Zamaninasab Hossein, Heidarpanah Arsalan, Ghaemi Marjan
Department of Biotechnology, College of Science, University of Tehran, Tehran, Iran.
Department of Biomedical Engineering, Faculty of Electrical Engineering, South Tehran Branch, Islamic Azad University, Tehran, Iran.
J Family Reprod Health. 2023 Dec;17(4):216-228. doi: 10.18502/jfrh.v17i4.14593.
Maternal health care is one of the main challenges worldwide, especially in low- and middle-income countries (LMICs) such as Iran. In this cross-sectional study, we introduce an electronic health software for maternal care that is active under the supervision of the Valiasr Reproductive Health Research Center of Tehran University of Medical Sciences in providing maternal health education to Iranian pregnant women. In addition to describing the details of this open-source software and encouraging LMICs health policymakers to develop such software, this manuscript also provides a cross-sectional report and statistical analysis on anonymous Iranian pregnant women who registered in this system.
Since 2015, we have launched an electronic health software in Iran called "niniMED Pregnancy Calendar" in Persian. This system has multiple educational and motivational features for pregnant women, including momentary weight recommendations based on pregnancy week and recommended dates for common tests during pregnancy according to the first day of the last menstrual period in Jalali calendar format. Additionally, we measured user satisfaction with this system using a questionnaire.
From 2015 to 2017, 1,217 anonymous Iranian pregnant women registered in this system. The average age of pregnant Iranian women was 30.67 years (30 years and 8 months). Users had a body mass index (BMI) of 24.68 kg.m, which had a significant direct relationship with their gestational age (=5.81e-05) and indicated an improvement in appropriate weight for Iranian women compared to previous studies. We showed that there was a significant direct relationship between the age of Iranian pregnant women and the likelihood of a high-risk pregnancy (=0.008). We also observed a significant inverse relationship between pregnancy week and their tendency to receive pregnancy-related education (=0.018). Finally, we found that more than 88% of pregnant Iranian women assessed membership in such systems as completely useful for pregnancy.
The development of such electronic health systems for informing pregnant women can provide low-cost maternal education to LMICs pregnant women and potentially assist in managing weight gain during pregnancy and reducing associated risks. It can also be widely accepted by pregnant women.
孕产妇保健是全球面临的主要挑战之一，在伊朗等低收入和中等收入国家（LMICs）尤为如此。在这项横断面研究中，我们介绍了一款用于孕产妇保健的电子健康软件，该软件在德黑兰医科大学瓦利亚斯尔生殖健康研究中心的监督下运行，为伊朗孕妇提供孕产妇健康教育。除了描述这款开源软件的细节并鼓励LMICs的卫生政策制定者开发此类软件外，本手稿还提供了一份关于在该系统中注册的匿名伊朗孕妇的横断面报告和统计分析。
自2015年以来，我们在伊朗推出了一款名为“niniMED孕期日历”的波斯语电子健康软件。该系统为孕妇提供了多种教育和激励功能，包括根据孕周给出的即时体重建议，以及按照伊朗历格式根据末次月经首日给出的孕期常见检查推荐日期。此外，我们使用问卷来衡量用户对该系统的满意度。
2015年至2017年期间，1217名匿名伊朗孕妇在该系统中注册。伊朗孕妇的平均年龄为30.67岁（30岁零8个月）。用户的体重指数（BMI）为24.68kg·m²，与孕周呈显著正相关（=5.81e-05），这表明与之前的研究相比，伊朗女性的体重状况有所改善。我们发现伊朗孕妇的年龄与高危妊娠的可能性之间存在显著正相关（=0.008）。我们还观察到孕周与她们接受孕期相关教育的倾向之间存在显著负相关（=0.018）。最后，我们发现超过88%的伊朗孕妇认为此类系统的会员资格对孕期非常有用。
开发此类用于告知孕妇的电子健康系统可以为LMICs的孕妇提供低成本的孕产妇教育，并有可能帮助管理孕期体重增加并降低相关风险。它也能被孕妇广泛接受。
