mHealth intervention to improve the continuum of maternal and perinatal care in rural Guatemala: a pragmatic, randomized controlled feasibility trial

Table 1 Guided list of complications included in the mHealth platform by visit type

Prenatal	Perinatal	Postnatal
Seizures^a Hemorrhage^a Premature rupture of membranes^a Difficulty breathing^a Abdominal pain Blurred vision Fever Edema Severe headache	Seizures^a Rupture of membranes without labor^a Prolonged labor^a Multiple pregnancy^a Fetal malpresentation or malposition^a Placenta previa^a Nuchal cord^a Hemorrhage^a Placental retention^a Previous C-section^a Difficulty breathing^a Severe abdominal pain^a Blurred vision^a Fever^a Edema^a Severe headache^a	Maternal: Seizures^a Hemorrhage^a Difficulty breathing^a Abdominal pain Fever Blurred vision Headache Neonatal: Difficulty breathing^a Fever^a Hypothermia^a Low-birth weight^a Very small baby^a Jaundice Breastfeeding difficulties Umbilical infection

Complications marked with an superscripted (^a) triggered an automatic emergency call to the on-call clinical team (interrupting the work-flow of the visit). Remaining complications triggered an alert screen upon conclusion of the visit requesting a call to the team. All complications data were also automatically conveyed to the on-call team by a text message at the end of the visit encounter. Adapted from Stroux L et al [16]

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