Maternal knowledge is power to protect hypertensive pregnancies
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Hypertensive disorders in pregnancy are a leading cause of maternal mortality. Lack of awareness of disease severity and recognition of complications in high-risk pregnant women may lead to life-threatening complications for both mother and baby. Low maternal health literacy, health beliefs, and negative interactions with medical providers increase the risk of adverse birth outcomes and decreased satisfaction with childbirth experiences. This evidence-based quality improvement project is a pre-post-test design that aims to improve maternal health literacy in high-risk pregnant women via a 1-hour education course, self-monitoring home blood pressure monitoring, follow-up education as needed until delivery, and a 4-week postpartum telehealth follow-up. Pre- and post-online intervention questionnaires administered during the education course and four weeks postpartum measured outcomes for improved maternal health literacy level, compliance with home blood pressure monitoring, and satisfaction with childbirth experience. Five pregnant women participated in this study, and 3 out of 5 participants had limited maternal health literacy levels, and 2 had sufficient maternal health literacy levels prior to the education class. One participant completed all surveys with improved maternal health literacy level at 4 weeks postpartum, reported home blood pressure monitoring at least twice per day, and 83% childbirth satisfaction. A correlation between maternal health literacy level and adherence to treatment should be further studied with a larger sample to determine effectiveness.
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Open Access (fully available)