Paulsamy, P.; Easwaran, V.; Ashraf, R.; Alshahrani, S.H.; Venkatesan, K.; Qureshi, A.A.; Arrab, M.M.; Prabahar, K.; Periannan, K.; Vasudevan, R.; Kandasamy, G.; Chidambaram, K.; Pappiya, E.M.; Venkatesan, K.; Manoharan, V. Association of Maternal Observation and Motivation (MOM) Program with m-Health Support on Maternal and Newborn Health. Healthcare2021, 9, 1629.
Paulsamy, P.; Easwaran, V.; Ashraf, R.; Alshahrani, S.H.; Venkatesan, K.; Qureshi, A.A.; Arrab, M.M.; Prabahar, K.; Periannan, K.; Vasudevan, R.; Kandasamy, G.; Chidambaram, K.; Pappiya, E.M.; Venkatesan, K.; Manoharan, V. Association of Maternal Observation and Motivation (MOM) Program with m-Health Support on Maternal and Newborn Health. Healthcare 2021, 9, 1629.
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 mothers and teenage girls to endure pregnancy and delivery as an aspect of their enjoyment of reproductive and sexual health and rights and 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 109 pregnant mothers (study group-94; control group-102 mothers) with not less than 20 weeks of gestation. Maternal outcomes such as Hb, weight gain and newborn results like birth weight and crown- heel length was obtained on the baseline, 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 wellbeing. The MOM intervention included initial face to face education, three in-person visits and eight virtual health coaching by WhatsApp. The baseline data on Hb of the mothers show that 31(32.98%) vs 27(28.72%) of the study and control group had anaemia, 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 wellbeing (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 consumption of milk (p 0.001), fruits (p 0.01), and green vegetables (p 0.05).As per the physical activity and maternal wellbeing regression model, the birth weight and crown heel length were strongly related with the physical activity and maternal wellbeing 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.
pregnant mothers, physical activity; maternal wellbeing; antenatal mothers; newborn outcomes; m-health; low birth weight; small for gestation; gestation age; hemoglobin
MEDICINE & PHARMACOLOGY, Nursing & Health Studies
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.