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Kumar Venkatesan, Email: kvenkatesan@kku.edu.sa

P.P.: Conceptualization, formal analysis, investigation, methodology, project administration, resources, software, supervision, validation, visualization, writing—original draft, writing—review and editing. V.E.: data curation, formal analysis, methodology, project administration, resources, validation, writing—review and editing. R.A.: Conceptualization, methodology, project administration, writing—original draft, writing—review and editing. S.H.A.: conceptualization, methodology, project administration, resources, supervision, validation, visualization, writing—review and editing. K.V. (Krishnaraju Venkatesan): conceptualization, formal analysis, funding acquisition, methodology, project administration, resources, software, supervision, validation, visualization, writing—original draft, writing—review and editing. A.A.Q.: conceptualization, data curation, methodology, project administration, validation, writing—original draft, writing—review and editing. M.M.A.: data curation, formal analysis, methodology, project administration, validation, visualization, writing—review and editing. K.P. (Kousalya Prabahar): formal analysis, methodology, project administration, software, supervision, validation, visualization, writing—original draft, writing—review and editing. K.P. (Kalaiselvi Periannan): data curation, formal analysis, methodology, project administration, resources, validation, writing—review and editing. R.V.: conceptualization, investigation, methodology, project administration, resources, software, supervision, validation, visualization, writing—review and editing. G.K.: data curation, formal analysis, methodology, project administration, validation, writing—original draft, writing—review and editing. K.C.: conceptualization, investigation, methodology, project administration, supervision, writing—review and editing. E.M.P.: conceptualization, investigation, methodology, project administration, supervision, writing—review and editing. K.V. (Kumar Venkatesan): formal analysis, methodology, project administration, resources, software, validation, writing—review and editing. V.M.: conceptualization, investigation, data curation, project administration, resources, supervision, validation, visualization, writing—review and editing. All authors have read and agreed to the published version of the manuscript.

The authors extend their sincere appreciation to the Deanship of Scientific Research at King Khalid University for funding this study through the Large Research Group Project under grant number “RGP 2/186/42”. We also extend our gratitude to the mothers and families of both the study and control group and the research assistants.

The authors declare no conflict of interest.

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Research Funding:

This research was funded by the Deanship of Scientific Research at King Khalid University, grant number “RGP 2/186/42”.

Keywords:

  • pregnant mothers
  • physical activity
  • maternal well-being
  • antenatal mothers
  • newborn outcomes
  • m-health
  • low birth weight
  • small for gestation
  • gestation age
  • hemoglobin

Association of Maternal Observation and Motivation (MOM) Program with m-Health Support on Maternal and Newborn Health

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Journal Title:

Healthcare

Volume:

Volume 9, Number 12

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Type of Work:

Article | Final Publisher PDF

Abstract:

Maternal and child nutrition has been a critical component of health, sustainable development, and progress in low- and middle-income countries (LMIC). While a decrement in maternal mortality is an important indicator, simply surviving pregnancy and childbirth does not imply better maternal health. One of the fundamental obligations of nations under international human rights law is to enable women to endure pregnancy and delivery as an aspect of their enjoyment of reproductive and sexual health and rights and to live a dignified life. The aim of this study was to discover the correlation between the Maternal Observation and Motivation (MOM) program and m-Health support for maternal and newborn health. A comparative study was done among 196 pregnant mothers (study group—94; control group—102 mothers) with not less than 20 weeks of gestation. Maternal outcomes such as Hb and weight gain and newborn results such as birth weight and crown–heel length were obtained at baseline and at 28 and 36 weeks of gestation. Other secondary data collected were abortion, stillbirth, low birth weight, major congenital malformations, twin or triplet pregnancies, physical activity, and maternal well-being. The MOM intervention included initial face-to-face education, three in-person visits, and eight virtual health coaching sessions via WhatsApp. The baseline data on Hb of the mothers show that 31 (32.98%) vs. 27 (28.72%) mothers in the study and control group, respectively, had anemia, which improved to 27.66% and 14.98% among study group mothers at 28 and 36 weeks of gestation (p < 0.001). The weight gain (p < 0.001), level of physical activity (p < 0.001), and maternal well-being (p < 0.01) also had significant differences after the intervention. Even after controlling for potentially confounding variables, the maternal food practices regression model revealed that birth weight was directly correlated with the consumption of milk (p < 0.001), fruits (p < 0.01), and green vegetables (p < 0.05). As per the physical activity and maternal well-being regression model, the birth weight and crown–heel length were strongly related with the physical activity and maternal well-being of mothers at 36 weeks of gestation (p < 0.05). Combining the MOM intervention with standard antenatal care is a safe and effective way to improve maternal welfare while upholding pregnant mothers’ human rights.

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© 2021 by the authors.

This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/rdf).
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