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Using mHealth Interventions to Improve Prenatal Care and Birth Outcomes in the United
StatesBy: Akimi Smith
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Background§ Negative birth outcomes persistent in US§ Short-term and long-term consequences§ Access to prenatal care
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What is mHealth?
§ Using mobile phones and communication devices to deliver health services and information
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mHealth and Prenatal
Care
§ High compliance and usability § Improved nutrition and physical activity§ Increased attendance in prenatal appointments
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mHealth and Prenatal Care
in the US
§ High compliance and usability § Increased attendance in prenatal appointments§ Improved prenatal vitamin intake and awareness of
smoking and consuming alcohol§ Form of social support
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Limitations§ Information and privacy issues§ Lack of access to healthcare and technology
§ Rural/underserved population
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Conclusions§ mHealth interventions feasible and acceptable § Further research needed to evaluate effectiveness
§ Randomized control trials
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Public Health
Implications
§ Increase access to prenatal care§ Improve birth outcomes§ Minority and underserved populations
§ Racial Disparities in MCH
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Acknowledgements
§ Making Lifelong Connections
§ Department of Behavioral Sciences and Health Education at the Rollins School of Public Health at Emory University
§ Maternal and Child Health Certificate Program at the Rollins School of Public Health at Emory University
§ Women’s and Children’s Center at Emory University
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Questions?
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References
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2. Abroms, L.C., et al., Quit4baby: Results From a Pilot Test of a Mobile Smoking Cessation Program for Pregnant Women. JMIR mHealth uHealth, 2015. 3(1): p. e10.
3. Bushar, J.A., et al., Text4baby Influenza Messaging and Influenza Vaccination Among Pregnant Women. American Journal of Preventive Medicine, 2017. 53(6): p. 845-853.
4. Evans, W.D., et al., Initial Outcomes From a 4-Week Follow-Up Study of the Text4baby Program in the Military Women’s Population: Randomized Controlled Trial. Journal of Medical Internet Research, 2014. 16(5): p. e131.
5. Evans, W.D., J.L. Wallace, and J. Snider, Pilot evaluation of the text4baby mobile health program. BMC Public Health, 2012. 12: p. 1031-1031.
6. Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for adverse birth outcomes: a pilot study. mHealth, 2015. 1: p. 20.
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9. Mackert, M., et al., Engaging Men in Prenatal Health Promotion: A Pilot Evaluation of Targeted e-Health Content. American Journal of Men's Health, 2017. 11(3): p. 719-725.
10. Nicholson, W.K., et al., The Gestational Diabetes Management System (GooDMomS): development, feasibility and lessons learned from a patient-informed, web-based pregnancy and postpartum lifestyle intervention. BMC Pregnancy and Childbirth, 2016. 16: p. 277.