ArticlePloS one2019
Implementation of an international standardized set of outcome indicators in pregnancy and childbirth in Kenya: Utilizing mobile technology to collect patient-reported outcomes.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- The acceptability of implementing patient-reported measures in routine maternity care: A systematic review.Acta obstetricia et gynecologica Scandinavica · 2023Pooled it
- Health information systems integrating patient-reported outcomes and experience: a scoping review.Journal of patient-reported outcomes · 2026Review
- Scaling Phone-Based PROM Collection Across Low-Resource Settings: Learnings From MomCare, a Digital Pregnancy Care Bundle.Journal of patient experience · 2026Article
- Maternal mental health matters: Indicators for perinatal mental health-A scoping review.PloS one · 2025Article
- First Experiences of Patients and Healthcare Professionals with Routine Use of Patient-Reported Outcome Measures for Venous Thromboembolism.TH open : companion journal to thrombosis and haemostasis · 2025Article
- The maternal and newborn health eCohort to track longitudinal care quality: study protocol and survey development.Global health action · 2024Article
- Roles of different organizations in implementing patient-reported measures in routine maternity care in Finland.Journal of patient-reported outcomes · 2024Article
- Surgical Systems Strengthening in Urogynecology.International urogynecology journal · 2024Article
- Introducing standard patient-reported measures (PRMs) into routine maternity care: A pre-implementation qualitative study on women's perspectives in Finland.BMC health services research · 2023Article
- PROMs and PREMs in routine perinatal care: mixed methods evaluation of their implementation into integrated obstetric care networks.Journal of patient-reported outcomes · 2023Article
- Patient-reported outcome and experience measures for quality improvement in pregnancy and childbirth care: a retrospective cohort study.BMJ open quality · 2023Article
- Article
- Perinatal depression and its impact on infant outcomes and maternal-nurse SMS communication in a cohort of Kenyan women.BMC pregnancy and childbirth · 2022Article
- Evaluating patient-reported outcome measures in Peru: a cross-sectional study of satisfaction and net promoter score using the 2016 EnSuSalud survey.BMJ quality & safety · 2022Article
- Patient-Reported Outcome and Experience Measures in Perinatal Care to Guide Clinical Practice: Prospective Observational Study.Journal of medical Internet research · 2022Observational
- Implementing value-based healthcare using a digital health exchange platform to improve pregnancy and childbirth outcomes in urban and rural Kenya.Frontiers in public health · 2022Article
- A qualitative study on professionals' attitudes and views towards the introduction of patient reported measures into public maternity care pathway.BMC health services research · 2021Article
- Implementation of a standard outcome set in perinatal care: a qualitative analysis of barriers and facilitators from all stakeholder perspectives.BMC health services research · 2021Article
- Cesarean delivery in low- and middle-income countries: A review of quality of care metrics and targets for improvement.Seminars in fetal & neonatal medicine · 2021Review
- Utility of Short Message Service (SMS) for Remote Data Collection for HIV in Low- and Middle-Income Countries.Current HIV/AIDS reports · 2020Review
Corrections and comments
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Authors and funding
14 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLimited data exist on health outcomes during pregnancy and childbirth in low- and middle-income countries. This is a pilot of an innovative data collection tool using mobile technology to collect patient-reported outcome measures (PROMs) selected from the International Consortium of Health Outcomes Measurement (ICHOM) Pregnancy and Childbirth Standard Set in Nairobi, Kenya.
methodsPregnant women in the third trimester were recruited at three primary care facilities in Nairobi and followed prospectively throughout delivery and until six weeks postpartum. PROMs were collected via mobile surveys at three antenatal and two postnatal time points. Outcomes included incontinence, dyspareunia, mental health, breastfeeding and satisfaction with care. Hospitals reported morbidity and mortality. Descriptive statistics on maternal and child outcomes, survey completion and follow-up rates were calculated.
resultsIn six months, 204 women were recruited: 50% of women returned for a second ante-natal care visit, 50% delivered at referral hospitals and 51% completed the postnatal visit. The completion rates for the five PROM surveys were highest at the first antenatal care visit (92%) and lowest in the postnatal care visit (38%). Data on depression, dyspareunia, fecal and urinary incontinence were successfully collected during the antenatal and postnatal period. At six weeks postpartum, 86% of women breastfeed exclusively. Most women that completed the survey were very satisfied with antenatal care (66%), delivery care (51%), and post-natal care (60%).
conclusionWe have demonstrated that it is feasible to use mobile technology to follow women throughout pregnancy, track their attendance to pre-natal and post-natal care visits and obtain data on PROM. This study demonstrates the potential of mobile technology to collect PROM in a low-resource setting. The data provide insight into the quality of maternal care services provided and will be used to identify and address gaps in access and provision of high quality care to pregnant women.
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