Premature Birth Clinical Trial
Official title:
Antenatal Care Health Education Intervened by Social Networking on Mobile Phone Compared With Usual Care to Improve Maternal and Neonatal Outcomes: Randomized Controlled Trial
The purpose of the study is to determine whether social networking on mobile phone in antenatal care health education is effective in the improvement of maternal and neonatal outcomes compared with usual antenatal care.
Health Education Intervention with Social Networking (HISONET) is a open-label randomized
controlled trial. The objective of this study is to determine the efficacy of social
networking media on mobile phone intervention in antenatal care (ANC) group-health education
compared with usual ANC health education. The incidence of preterm delivery and major
neonatal morbidity including respiratory distress syndrome, stillbirth and perinatal
mortality in women delivering from 28 to 36 weeks' gestation are significant outcomes in a
randomized prospective design. Preterm delivery occurs in approximately 9.6% as global
incidence, and about 11.1% in South-Eastern Asia. Forty-four percent of child under 5 years
died in neonatal period. Preterm birth is one of the three leading causes of neonatal death
which 15% died from preterm birth complications such as respiratory distress syndrome,
intraventricular hemorrhage, necrotizing entercolitis, and sepsis. Recent studies demonstrate
that Short Message Service (SMS) on mobile phone intervention in antenatal care can increase
numbers of ANC attendance to WHO recommendation of four or more visits and decrease in
perinatal mortality.
Social networking on mobile phone has been increasingly used in daily life of both healthcare
personnel and women who attend ANC clinic. However, there is lack of evidence that
demonstrates the effect of social networking on mobile phone to improve maternal and neonatal
outcomes. LINE, a mobile application, is a popular one of many social networking
applications. So, health education through LINE of antenatal women about serious
complications such as labor pain, bleeding, water breaking and fewer fetal movement during
pregnancy may encourage them to come to the hospital as early as possible. Early diagnosis of
premature labor provides early management and better maternal and neonatal outcomes. So, a
randomized controlled trial should be conducted to answer these questions.
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