Trial reportPloS one2023
The effect of an mHealth application based on continuous support and education on fear of childbirth, self-efficacy, and birth mode in primiparous women: A randomized controlled trial.
Trial report in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 25 citations in OpenAlex.
- The impact of mHealth interventions on health-promoting behaviors in pregnant women: a randomized clinical trial.BMC public health · 2026Trial
- The impact of a digital self-care intervention based on mHealth on reducing sleep disorders during pregnancy: a quasi-experimental controlled study.Reproductive health · 2025Trial
- Effect of antenatal education on fear of childbirth, mental health, and perceived stress in primigravid pregnant women: a prospective randomized controlled trial.BMC pregnancy and childbirth · 2025Trial
- Testing the ELSA Birth App During Pregnancy and Labor for Primiparous Women: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Effect of antenatal education on pregnant women`s knowledge, attitude and preferences of delivery mode.BMC pregnancy and childbirth · 2024Trial
- Effects of internet-based supportive intervention on knowledge, pregnancy stress, fear of childbirth, and pregnancy outcomes in primiparas.Frontiers in medicine · 2026Article
- A concept analysis of the term midwifery intervention: A scoping review.European journal of midwifery · 2026Review
- Smartphone App-Based Exercise for Pregnant Women in Indonesia: Quasi-Experimental Study on Physical Activity, Fear of Childbirth, and Quality of Life.JMIR mHealth and uHealth · 2025Article
- The impact of Swanson's theory of caring on self-efficacy and pregnancy outcomes of primiparous women.Pakistan journal of medical sciences · 2025Article
- The effectiveness of nurse-led antenatal education on maternal self-efficacy: an evidence-based approach.BMC nursing · 2025Article
- Preuse Acceptance of a Family-Centered, Need-Based, and Interprofessional Perinatal Care Mobile Health Intervention: Exploratory Study.JMIR human factors · 2025Article
- Barriers and facilitators for mHealth utilization in pregnancy care: a qualitative analysis of pregnant women and stakeholder's perspectives.BMC pregnancy and childbirth · 2025Article
- Fertility anxiety vs. anti-fertility anxiety: exploring Chinese women's conflicting attitudes toward childbearing through social media.Frontiers in psychology · 2025Article
- The role of antenatal education on maternal self-efficacy, fear of childbirth, and birth outcomes: A systematic review and meta-analysis.European journal of midwifery · 2025Review
- The impact of mobile-assisted swimming applications on intrinsic motivation and fear reduction in aquatic environments among students in the swimming course.Frontiers in sports and active living · 2024Article
- The influence of sense of coherence on psychological birth trauma: a parallel mediation model based on health Salutogenesis theory.Frontiers in psychology · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Fear of Childbirth (FOC) is associated with several adverse health outcomes for children and women. This study aimed to evaluate the effectiveness of an interactive mobile health application named Tele-midwifery with an emphasis on continuous care and education, on FOC, self-efficacy, and childbirth mode in primiparous women.
methodsSeventy primiparous women attending the prenatal clinic of Baharlou Hospital in Tehran, Iran, were randomly assigned to two parallel intervention and control groups with 35 participants each. Women in the intervention group received Tele-midwifery for eight weeks, whereas women in the control group only received routine care. The Wijma delivery expectancy/experience questionnaire and the Childbirth Self-Efficacy Inventory were used to measure the FOC and self-efficacy at baseline and eight weeks after the intervention. The FOC and birth mode were also measured after birth.
resultsThere was a significant decrease in FOC among women in the intervention group compared to control groups after eight weeks of intervention (- 20.9 [95% Confidence Interval,-24.01 to-17.83], p < 0.001), and after birth (- 30.8, [95% CI-33.8 to-27.97], p < 0.001). After eight weeks, the mean self-efficacy score in the intervention group was significantly higher than the control group (p < 0.001). Compared to the control group, the intervention group had a lower C-Section (CS) rate (p = 0.03).
conclusionsTele-midwifery intervention reduced FOC, increased women's self-efficacy in childbirth, and decreased the number of CS in a group of first-time mothers. Healthcare providers can use the mHealth approach to support pregnant women with FOC.
trial registrationRegistration number: IRCT20200122046227N1, Registered on 27 January 2020.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.