Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
St. Luke's International University, 10-1 Akashicho, Chuo-ku, Tokyo, 104-0004, Japan.
BMC Pregnancy Childbirth. 2017 Oct 16;17(1):354. doi: 10.1186/s12884-017-1536-9.
In Japan, 85% of pregnant women do not practice antenatal perineal massage. Therefore, we developed a smartphone website to support the practice of antenatal perineal massage. The purpose of the present study was to evaluate the feasibility of our smartphone website.
Pregnant women were recruited at five hospitals or clinics in Tokyo, Japan. Participants assigned to the smartphone website group (n = 74) were asked to register on the smartphone website. After completing registration, they could login and use all the contents of the website. After giving birth, participants completed a 5-item questionnaire evaluating the acceptability of the smartphone website. Participants assigned to the leaflet group (n = 71) received a leaflet on antenatal perineal massage and completed a similar 4-item questionnaire evaluating the leaflet. Data were collected from April 2014 to November 2014. Data analysis was performed using chi-square and t-tests to analyze responses to close-ended questions, and content analysis was conducted to analyze responses of open-ended questions.
In the smartphone website group, 9 women (12.2%) did not register on the smartphone website. Approximately 80% of the women who responded indicated that the smartphone site was easy to understand and useful for practicing antenatal perineal massage. In the smartphone website group, the reply rate for reporting the frequency of massage was 43.6%. Although the ratings and frequency at which the material was accessed tended to be higher in the smartphone website group than in the leaflet group, there were no significant differences.
Most pregnant women in the smartphone website group provided a favorable evaluation for the smartphone website. However, some participants had suggestions for improvement, which need to be incorporated in a revised version of the website. Therefore, the present study's results demonstrate the feasibility of a smartphone website to support the practice of antenatal perineal massage, and they may aid in the development of similar web-based educational material for pregnant women.
This trial was registered with the UMIN Clinical Trials Registry ( UMIN000013979 ) on May 16, 2014.
在日本，85%的孕妇没有进行产前会阴按摩。因此，我们开发了一个支持产前会阴按摩的智能手机网站。本研究的目的是评估我们的智能手机网站的可行性。
在日本东京的五家医院或诊所招募孕妇。被分配到智能手机网站组的参与者（n=74）被要求在智能手机网站上注册。注册完成后，他们可以登录并使用网站的所有内容。分娩后，参与者完成了一份评估智能手机网站可接受性的 5 项问卷。被分配到传单组的参与者（n=71）收到了一份关于产前会阴按摩的传单，并完成了一份类似的 4 项问卷评估传单。数据收集于 2014 年 4 月至 2014 年 11 月。使用卡方检验和 t 检验分析封闭式问题的回答，对开放式问题的回答进行内容分析。
在智能手机网站组中，有 9 名女性（12.2%）未在智能手机网站上注册。约 80%的回应者表示，智能手机网站易于理解，对产前会阴按摩练习有用。在智能手机网站组中，报告按摩频率的回复率为 43.6%。尽管智能手机网站组的评分和访问次数往往高于传单组，但差异无统计学意义。
大多数智能手机网站组的孕妇对智能手机网站给予了好评。然而，一些参与者提出了改进建议，需要在网站的修订版中进行整合。因此，本研究的结果表明，支持产前会阴按摩的智能手机网站具有可行性，这可能有助于开发类似的针对孕妇的基于网络的教育材料。
本试验于 2014 年 5 月 16 日在 UMIN 临床试验注册中心（UMIN000013979）注册。
