| چکیده انگلیسی مقاله |
Introduction: Marginalization and lack of proper access to healthcare services are among the most important factors affecting maternal and neonatal health.
Objective: This study aimed to investigate the effect of a mobile-based safe motherhood learning program on the postpartum care of marginalized women in Iran.
Materials and Methods: This is a quasi-experimental study conducted on 244 postpartum women referring to comprehensive health centers in the outskirts of Karaj, Alborz Province, Iran, in 2021-2022. Participants were included using a Convenience sampling method, and randomly assigned to two groups of intervention (n=122) and control (n=122). The intervention group received routine care plus the educational application. Data were collected using a socio-demographic checklist, a postpartum care knowledge scale, a postpartum care performance scale, and a socioeconomic status questionnaire in three stages, before the intervention (postpartum days 3-5), second week of postpartum (postpartum days 14-15), and sixth week of postpartum (postpartum days 42-45). Independent t-test and the repeated measures ANOVA were used for data analysis.
Results: The mean age of women was 27.3±6.8 years in the intervention group and 28.5±5.6 years in the control group. The results showed a significant increase in the mean scores of infants’ nutritional status, mothers’ self-care behavior, mothers’ infant care behavior, and their total postpartum care knowledge over time in the intervention group (P=0.001), but the differences were not statistically significant in the control group for any variables. The scores of these variables in two post-intervention stages (days 14-15 and days 42-45 postpartum)differed significantly between the two groups (P=0.001). The effect size was 34.2% for infants’ nutritional status, 65.8% for mothers’ self-care behaviors, 50.5% for mothers’ infant care behaviors, and 71.1% for the total postpartum care knowledge.
Conclusion: The mobile-based safe motherhood learning program can improve Iranian marginalized women’s postpartum care knowledge. Considering the importance of the health of mothers and babies, this mobile-based learning program is recommended to empower marginalized postpartum women in Iran. |
| نویسندگان مقاله |
| Zohreh Mahmoodi
Professor,Reproductive Health Department, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
| Maryam Hashemnejad
Associate Professor, Department of Obstetrics And Gynaecology, Alborz University of Medical Sciences, Karaj, Iran
| Mansoureh Yazdkhasti
Associate Professor, Reproductive Health Department, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
| Mahnaz Akbari Kamrani
Associate Professor, Reproductive Health Department, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
| Zahra Mehdizadeh Tourzani
Midwifery (Msc) , Reproductive Health Department, Social Determinants of Health Research Center, Alrboz University of Medical Sciences, Karaj, Iran
| Mohsen Arabi
Associate Professor , Physiology, Pharmacology and Medical Physics, Department, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| Kourosh Kabir
Associate Professor, Community Medicine and Epidemiology Department, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| Farima Mohamadi
Midwifery (Msc), Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| Leila zivdarchegini
Midwifery (Msc), Department of Midwifery, School of Nursing and Midwifery ,Semnan University of medical science, Semnan, Iran
| Sara Esmaelzadeh Saeieh
Professor,Reproductive Health Department, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
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