A Nurse-Navigated, Postpartum Support Text Messaging Intervention: Satisfaction Among Primiparous Women.
Melanie Hall Morris, Maureen Barton, Marietta Zane and 3 others
PMID 34726650WHAT IT FOUND
Most women recovering from unplanned cesarean birth rated daily nurse text messages outstanding or good.
They valued asking a nurse questions and reassurance, but the intervention was labor-intensive and did not replace in-person care.
Key findings
01Ninety-three percent (n=40) rated the text messaging experience outstanding or good; only one rated it fair and none poor.
02More than two-thirds said being able to ask questions and receive advice from a professional nurse was the most helpful part, and participants also valued reassurance from a trusted nurse resource.
03Participants found it hard to describe concerns by text, respond within set windows while caring for a newborn, and noted some issues needed in-person visits.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This manuscript reports satisfaction only; the randomized trial's main clinical outcomes were not reported here. The sample was narrow: English-speaking first-time mothers aged 18 to 34 years after an unplanned cesarean birth, with two-thirds identifying as white, married, and college-educated. The satisfaction data come from the women assigned to receive the texts, with no comparison group reported in this paper. The intervention required substantial nurse time and was more costly than expected. Fixed texting windows were hard to fit around newborn care, and some concerns needed in-person assessment.
The easy way to misread this
Do not conclude that nurse-navigated texting improves postpartum health outcomes or reduces complications. This paper reports satisfaction among women who received the texts; the randomized trial's clinical outcomes were not reported here.