Volume 23, Issue 4 (Special Issue 2025)                   Nursing and Midwifery Journal 2025, 23(4): 25-31 | Back to browse issues page

Research code: IR.MUMS.NURSE.REC.1401.094
Ethics code: IR.MUMS.NURSE.REC.1401.094


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Abdollahpour S, Mollazadeh S, khadivzadeh T. Design, validation, and Evaluation of the "Mumapp" Virtual Clinic Application and its Effect on Quality of Life in Mothers with Maternal Near Miss: An Exploratory Mixed-Method Study Protocol. Nursing and Midwifery Journal 2025; 23 (4) :25-31
URL: http://unmf.umsu.ac.ir/article-1-5483-en.html
1- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran & Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran & Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran , Tkhadivzadeh@yahoo.com
Abstract:   (175 Views)
Background: Maternal near miss refers to women who nearly die from severe complications during pregnancy, childbirth, or within 42 days postpartum, facing significant physical, psychological, and social challenges. It is essential to offer effective, practical, and affordable solutions to meet the needs of these mothers. This study aims to design and validate the "Mumapp" virtual clinic application and assess its impact on the quality of life for mothers who have experienced maternal near miss.
Methods: This study employs a mixed-methods exploratory design in three phases. The first phase involves a qualitative content analysis study to explore the experiences of women and healthcare providers regarding maternal near miss, identify their needs, and gather data on their expectations for follow-up care via a virtual clinic after hospital discharge. The second phase focuses on developing a virtual clinic application called "Mumapp," incorporating the needs identified from the qualitative findings and a thorough literature review. The third phase consists of a quasi-experimental, single-group pretest–posttest study designed to evaluate the impact of the Mumapp application on the quality of life of mothers who experienced maternal near miss, with assessments conducted at baseline, 3 months, and 6 months post-intervention.
Expected Results: The qualitative findings will define the content and functions of a validated Mumapp prototype. The quasi-experimental phase will provide preliminary estimates of changes in quality of life at three and six months, together with information on application utilization and feasibility.
Discussion: This protocol describes a user-centered virtual clinic designed to address an important gap in structured post-discharge care for maternal near-miss survivors. The study will generate preliminary evidence on the feasibility and potential value of digitally supported, individualized follow-up.

 
Full-Text [PDF 279 kb]   (73 Downloads)    
Type of Study: Research | Subject: Digital Nursing

References
1. WHO. Evaluating the quality of care for severe pregnancy complications: the WHO near-miss approach for maternal health. available from: https://www.who.int/reproductivehealth/publications/monitoring/9789241502221/en/. 2011. [URL]
2. Abdollahpour S, Heydari A, Ebrahimipour H, et al. Death-stricken survivor mother: the lived experience of near miss mothers. Reprod Health. 2022;19(1):5. doi: 10.1186/s12978-021-01321-6. [DOI:10.1186/s12978-021-01321-6] [PMID] [PMCID]
3. Kozhimannil KB, Jou J, Attanasio LB, et al. Medically complex pregnancies and early breastfeeding behaviors: a retrospective analysis. PLoS One. 2014;9(8):e104820. doi: 10.1371/journal.pone.0104820. [DOI:10.1371/journal.pone.0104820] [PMID] [PMCID]
4. Thompson JF, Heal LJ, Roberts CL, et al. Women's breastfeeding experiences following a significant primary postpartum haemorrhage: a multicentre cohort study. Int Breastfeed J. 2010;5(1):5. doi: 10.1186/1746-4358-5-5. [DOI:10.1186/1746-4358-5-5] [PMID] [PMCID]
5. Waterstone M, Wolfe C, Hooper R, et al. Postnatal morbidity after childbirth and severe obstetric morbidity. BJOG. 2003;110(2):128-133. [DOI:10.1046/j.1471-0528.2003.02151.x] [PMID]
6. Ganaba R, Marshall T, Sombié I, et al. Women's sexual health and contraceptive needs after a severe obstetric complication (" near-miss"): a cohort study in Burkina Faso. Reprod Health. 2010;7(1):22. doi: 10.1186/1742-4755-7-22. [DOI:10.1186/1742-4755-7-22] [PMID] [PMCID]
7. Jones C, Griffiths RD, Humphris G, et al. Memory, delusions, and the development of acute posttraumatic stress disorder-related symptoms after intensive care. Crit Care Med. 2001;29(3):573-580. doi: 10.1097/00003246-200103000-00019. [DOI:10.1097/00003246-200103000-00019] [PMID]
8. Prinjha S, Field K, Rowan K. What patients think about ICU follow-up services: a qualitative study. Crit Care. 2009;13(2):R46. doi: 10.1186/cc7769. [DOI:10.1186/cc7769] [PMID] [PMCID]
9. Abdollahpour S, Heydari A, Ebrahimipour H, et al. Postpartum depression in women with maternal near miss: a systematic review and meta-analysis. J Matern Fetal Neonatal Med. 2022;35(25):5489-5495. doi: 10.1080/14767058.2021. [DOI:10.1080/14767058.2021.1885024] [PMID]
10. Abdollahpour S, Heidarian M, H., Khadivzadeh T. The global prevalence of maternal near miss: a systematic review and meta-analysis. Health Promot Perspect. 2019;9(4):255-262. doi: 10.15171/hpp.2019.35. [DOI:10.15171/hpp.2019.35] [PMID] [PMCID]
11. Abdollahpour S, Heidarian M, H., Khadivzadeh T. The Maternal Near Miss Incidence Ratio with WHO Approach in Iran: A Systematic Review and Meta-Analysis. Iran J Nurs Midwifery Res. 2019;24(3):159-166. doi: 10.4103/ijnmr.IJNMR_165_18. [DOI:10.4103/ijnmr.IJNMR_165_18] [PMID] [PMCID]
12. Souza JP, Cecatti JG, Parpinelli MA, et al. An emerging "maternal near-miss syndrome": narratives of women who almost died during pregnancy and childbirth. Birth (Berkeley, Calif). 2009;36(2):149-58. doi: 10.1111/j.1523-536X.2009.00313.x. [DOI:10.1111/j.1523-536X.2009.00313.x] [PMID]
13. Hinton L, Locock L, Knight M. Support for mothers and their families after life-threatening illness in pregnancy and childbirth: a qualitative study in primary care. Br J Gen Pract. 2015;65(638):e563-e569. doi: 10.3399/bjgp15X686461. [DOI:10.3399/bjgp15X686461] [PMID] [PMCID]
14. Dennis CL, Dowswell T. Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database Syst Rev. 2013 (2). doi: 10.1002/14651858.CD001134.pub3. [DOI:10.1002/14651858.CD001134.pub3]
15. World Health Organization. WHO recommendations on postnatal care of the mother and newborn. World Health Organization; 2014. [URL]
16. Knight M, Acosta C, Brocklehurst P, et al. Beyond maternal death: improving the quality of maternal care through national studies of 'near-miss' maternal morbidity. Programme Grants for Applied Research. 2016;4(9):1-180. doi: 10.3310/pgfar04090. [DOI:10.3310/pgfar04090] [PMID]
17. WHO G. Beyond the numbers: reviewing maternal deaths and complications to make pregnancy safer.2004 [Google scholar]
18. Knaul FM, Langer A, Atun R, et al. Rethinking maternal health. Lancet Glob Health. 2016;4(4):e227-e228. doi: 10.1016/S2214-109X(16)00044-9. [DOI:10.1016/S2214-109X(16)00044-9] [PMID]
19. Abdollahpour S, Heydari A, Ebrahimipour H, et al. The Needs of Women Who Have Experienced "Maternal Near Miss": A Systematic Review of Literature. Iran J Nurs Midwifery Res. 2019;24(6):417-427. doi: 10.4103/ijnmr.IJNMR_77_19. [DOI:10.4103/ijnmr.IJNMR_77_19] [PMID] [PMCID]
20. Kvedar J, Coye MJ, Everett W. Connected health: a review of technologies and strategies to improve patient care with telemedicine and telehealth. Health Aff (Millwood). 2014;33(2):194-9. doi: 10.1377/hlthaff.2013.0992. [DOI:10.1377/hlthaff.2013.0992] [PMID]
21. Jnr BA. Use of telemedicine and virtual care for remote treatment in response to COVID-19 pandemic. J Med Syst. 2020;44(7):132. doi: 10.1007/s10916-020-01596-5. [DOI:10.1007/s10916-020-01596-5] [PMID] [PMCID]
22. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107-115. doi: 10.1111/j.1365-2648.2007.04569.x. [DOI:10.1111/j.1365-2648.2007.04569.x] [PMID]
23. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-112. doi: 10.1016/j.nedt.2003.10.001. [DOI:10.1016/j.nedt.2003.10.001] [PMID]
24. Guba EG, Lincoln YS. Competing paradigms in qualitative research. Handbook of qualitative research. 1994;2(163-194):105. [Google scholar]
25. Procidano ME, Heller K. Measures of perceived social support from friends and from family: Three validation studies. Am J Community Psychol. 1983;11(1):1-24. doi: 10.1007/BF00898416. [DOI:10.1007/BF00898416] [PMID]
26. Billings AG, Moos RH. The role of coping responses and social resources in attenuating the stress of life events. J Behav Med. 1981;4(2):139-57. doi: 10.1007/BF00844267. [DOI:10.1007/BF00844267] [PMID]
27. World Health Organization. Standards for improving quality of maternal and newborn care in health facilities. [URL]
28. Kripalani S, Jackson AT, Schnipper JL, et al. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. J Hosp Med. 2007;2(5):314-323. doi: 10.1002/jhm.228. [DOI:10.1002/jhm.228] [PMID]
29. Furniss M, Conroy M, Filoche S, et al. Information, support, and follow‐up offered to women who experienced severe maternal morbidity. Int J Gynaecol Obstet. 2018;141(3):384-388. doi: 10.1002/ijgo.12454. [DOI:10.1002/ijgo.12454] [PMID]
30. Knight M, Lewis G, Acosta C, et al. Maternal near‐miss case reviews: the UK approach. BJOG. 2014;121:112-116. doi: 10.1111/1471-0528.12802. [DOI:10.1111/1471-0528.12802] [PMID] [PMCID]
31. Mazaheri Habibi MR, Moghbeli F, Langarizadeh M, et al. Mobile health apps for pregnant women usability and quality rating scales: a systematic review. BMC Pregnancy Childbirth. 2024;24(1):1-9. doi: 10.1186/s12884-023-06206-z. [DOI:10.1186/s12884-023-06206-z] [PMID] [PMCID]
32. Qing L, Weiying S. A Chinese Survey of Women's Use and Expectation of Pregnancy Applications. Stud Health Technol Inform. 2019;264:749-752. doi: 10.3233/SHTI190323. [DOI:10.3233/SHTI190323]
33. Dol J, Richardson B, Murphy GT, et al. Impact of mobile health interventions during the perinatal period on maternal psychosocial outcomes: a systematic review. JBI Evid Synth. 2020;18(1):30-55. doi: 10.11124/JBISRIR-D-19-00191. [DOI:10.11124/JBISRIR-D-19-00191] [PMID]
34. Sardi L, Idri A, Redman LM, et al. Mobile health applications for postnatal care: Review and analysis of functionalities and technical features. Comput Methods Programs Biomed. 2020;184(2):105114. doi: 10.1016/j.cmpb.2019.105114. [DOI:10.1016/j.cmpb.2019.105114] [PMID] [PMCID]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2026 CC BY-NC 4.0 | Nursing And Midwifery Journal

Designed & Developed by : Yektaweb