Cargando…

The Effects on Inappropriate Weight for Gestational Age of an SMS Based Educational Intervention for Pregnant Women in Xi’an China: A Quasi-Randomized Controlled Trial

Background: The aim of this study was to estimate the effects of maternal text messages on inappropriate weight for gestational age (IWGA) in newborns in rural China. Methods: Participants were pregnant women presenting for antenatal care at a Maternal and Child Health Center in Xi’an, China during...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhou, Zhongliang, Su, Yanfang, Heitner, Jesse, Si, Yafei, Wang, Dan, Zhou, Zhiying, Yuan, Changzheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084866/
https://www.ncbi.nlm.nih.gov/pubmed/32106558
http://dx.doi.org/10.3390/ijerph17051482
_version_ 1783508821487910912
author Zhou, Zhongliang
Su, Yanfang
Heitner, Jesse
Si, Yafei
Wang, Dan
Zhou, Zhiying
Yuan, Changzheng
author_facet Zhou, Zhongliang
Su, Yanfang
Heitner, Jesse
Si, Yafei
Wang, Dan
Zhou, Zhiying
Yuan, Changzheng
author_sort Zhou, Zhongliang
collection PubMed
description Background: The aim of this study was to estimate the effects of maternal text messages on inappropriate weight for gestational age (IWGA) in newborns in rural China. Methods: Participants were pregnant women presenting for antenatal care at a Maternal and Child Health Center in Xi’an, China during the 2013–2015 period. In total, 2115 women completed the program with follow-up information included in the final analyses. All mothers were divided into four groups, including (1) a control group that received only a few “Basic” messages, (2) a Care-Seeking (CS) message group, (3) Good Household Prenatal Practices (GHPP) message group, and (4) a group receiving all 148 text messages. The primary outcome was IWGA, including small for gestational age (SGA) and macrosomia (weighing ≥4000g at birth). Multivariable logistic regression using an intent-to-treat estimate was utilized. Results: In total, 19.5% of newborns were IWGA. The risk of IWGA was 23.0% in the control group, 19.6% in the CS group, 18.9% in the GHPP group, and 16.5% in the group with All Texts. Compared to the control group, the odds ratio of IWGA was 0.65 (0.48–0.89) for the group receiving All Texts, which remained statistically significant after performing the Holm-Bonferroni correction. The odds ratio of macrosomia was 0.54 (0.34–0.87) and 0.57 (0.36–0.49) for the Care Seeking message group and the All Texts group, respectively, with statistical significance. Conclusion: A package of free informational text messages, including advice for good household prenatal practices and care seeking, may prevent the inappropriate weight for gestational age through a protective effect on macrosomia. Advice to encourage care seeking in pregnancy may prevent macrosomia among neonates in rural China as well.
format Online
Article
Text
id pubmed-7084866
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-70848662020-03-23 The Effects on Inappropriate Weight for Gestational Age of an SMS Based Educational Intervention for Pregnant Women in Xi’an China: A Quasi-Randomized Controlled Trial Zhou, Zhongliang Su, Yanfang Heitner, Jesse Si, Yafei Wang, Dan Zhou, Zhiying Yuan, Changzheng Int J Environ Res Public Health Article Background: The aim of this study was to estimate the effects of maternal text messages on inappropriate weight for gestational age (IWGA) in newborns in rural China. Methods: Participants were pregnant women presenting for antenatal care at a Maternal and Child Health Center in Xi’an, China during the 2013–2015 period. In total, 2115 women completed the program with follow-up information included in the final analyses. All mothers were divided into four groups, including (1) a control group that received only a few “Basic” messages, (2) a Care-Seeking (CS) message group, (3) Good Household Prenatal Practices (GHPP) message group, and (4) a group receiving all 148 text messages. The primary outcome was IWGA, including small for gestational age (SGA) and macrosomia (weighing ≥4000g at birth). Multivariable logistic regression using an intent-to-treat estimate was utilized. Results: In total, 19.5% of newborns were IWGA. The risk of IWGA was 23.0% in the control group, 19.6% in the CS group, 18.9% in the GHPP group, and 16.5% in the group with All Texts. Compared to the control group, the odds ratio of IWGA was 0.65 (0.48–0.89) for the group receiving All Texts, which remained statistically significant after performing the Holm-Bonferroni correction. The odds ratio of macrosomia was 0.54 (0.34–0.87) and 0.57 (0.36–0.49) for the Care Seeking message group and the All Texts group, respectively, with statistical significance. Conclusion: A package of free informational text messages, including advice for good household prenatal practices and care seeking, may prevent the inappropriate weight for gestational age through a protective effect on macrosomia. Advice to encourage care seeking in pregnancy may prevent macrosomia among neonates in rural China as well. MDPI 2020-02-25 2020-03 /pmc/articles/PMC7084866/ /pubmed/32106558 http://dx.doi.org/10.3390/ijerph17051482 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zhou, Zhongliang
Su, Yanfang
Heitner, Jesse
Si, Yafei
Wang, Dan
Zhou, Zhiying
Yuan, Changzheng
The Effects on Inappropriate Weight for Gestational Age of an SMS Based Educational Intervention for Pregnant Women in Xi’an China: A Quasi-Randomized Controlled Trial
title The Effects on Inappropriate Weight for Gestational Age of an SMS Based Educational Intervention for Pregnant Women in Xi’an China: A Quasi-Randomized Controlled Trial
title_full The Effects on Inappropriate Weight for Gestational Age of an SMS Based Educational Intervention for Pregnant Women in Xi’an China: A Quasi-Randomized Controlled Trial
title_fullStr The Effects on Inappropriate Weight for Gestational Age of an SMS Based Educational Intervention for Pregnant Women in Xi’an China: A Quasi-Randomized Controlled Trial
title_full_unstemmed The Effects on Inappropriate Weight for Gestational Age of an SMS Based Educational Intervention for Pregnant Women in Xi’an China: A Quasi-Randomized Controlled Trial
title_short The Effects on Inappropriate Weight for Gestational Age of an SMS Based Educational Intervention for Pregnant Women in Xi’an China: A Quasi-Randomized Controlled Trial
title_sort effects on inappropriate weight for gestational age of an sms based educational intervention for pregnant women in xi’an china: a quasi-randomized controlled trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084866/
https://www.ncbi.nlm.nih.gov/pubmed/32106558
http://dx.doi.org/10.3390/ijerph17051482
work_keys_str_mv AT zhouzhongliang theeffectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial
AT suyanfang theeffectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial
AT heitnerjesse theeffectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial
AT siyafei theeffectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial
AT wangdan theeffectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial
AT zhouzhiying theeffectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial
AT yuanchangzheng theeffectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial
AT zhouzhongliang effectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial
AT suyanfang effectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial
AT heitnerjesse effectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial
AT siyafei effectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial
AT wangdan effectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial
AT zhouzhiying effectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial
AT yuanchangzheng effectsoninappropriateweightforgestationalageofansmsbasededucationalinterventionforpregnantwomeninxianchinaaquasirandomizedcontrolledtrial