Satisfaction of healthy pregnant women receiving short message service via mobile phone for prenatal support: A randomized controlled trial.
OBJECTIVE
The main objective was to compare the satisfaction levels of antenatal care between healthy pregnant women who received short message service (SMS) via mobile phone for prenatal support, and those who did not. The second objective was to compare the confidence, anxiety levels and also pregnancy outcomes.


METHODS
A randomized controlled trial.


METHODS
68 healthy pregnant women who attended the antenatal clinic and delivered at Siriraj Hospital, who met the inclusion criterias between May 2007 and October 2007, were enrolled and randomly allocated into two random groups. The study group received two SMS messages per week from 28 weeks of gestation until giving birth. The other group was pregnant women who did not receive SMS. Both groups had the same antenatal and perinatal care. The satisfaction, confidence and anxiety scores were evaluated using a questionnaire at the postpartum ward. The pregnancy outcomes were also compared in these two groups.


RESULTS
The satisfaction levels of the women who received prenatal support in SMS messages, were significantly higher than those of who did not receive the messages both in the antenatal period (9.25 vs. 8.00, p < 0.001) and during labor (9.09 vs. 7.90, p = 0.007). In the SMS using group, the confidence level was'higher (8.91 vs. 7.79, p = 0.001) and the anxiety level was lower (2.78 vs. 4.93, p = 0.002) than the control group n the antenatal period, however no diference in pregnancy outcomes were found.


CONCLUSIONS
The present study shows the higher satisfaction level of pregnant women who received SMS via mobile phone during their antenatal service when compared with the general antenatal care group. The study also show the higher confidence level and lower anxiety level in the antenatal period but no difference in pregnancy outcomes.
Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. Rossathumj@hotmail.com
Rossathum
R
Jareethum
Vitaya
V
Titapant
Tienthai
T
Chantra
Viboonchart
V
Sommai
Prakong
P
Chuenwattana
Chatchainoppakhun
C
Jirawan
D000328:Adult; D040421:Cell Phone; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008429:Maternal Welfare; D017060:Patient Satisfaction; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care; D019114:Remote Consultation; D012944:Social Support; D011795:Surveys and Questionnaires; D013997:Time Factors