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Mono-Professional Simulation-Based Obstetric Training in a Low-Resource Setting: Stepped-Wedge Cluster Randomized Trial

Mono-Professional Simulation-Based Obstetric Training in a Low-Resource Setting: Stepped-Wedge Cluster Randomized Trial

The primary outcome of this study was the combined maternal and perinatal mortality rate, expressed as a percentage of maternal and perinatal deaths per total number of births. Perinatal deaths were defined as stillbirths and deaths occurring within the first week of life in the special care unit. Data about each delivery and maternal and perinatal outcomes were prospectively registered using the maternity register and transcribed without identification of the subjects.

Anne A C van Tetering, Ella L de Vries, Peter Ntuyo, E R van den Heuvel, Annemarie F Fransen, M Beatrijs van der Hout-van der Jagt, Imelda Namagembe, Josaphat Byamugisha, S Guid Oei

JMIR Med Educ 2025;11:e54911

Evaluating the Usability, Acceptability, User Experience, and Design of an Interactive Responsive Platform to Improve Perinatal Nurses’ Stigmatizing Attitudes Toward Substance Use in Pregnancy: Mixed Methods Study

Evaluating the Usability, Acceptability, User Experience, and Design of an Interactive Responsive Platform to Improve Perinatal Nurses’ Stigmatizing Attitudes Toward Substance Use in Pregnancy: Mixed Methods Study

Stigmatizing attitudes among nurses who treat patients with perinatal substance use (PSU) [1-7] is a major barrier to the implementation of evidence-based practices for maternally provided care (ie, breastfeeding and skin-to-skin contact) that improve infant outcomes; decrease symptom severity; and reduce pharmacologic treatment, length of stay, and costs [8-18].

Michael Rubyan, Yana Gouseinov, Mikayla Morgan, Deborah Rubyan, Divya Jahagirdar, David Choberka, Carol J Boyd, Clayton Shuman

JMIR Hum Factors 2025;12:e67685

Investigating Protective and Risk Factors and Predictive Insights for Aboriginal Perinatal Mental Health: Explainable Artificial Intelligence Approach

Investigating Protective and Risk Factors and Predictive Insights for Aboriginal Perinatal Mental Health: Explainable Artificial Intelligence Approach

The Baby Coming You Ready (BCYR) program [10], was co-designed to overcome these barriers and challenges faced by Aboriginal parents during their perinatal care. The BCYR program focuses on a digitized, strengths-based, culturally safe, and holistic perinatal assessment that incorporates all 7 elements of Aboriginal peoples’ social and emotional well-being [11]. The assessment uses i Pads with touchscreen images depicting common strengths, worries, and past and present occurrences.

Guanjin Wang, Hachem Bennamoun, Wai Hang Kwok, Jenny Paola Ortega Quimbayo, Bridgette Kelly, Trish Ratajczak, Rhonda Marriott, Roz Walker, Jayne Kotz

J Med Internet Res 2025;27:e68030

A Mobile App–Based Intervention (Parentbot–a Digital Healthcare Assistant) for Parents: Secondary Analysis of a Randomized Controlled Trial

A Mobile App–Based Intervention (Parentbot–a Digital Healthcare Assistant) for Parents: Secondary Analysis of a Randomized Controlled Trial

Mental health issues, such as depression and anxiety, affect around 26% and 15% of mothers [1,2] and 8%-14% and 11% of fathers [3,4], respectively, during the perinatal period (from conception to 1 year post partum) [5]. Poor psychological health among parents can cause long-term physical, psychosocial, and emotional developmental problems among their children [6,7]. Singapore has recently declared perinatal depression among mothers as a public health concern [8].

Joelle Yan Xin Chua, Mahesh Choolani, Cornelia Yin Ing Chee, Huso Yi, Joan Gabrielle Lalor, Yap Seng Chong, Shefaly Shorey

J Med Internet Res 2025;27:e64882

Factors Impacting Mobile Health Adoption for Depression Care and Support by Adolescent Mothers in Nigeria: Preliminary Focus Group Study

Factors Impacting Mobile Health Adoption for Depression Care and Support by Adolescent Mothers in Nigeria: Preliminary Focus Group Study

Recent reports indicate their high use among the youth perinatal population in Nigeria [4]. In Nigeria, digital research has been successfully conducted for perinatal mental care within the WHO Mental Health Global Action Programme (mh GAP) task-shifting initiative in primary care [4-6] to address barriers to care in patients.

Lola Kola, Tobi Fatodu, Manasseh Kola, Bisola A Olayemi, Adeyinka O Adefolarin, Simpa Dania, Manasi Kumar, Dror Ben-Zeev

JMIR Form Res 2025;9:e42406

Informatics Interventions for Maternal Morbidity: Scoping Review

Informatics Interventions for Maternal Morbidity: Scoping Review

Informatics interventions offer tools that can help to prevent perinatal health conditions that have long-term health consequences for mothers, monitor these conditions in the perinatal period so that mother and baby remain healthy, and follow mothers post partum to ensure that they continue to receive the health monitoring they need. Technology-based tools that can be used for these purposes include mobile apps, wearable technology, physician decision support, and telehealth, among others.

Jill Inderstrodt, Julia C Stumpff, Rebecca C Smollen, Shreya Sridhar, Sarah A El-Azab, Opeyemi Ojo, Brendan Bowns, David A Haggstrom

Interact J Med Res 2025;14:e64826

Assessing the Impact of Distance Traveled and Birth Volumes of Hospital Maternity Units on Newborn Outcomes: Population-Based Cohort Study

Assessing the Impact of Distance Traveled and Birth Volumes of Hospital Maternity Units on Newborn Outcomes: Population-Based Cohort Study

Driven by a commitment to improving maternal and neonatal outcomes, several European health care systems, including the Italian National Health Service (NHS) have embraced the regionalization of perinatal care in large maternity units since the 1980s. Perinatal regionalization aims to optimize access to quality care by organizing maternity and neonatal services into distinct levels based on the complexity of care required.

Anna Cantarutti, Riccardo Boracchini, Roberto Bellù, Raffaella Ronco, Federico Rea, Anna Locatelli, Rinaldo Zanini, Giovanni Corrao

JMIR Public Health Surveill 2025;11:e58944

E-Screening for Prenatal Depression in Kampala, Uganda Using the Edinburgh Postnatal Depression Scale: Survey Results

E-Screening for Prenatal Depression in Kampala, Uganda Using the Edinburgh Postnatal Depression Scale: Survey Results

Unmet needs, along with poverty, lack of spousal or partner support, early and unplanned pregnancies, and physical or verbal abuse, have accelerated perinatal depression [4-7]. Perinatal depression, that is depression that occurs during pregnancy, around childbirth, or within the first year post partum, affects households worldwide. It often co-occurs with other medical or mental health illnesses and frequently goes undetected and untreated [8,9].

Hasifah Kasujja Namatovu, Mark Abraham Magumba, Dickens Akena

Online J Public Health Inform 2025;17:e51602

Web-Based Intervention (SunnysideFlex) to Promote Resilience to Posttraumatic Stress Disorder Symptoms During Pregnancy: Development and Pilot Study

Web-Based Intervention (SunnysideFlex) to Promote Resilience to Posttraumatic Stress Disorder Symptoms During Pregnancy: Development and Pilot Study

The perinatal period, defined here as the period during pregnancy and up to 1 year post partum [1,2], is a time of heightened vulnerability to psychopathology. Perinatal affective distress is associated with profound maternal, fetal, infant, and familial consequences [3,4], and if left untreated, carries a substantial economic burden, particularly to health and social care [5,6].

Katherine C Paltell, Jennifer Duffecy, Pauline M Maki, Shiva Edalatian Zakeri, Anka A Vujanovic, Erin C Berenz

JMIR Form Res 2024;8:e53744

Exploring User Experiences of the Mom2B mHealth Research App During the Perinatal Period: Qualitative Study

Exploring User Experiences of the Mom2B mHealth Research App During the Perinatal Period: Qualitative Study

Perinatal depression (PND) impacts anywhere from 12% to 20% of women during pregnancy and after birth [1]. In Sweden, universal screening for PND takes place during a postpartum visit to the children’s health center and is done using the Edinburgh Postnatal Depression Scale (EPDS) [2]. Although efforts are being made to improve screening in the perinatal period, there are many barriers at both the patient and system level that prevent timely detection and intervention [3-5].

Ayesha-Mae Bilal, Konstantina Pagoni, Stavros I Iliadis, Fotios C Papadopoulos, Alkistis Skalkidou, Caisa Öster

JMIR Form Res 2024;8:e53508