Pregnancy Monitoring Using Mobile Application

Study Overview
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Brief Summary
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The goal of this Randomized Controlled Trial is to compare the health condition of pregnant women through pregnancy monitoring in the implementation of pregnancy class. The main question it aims to answer are: How is the condition of the mother and baby after pregnancy monitoring using the REST mobile application (Risk identification, Evaluation counseling, Systematic monitoring, Trobleshooting) Participants will be monitored for the condition of their pregnancy from 20 weeks of pregnancy until delivery. Participants will attend in the pregnancy class as many as 3 meetings and a pregnancy check-up by the midwife. Researchers will compare intervention group to see if normal delivery methods, birth weight of the baby (>2500), antenatal care visits (>6 times), and prevention of pregnancy complications were better than the control group.

Detailed Description
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The research will involve pregnant women and midwives. The midwife will conduct a pregnancy check-up which includes 10 pregnancy checks (height and weight, blood pressure, upper arm circumference, uterine fundus height, Tetanus immunization, Fe tablets, fetal presentation and fetal heart rate, counseling, laboratory tests, case handling). The examination is carried out every class meeting of pregnant women. The results of the examination will be inputted into the mobile application. Pregnant women will fill in the mobile application if the mother does antenatal care at a health facility. This activity will last until the mother's delivery.

Official Title
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Monitoring Pregnant Women Using REST Mobile Application (Risk Identification, Evaluation Counseling, Systematic Monitoring, Troubleshooting)

Conditions
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Maternal and Child Health

Intervention / Treatment
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* Device: mobile application REST (Risk identification, Evaluation counseling, Systematic monitoring, Troubleshooting)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pregnant women with a gestational age of 20-22 weeks. Pregnant women who have a pregnancy check-up at a health facility Plan to settle in the research area for at least the next 2 years Willing to participate in the research by signing an informed consent form. Exclusion Criteria: Suffering from chronic diseases that require special pregnancy care It is certain that it cannot give birth normally Unable to operate an android phone

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group<br>Pregnant women and midwives will use the REST (Risk identification, Evaluation counseling, Systematic monitoring, Troubleshooting) mobile application to monitor the condition of maternal pregnancy. Mothers and midwives will implementation 3 times of pregnancy class until mothers give birth | Device: mobile application REST (Risk identification, Evaluation counseling, Systematic monitoring, Troubleshooting)<br>* The mobile application will be installed on the mobile phone. The application is used to monitor pregnant women. Users of the application are midwives and pregnant women. The application contains documentation of the health condition of pregnant women.<br>|
| No Intervention: Control Group<br>Pregnant women and midwives will conduct pregnancy monitoring as usual. The pregnancy class will be implemented in accordance with government program standards. Mothers will take pregnancy class 3 times until the mother gives birth | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reduced incidence of pregnancy complications in the mother | Pregnancy complications are measured using a mobile application by looking at the history of the mother's health condition. Possible complications such as pre-eclampsia, eclampsia, hypertension in pregnancy, and anemia | 20 weeks gestational age until delivery | 
| Increased childbirth by normal methods | The delivery method can be seen using the mobile application in the labor report section. Delivery will be reported by the midwife regarding the method used for childbirth including the results of filling out the partograph | 20 weeks gestational age until delivery | 
| Reduced incidence of low birth weight babies | The baby's birth weight is measured using baby scales and it is expected that the baby's birth weight is more than 2500 grams | 20 weeks gestational age until delivery | 
| Antenatal care for pregnant women more than 6 visits | Antenatal care by mothers can be measured by the number of visits to health facilities for pregnancy check-ups. Each visit will be recorded on the mobile application starting from the first visit | During pregnancy | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pregnancy monitoring, mobile application, antenatal care, maternal and child health