Reduction of Adverse Pregnancy Outcomes With a Smartphone Application in Ghana

Inclusion Criteria

• •Located in the region of Greater Accra.
• •The hospital should have at least 10 midwives employed.
• •The patient flow for each midwife should be at least 10 deliveries per month.
• •The annual average number of deliveries should be at least 1,200.
• •Should have no leave or vacation from June 17th to September 17th 2014.
• •Should have a full time employment at the delivery ward (conducting deliveries 100% of the work time).
• •Should be willing and available to participate in an information meeting at the hospital where the balloting among eligible midwives will take place.
• •Should give an informed consent to participate in the study.
• •Should be willing and available to participate in a workshop July 14th 2014 (this is the day of randomization, and intervention midwives will receive smartphone training).
• •Should be willing and available to participate in a workshop September 17th 2014 (to complete an end of study questionnaire, the key feature questionnaire, and control midwives will receive smartphones).
• •Should be proficient in English to understand the spoken instructions in the animated videos.
• •Should be in active labor.
• •Should give informed consent to participate in the study.
• •Should give birth vaginally.
• •The women in labor and their newborn children will be the primary observational units.