severe mental health disorders were depression and anxiety disorders, and psychiatric comorbidity was common. Women with severe mental disorders more often belonged to lower socioeconomic groups.

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Association of Health Literacy Among Nulliparous Individuals and Maternal and Neonatal Outcomes

Cited by 33 publications

References 35 publications

Effect of Counseling Program based on Health Literacy Model regarding Gestational Diabetes on Maternal and Fetal outcomes

Effect of Counseling Program based on Health Literacy Model regarding Gestational Diabetes on Maternal and Fetal outcomes

Characterisation of self-reported improvements in education and health among users of Flo period tracking app: cross-sectional survey

Preconception Mental Health, Socioeconomic Status, and Pregnancy Outcomes in Primiparous Women

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