Pregnancy Maternal Health
Conditions
Interventions
This is a prospective implementation study using a cluster-randomized clinical trial design. Pregnant women enrolled during the first trimester of pregnancy in participating Family Health Strategy pre
Sponsors
Faculdade de Ciências Médicas - UNICAMP
Saúde, Alegria e Sustentabilidade Brasil
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Women of any age with pregnancy confirmed by clinical and/or laboratory methods; women enrolled in the SUS Prenatal Care Program during the first trimester of pregnancy, up to 20 weeks; women with gestational age determined by the date of the last menstrual period (LMP); women assigned to a Family Health Unit (USF) participating in the study; women who sign the written informed consent form
Exclusion criteria
Exclusion criteria: Women who are unable to understand or access the digital health tools; women without self-care capacity; women with neurological disabilities that prevent full understanding of the guidance provided by the study team; women who move to a municipality outside the project’s coverage area; women who express the wish not to participate in the study at any time
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected to find improvements in prenatal care quality and pregnancy outcomes associated with the implementation of a package of digital health interventions in four municipalities in Ceará with limited access to medical specialists | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected to observe high acceptance and utilization of digital health tools among pregnant women and health professionals during routine prenatal care;It is expected to find increased adherence to prenatal care recommendations and improvements in prenatal care quality indicators following the implementation of a package of digital health interventions;It is expected to observe an increased capacity for early diagnosis of major first-trimester pregnancy conditions, including ectopic pregnancy, molar pregnancy, and fetal malformations, as well as common gestational conditions such as gestational diabetes mellitus, hypertensive disorders of pregnancy, and risk of prematurity, following the implementation of a package of digital health interventions;It is expected to find an increased prevalence of diagnosed pathological conditions during pregnancy as a result of expanded access to digital health tools for screening and diagnosis;It is expected to observe improved pregnancy-related clinical outcomes following the implementation of a package of digital health interventions, including higher gestational age at birth, lower prevalence of prematurity, higher birth weight, lower prevalence of small-for-gestational-age newborns, fewer hospitalization days, and fewer lost workdays during pregnancy;It is expected to observe that the implementation costs of the digital health intervention package will be partially or fully offset by reductions in patient travel required to access health care services | — |
Countries
BR
Contacts
Public ContactAdriana Mallet
SAS Brasil
Outcome results
None listed