The effect of SMS messaging on the compliance with iron supplementation among pregnant women in Iran: a randomized controlled trial

Khorshid, Marzieh Rakhsh; Afshari, Poorandokht; Abedi, Parvin

doi:10.1177/1357633x14533895

Cited by 43 publications

(86 citation statements)

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“…18 In our study, a significant difference was noted in Hb% in last visit in study group [p-0.004] when compared to a study done by Khorshid et al where no effect on anaemia was found, as there were no significant differences in hemoglobin and hematocrit in study group. 19 There was no significant difference noted in both groups in this study in terms of age, risk factors, literacy status which is similar to study done by Lund et al 16 The limitations of m-health are that compliance of health workers for handling the software application may be low. Antenatal women who register late in last trimester will have less number of antenatal check-ups.…”

Section: Discussionsupporting

confidence: 77%

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

Menaka¹,

Kamineni²,

Sree³

2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONGlobally about 800 women die every day of preventable causes related to pregnancy and childbirth and 20 % of such deaths are from India. It is estimated that per year, 55,000 women die due to preventable pregnancy-related causes in India.1 The United Nations' Millennium Development Goal (MDG5) was to reduce maternal mortality rate (MMR) by 75% between 1990 and 2015. 2 In order to achieve these goals and accelerate their progress, newer strategies like m-Health are required. India faces several challenges in meeting the needs of pregnant women, particularly those related to complications of pregnancy and obstetric emergencies. Besides medical causes, other factors that may contribute to maternal deaths are delay in care-seeking due to delay in identifying the complication, deciding to seek care, transportation to a health facility, and delay in receiving appropriate treatment.3 Mobile health (m-Health) denotes using small portable and wireless communication devices like mobile phones, personal digital assistants, based on web applications to facilitate the health needs of health care providers and consumers. The basic idea of m-health application for expectant mothers is that community health workers collect data about pregnant women and send to a specialist. The specialist views the patient information and provides feedback to the mobile of community health worker.4 It works as a good support system and is operated by rural health workers to improve point of care diagnostic support. It is also useful for screening of patients who need specialist care and to provide advice for routine cases. 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.

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Section: Discussionsupporting

confidence: 77%

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

Menaka¹,

Kamineni²,

Sree³

2017

Int J Reprod Contracept Obstet Gynecol

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“…Las unidades de análisis según el ámbito geográfico de procedencia muestran un predominio de investigaciones provenientes de Asia (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23) seguidas por las experiencias de América del Norte (24-34), Europa (35)(36)(37)(38)(39)(40)(41)(42), América Latina (43-49) y en menor medida las procedentes de Oceanía (50-51) y África (52-53).…”

Section: Resultsunclassified

“…Khorshid MR. y cols. 2014 (23) Irán Las mujeres del GI tuvieron una mayor adherencia a la toma del suplemento en comparación con el GC (94% vs 66%; p= 0,003). No hubo diferencias significativas entre los grupos con respecto al nivel de Hb, hematocrito y ferritina sérica.…”

Section: Tablaunclassified

“…El grado de adherencia al uso de suplementos es probablemente uno de los condicionantes que influye en estos resultados favorables y los estudios demuestran que esta adherencia es significativamente mayor cuando está presente el componente educativo (16,17,21,23,45,53). CONCLUSIONES El análisis de las experiencias de intervención nutricional destinadas a gestantes sin patologías provenientes de diferentes contextos geográficos, culturales y socioeconómicos que se incluyeron en esta revisión revelan resultados favorables especialmente cuando las mismas están destinadas a lograr un incremento en el nivel de conocimientos, a estimular cambios en los patrones dietéticos o a prevenir la anemia ferropénica mediante la adherencia a la suplementación con hierro.…”

Section: Tablaunclassified

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El Impacto De La Educación Alimentaria Nutricional en El Embarazo: Una Revisión De Las Experiencias De Intervención.

et al. 2017

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INTRODUCCIÓNEl embarazo es uno de los momentos de mayor vulnerabilidad nutricional en la vida de la mujer ya que las necesidades de energía y nutrientes se encuentran aumentadas en virtud del crecimiento fetal y de la síntesis de tejidos maternos como el aumento del tamaño uterino, la hipertrofia de las glándulas mamarias y la acumulación de las reservas grasas. El estado nutricional de la madre previo a la gestación y los hábitos alimentarios implementados durante el embarazo, son condicionantes de importancia en este periodo del ciclo vital (1-3).Mantener una alimentación saludable es un objetivo primordial del cuidado prenatal, momento en el cual la edu- cación alimentaria nutricional (EAN) resulta una herramienta imprescindible que permite reforzar los comportamientos alimentarios beneficiosos y modificar aquellos que impactan negativamente sobre la salud. Alcanzar dichas modificaciones requiere que la mujer tenga un papel activo, sea consciente de los riesgos de llevar a cabo una alimentación inadecuada y testigo de sus propios avances y logros (4).La ganancia de peso y la deficiencia de algunos micronutrientes críticos constituyen las principales problemáticas a ser abordadas en el control prenatal mediante la EAN. Por la relación que existe entre el peso materno y el desarrollo y crecimiento fetal, es importante controlar que la ganancia de peso gestacional se encuentre dentro de un rango saludable (5,

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“…However, we assume that the difference in SMS text message frequency might not constitute an intervention. Several studies including studies conducted in Australia [22], Iran [64], and Korea [65] delivered text messaging service once a week to the intervention groups and findings reported that these interventions were effective.…”

Section: Discussionmentioning

confidence: 99%

Mobile Phone Short Messages to Improve Breastfeeding Feeding Practices: A Study Protocol for a Randomized Controlled Trial in Yangon, Myanmar

Hmone¹,

Alam²,

Dibley³

2017

JMIR Res Protoc

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BackgroundMyanmar has a high burden of mortality for children aged younger than 5 years in which undernutrition plays a major role. Despite current efforts, the exclusive breastfeeding rate for children under 6 months is only 24%. To date there have been no interventions using mobile phones to improve breastfeeding and other feeding practices in Myanmar.ObjectiveThis study aims to implement a breastfeeding promotion intervention using mobile phone text messages in Yangon, Myanmar, and evaluate its impact on breastfeeding practices.MethodsM528 is a 2-group parallel-arm randomized controlled trial with 9 months follow-up from recruitment until 6 months post-delivery. A total of 353 pregnant women between 28 and 34 weeks’ gestation who had access to a mobile phone and were able to read and write have been recruited from the Central Women’s Hospital, Yangon, and allocated randomly to an intervention or control group in a 1:1 ratio. The intervention group received breastfeeding promotional SMS messages 3 times a week while the control group received maternal and child health care messages (excluding breastfeeding-related messages) once a week. The SMS messages were tailored for the women’s stage of gestation or the child’s age. A formative qualitative study was conducted prior to the trial to inform the study design and text message content. We hypothesize that the exclusive breastfeeding rate in the intervention group will be double that in the control group. The primary outcome is exclusive breastfeeding from birth to 6 months and secondary outcomes are median durations of exclusive breastfeeding and other infant feeding practices. Both primary and secondary outcomes were assessed by monthly phone calls at 1 to 6 months postdelivery in both groups. Participants’ delivery status was tracked through text messages, phone calls, and hospital records, and delivery characteristics were assessed 1 month after delivery. Child morbidity and breastfeeding self-efficacy scores were assessed at 1, 3, and 5 months postdelivery. Social desirability was measured at 5 months, and text messages expressing delivery success and user experience were assessed at the end of the study.ResultsThe targeted 353 pregnant women were recruited between January and March 2015. Baseline data have been collected; SMS messages have been developed and pretested and sent to the women from both groups. Follow-up data collection via phone calls has been completed. Data analysis is being done and results are expected soon. This is the first RCT study examining the effects of mobile text messaging for promoting exclusive breastfeeding.ConclusionsThis trial is timely in Myanmar following the telecommunications market opening in 2014. Our results will help determine whether text messaging is an effective and feasible method for promoting appropriate feeding practices and will inform further research to assess how this model could be replicated in the broader community.Trial RegistrationAustralian New Zealand Clinical Trial Registry ACTRN12615000063516; http...

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The effect of SMS messaging on the compliance with iron supplementation among pregnant women in Iran: a randomized controlled trial

Cited by 43 publications

References 9 publications

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

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

El Impacto De La Educación Alimentaria Nutricional en El Embarazo: Una Revisión De Las Experiencias De Intervención.

Mobile Phone Short Messages to Improve Breastfeeding Feeding Practices: A Study Protocol for a Randomized Controlled Trial in Yangon, Myanmar

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