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Smarter Pregnancy Coaching and Maternal Blood Pressure
Batoul Hojeij1, Sam Schoenmakers1, Isa Van Mullem1
1Department of Obstetrics and Gynecology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
American Journal of Preventive Medicine
|December 1, 2024
Summary
The Smarter Pregnancy digital program modestly reduced maternal blood pressure in early pregnancy. This lifestyle coaching tool showed benefits for blood pressure and healthy behaviors, particularly in women undergoing assisted reproduction.
Area of Science:
- Reproductive Health
- Maternal Health
- Digital Health Interventions
Background:
- Maternal lifestyle choices significantly impact blood pressure, posing risks to both mother and child.
- Early pregnancy blood pressure is a critical indicator of potential health complications.
Purpose of the Study:
- To evaluate the effectiveness of the Smarter Pregnancy digital lifestyle coaching program on maternal blood pressure during the first trimester.
- To assess the program's impact on maternal lifestyle behaviors.
Main Methods:
- Analysis of data from the Rotterdam Periconception Cohort (2010-2019).
- Comparison of 132 pregnant women using Smarter Pregnancy (intervention) versus 1,091 women not using the program (control).
- Tracking of blood pressure changes and lifestyle risk scores (diet, smoking, alcohol) at 12 and 24 weeks.
Main Results:
- The intervention group demonstrated statistically significant reductions in systolic, diastolic, and mean arterial blood pressure compared to the control group.
- Specific reductions in diastolic and mean arterial blood pressure were observed in women who conceived via assisted reproduction.
- The Smarter Pregnancy program was associated with improved lifestyle behaviors, indicated by a reduced lifestyle risk score.
Conclusions:
- The Smarter Pregnancy digital program offers consistent, albeit small, reductions in first-trimester maternal blood pressure.
- Findings support the broader implementation of this digital lifestyle coaching tool in healthcare settings.
- The program shows particular promise for improving health markers in women undergoing assisted reproduction.
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