A pregnant women

Introduction:
In today's accelerating world, everyone is so pre-occupied with their daily chores that it leaves no time for relaxation and health related activities. Moreover, people do not visit their physicians due to time limitations as well as financial constraints. As it is well said by someone that health is wealth therefore in such circumstances the easy access to websites would help people to solve their health queries via reviewing literature on internet which would save both time and cost. Advanced innovations in modern sciences and technologies have created incredible changes in medical practice, in the organization of human resources as well as in the services to deliver quality patient care. Thus, developing health care websites is another essential key for the ease of the general public in all parts of the world. Working in health industry, I believe it is important to have health related or disease process related websites for customers to fulfill their needs and to expand their horizon of better understanding towards healthy conditions. In our organization we found our obstetrics clinics having highest census, ultimately increased workload of our staff and decreased patient satisfaction due to which patient's queries are left unanswered. As a result, it was found that pregnant women were the ones left most unsatisfied. For any successful relationship cooperation and collaboration are two basic pre-requisites. Thus, we decided to design a website especially for Pregnant Women as that seemed to be the most noticeable situation. Pregnant women are always found to have multiple queries related to their conditions which lead to a high turnover in clinics. Most of the queries are related to routine maternal problems/complications which certainly did not require any visit if sufficient and relevant information is provided on the website. Many research studies highlights the needs of pregnant women, such as Shieh, et al (2009) Several studies have documented the sources of information that are accessed by pregnant women, including social networks (family and friends), mass media (radio and television), printed materials (books, newspapers, magazines, and brochures), and technology (computer and the Internet). Some researchers found that pregnant women sought health information from community sources, such as health fairs, presentations, lectures, classes, or health promotion activities organized by health, civic, or charity organizations, to a lesser degree than family networks and health professionals. Therefore, providing them another easy platform for accessing information would prove to be helpful for them. According to Min (2007) There is growing consensus that strengthening health systems is an essential element to improve women's health. However, improving women's health in third world countries is a difficult issue as the areas lack in material and human resources plus the many doctors and nurses are also not so willing to serve in such isolated areas. In this condition, access to internet is the best possible way to learn about health issues. Moreover, the current WHO report highlights, 57 countries with critical shortages amounting to a global deficit of more than 4 million health care workers. This shortage leads to increased problems as it creates difficulties in attending to the patients queries. Hence, online website for pregnant women would reduce the workload on health care workers and would provide sufficient information to pregnant women. According to studies carried out, the state of pregnant women makes them curious about their condition

and they are keen to learn more about their condition. Prematurity Awareness Survey conducted by Hologic, Inc. (2008) reported ...83% feel that it's important to educate themselves on matters relating to their pregnancy. Along with talking to their healthcare providers, they seek information online and in books...It's always good to know about any risks. The more you know, the more you can be aware of signs and symptoms if something does go wrong. Yates (2009) further elaborated in Prematurity Awareness Survey reported and highlighted that, Eighty-nine percent of women want to know everything about pregnancy, including their risk for a premature birth. Thus, there are few websites currently existing which provides information needed by pregnant women to educate them. 1. Google Blog has a website for pregnant women with multiple articles to educate them with the name of http://www.google.com.pk/search?hl=en&rlz=1R2ADBR_enPK331&q=pregnant+wo men&meta=&aq=0s&oq=pregnent+women 2. Wikipedia has its own website for pregnant women with the URL of http://en.wikipedia.org/wiki/Pregnancy 3. www.smartmomma.com 4. Natural news.com also provides great amount of information at http://www.naturalnews.com/pregnant_women.html While exploring these sites, few gaps were identified that the sites did not have any association with the hospitals and did not provide the list of health care workers & their contact email addresses, for antenatal mothers to email their queries. This would definitely reduce frequency of clinic visit as well as physician's and would increase customer's satisfaction as they would be well aware of their situation.

Aim & Objectives

The main purpose to develop website for pregnant women is to have knowledge based efficient, effective & sustainable initiative of information communication technology to provide easy sources of information for women.

Other objectives are as follows:

To empower them with knowledge to take care of them selves To reduce worries & anxieties of antenatal mothers To save time of health care workers and physician during clinic visit To Reduce # of visits Decrease economical burden by saving cost on needless clinic visit Decrease staff work load Update new information immediately.

The idea of providing online antenatal classes to women and marking it as one of the main objectives has a whole scenario behind it. Recently one patient from one of the UAE country was admitted at AKUH for delivery. After the delivery was done, nurse identified that the

mother was not able to feed the baby as her breast nipples were inverted. On investigating it was identified that none of the health care worker in UAE checked for the problem and the woman was not given any information regarding it, whereas, in our organization we run antennal classes and during 3rd trimester, teaching is given to all the pregnant women on nipple erection exercises. As a result, mother & baby went through many difficulties and the baby was made to feed on bottle. Therefore, it is vital to have properly developed website for pregnant women to learn about pregnancy related issues and concerns like diet intake, exercises, movements, vaccination during pregnancy, postnatal care and child bearing. This website will provide knowledge & ensure health services via electronic way to provide complete information for users, termed specifically as electronic health.

Content and Sources

AKU website for antenatal mother or pregnant women would have following content to support them:

Home

5 minutes documentary movie about AKUH News & events Workshops List of obstetrics available at campus Clinic schedule with physician profile, etc

About As

Mission Vision Accreditation Hospital committee

Health & Education awareness program

Prenatal course for Minor Disorders of Pregnancy Lactation Management session (recorded video on website) Diet requirement during pregnancy (acrobat document) Labor Management (acrobat document & recorded interviews) Family Planning (recorded interviews) Antenatal Exercises (video)

Literature & Articles

Research based articles from AKUH Articles on care of pregnant women during 1st, 2nd, & 3rd trimester via web link Dietary requirement of pregnant women via web link Importance of vaccination during pregnancy via web link Importance of clinic visits during pregnancy & # of visits required

Complications of pregnancy mild, moderate & sever and intervention accordingly via web link Physiological changes during pregnancy with relevant links & websites Types of delivery according the position of fetus, etc with relevant link & website and from AKU library by http://intranet/akulibrary/

Policies

Health policy Admission policy of hospital Policy on patient bills of rights, etc

Blogs FAQ News & Events

Birth record of AKUH born babies # of normal delivery, # of cesarean section # of difficult delivery etc Inpatient & outpatient services for obstetrics

Resources

Recorded Video Tapes on online antenatal classes Recorded Video Tapes on teaching material Interview on pregnancy related concerns Interviews on early child bearing issues and challenges

Useful Links Online inquiry service and feedback Contact us Feedback

This site will be accessible for all the AKUH registered antenatal women by their medical record number & national Identity card number. It would also be accessible to all the AKUH employees and the institutions associated with Aga Khan Health Services around the world. Home page of the site would appear as follows: This website would provide empathetic information to all the customers and it would appear with multiple things including recorded sessions, interviews, different article with their web links of Google and AKUH library. This site will appear with useful link and Contact Us column provides with query option and if any pregnant women email any query, health care provide will respond her accordingly. This will increase customer interest to utilize the site.

The language of the site will be simple so common people can easily understand and avoid difficult medical terminology. Clinical Manger of obstetrics, lactation consultant and nurse incharge on antenatal clinic responsible to update the site every quarterly to review existing content and add new content according to updated research & feedback provide by customers. This site will utilize web 2.0 to educate pregnant women to enhance their knowledge. This will increase their satisfaction towards the organization. It will also help to increase business of the organization as it inspires others to register their case in AKUH. This site will also provide with the Blogs for pregnant women so they can share information and experience. It increase awareness and information communication technology plays measure role to enhance learning. All above information accessible to all the pregnant women registered themselves to AKUH or women have medical record number of AKUH along with their national ID card number (NIC #)as according to JCIA 2 identifier required. They just login to website with their Medical Record # & NIC # and access the content they would like to review it is available to all the customers, staff, physician and all health care workers. Website will going to launch next year and as soon as any query send via email a massage generate to nurse educator and for registered cased alert appear on physician screen for query & system generated email appear to response. Nurse educator & physician responsible are responsible to answer the query within 24 hrs and information should be relevant and from reliable sources. This facility will only available with the users having computers and people how are computer literate. While developing the website one should consider cognitive and affective information need of the customers

Information needs arise when a person recognises a gap in his/her state of knowledge and wishes to resolve that anomaly... it is the information that individuals ought to have to do their job effectively, solve a problem satisfactorily or pursue a hobby or interest happily' (Nicholas, 1996)

Reference
Nicholas, D. Assessing information needs: tools and techniques. London: Aslib, 1996 Countries should also consider innovations. More broadly, greater resources must be directed to develop health systems capable of providing an array of essential services to all women. Women's suffering is not a foregone conclusionif the world has the will to do what is needed. In this study, information-seeking was defined as an action a pregnant woman takes to search for or use pregnancy health information, resources, or advice through a variety of information

sources, including health professionals, mass media, print or electronic materials, social networks, and community sources. Many sites were explore to identify existing web-based resources for this group included Describe the information needs of your group, and cite any references to published studies on the information needs of this group. Identify any existing web-based resources for this group; state how your resource will be different and what it will add to the existing information provision for this group

Reflection
This reflective writing will highlight the issue and concern face while developing proposal for creation of website. Through this proposal writing I realized that since long many groups in my organization not following proper path to generate request for creation of website and as a result numerous gaps used to identify later and always require frequent changes. The unstructured why to do things escort to wastage of human and material resources as well as reduce users satisfaction. In addition customers prefer not to access the site as website not able to provide best services and information. To start with the proposal writing various website explore and identify that only few of them provide enough content about pregnant women or antenatal mothers. Though few website having little details regarding above topic but complete information not provided. Therefore, decided to develop a website for pregnant women. With this decision I explore literature and star writing proposal. When I initiate writing proposal I found it very difficult because in my organization nobody & I never used to write proposal for creating of website. Whenever anyone in my organization would like to develop any website, they just generate an email to information system department (ISD) without any detail. ISD staff then arranges a meeting with requested group and explore what actually would like to have, we expect from our ISD department to develop the website as informative as they can and poor ISD staff need to run behind requested department. This will lead to many problems since complete requirement and proper proposal not have been provided to them. As a result we always balm them & none of the customer would prefer to access our website. To develop website for patients is one of the critical task and it need to be very specific and accurate. This proposal writing helps me to understand the thing wrongly done by users of my organization. I get astonished! and not able to believe it. I don't know why it was happened incorrectly. I thinking, that unsuccessfulness of our website is just because of lacking from our side and we always use to balm ISD. I finally understand and set my mind that, I need to follow proper steps of proposal writing. While writing this proposal I learn how to develop proper proposal writing for website and learn all the steps. This proposal writing helps me to identify that what are the requirement for development of website. It makes me learn that whenever if anyone would like to develop any website or any system should have complete flow of the work on paper before initiation. Further all the content and requirement need to be collected and must added in proposal with its pros & cons. It further enhances my knowledge regarding target group, as developing any system or website without knowing about target group lead to failure because we cannot able to produce relevant content as a result it reduces the utilization.

This helps me to realize my mistake as we used to communicate our requirement superficially to ISD and never develop proper proposal. I realize that we should be vigilant enough as incomplete or unwanted information on website or information which not fulfilling the need of the users is useless to have. I felt embarrassed that my lack of knowledge regarding proposal writing lead to disappointment. This proposal writing having great positive impact on my profession life as it help me to learn alot. This made me learn to be vigilant and knowledgeable about the proposal writing. I discuss same with ISD department and suggested to ask for proposal if any request generate for development of nay new website.

REFERENCES
Shieh, C. et al. (2009) Information-Seeking and its Predictors in Low-Income Pregnant Women Journal of Midwifery Women's Health [Online] 54 (5) 364-372 [Accessed January 21, 2010] http://www.ncbi.nlm.nih.gov/pubmed/19720337 Hindley, C. et al. (2008) Pregnant womens' views about choice of intrapartum monitoring of the fetal heart rate: A questionnaire survey International Journal of Nursing Studies [Online] 45 (2) 224-231[Accessed January 21, 2010] http://www.sciencedirect.com/science?_ob=ArticleListURL&_method=list&_ArticleListID= 1186573728&view=c&_acct=C000052618&_version=1&_urlVersion=0&_userid=1421128 &md5=024783f0d844c8ad6fe6f82da63e03be Sek, L,A. (1984) Obstetrics services - womens' perspectives International Journal of Gynecology & Obstetrics, Volume 22, Issue 6, December 1984, Pages 471-474 Lidija Andolsek A Longitudinal Study of Nausea and Vomiting, Fatigue and Perceived Stress in, and Social Support for, Pregnant Women Through the Three Trimesters The Kaohsiung Journal of Medical Sciences, Volume 24, Issue 6, June 2008, Pages 306-314 Fan-Hao Chou, Shih-Hsien Kuo, Ruey-Hsia Wang (IMPORTANT) Centering pregnancy: a model for pregnant adolescents Journal of Midwifery & Women's Health, Volume 48, Issue 3, May-June 2003, Pages 220-225 Carrie S. Klima IMPORTANT) Information-Seeking and its Predictors in Low-Income Pregnant Women Journal of Midwifery & Women's Health, Volume 54, Issue 5, September-October 2009, Pages 364-372 Carol Shieh, Anna McDaniel, Irene Ke IMPORTANT) Women-centred care and caseload models of midwifery Collegian: Journal of the Royal College of Nursing Australia, Volume 10, Issue 1, 2003, Pages 30-34 Maree Johnson, Helen Stewart, Rachel Langdon, Pauline Kelly, Lian Yong

Women's Experience of Prenatal Care: An Integrative Review Journal of Midwifery & Women's Health, Volume 54, Issue 3, May-June 2009, Pages 226-237 Gina Novick IMPORTANT) http://www.localwebsolutions.com/website-proposal.html (for article sample web proposal) assess on January 29, 2010 http://www.tamingthebeast.net/articles/webdevelopmentproposal.htm (tutorial How to write basic web development proposal assess on January 29, 2010) http://www.aj2000.com/articles/10step-website-proposal.htm (10 steps web design assess on January 29, 2010) http://webdesign-gallery.com/webdesign_proposal.asp (for web design proposal assess on January 29, 2010) http://blogsearch.google.com/blogsearch_feeds?hl=en&q=pragnant+womens&ie=uft-8&n) pregnant woment google blog site) http://www.everydaycitizen.com/2010/01/pregnant_osun_womens_protest_b.html http://www.5min.com/ [accessed on January 22, 2010] http://www.5min.com/Video/What-are-Antenatal-Classes-118147922[accessed on January 22, 2010] Articals need to review The pattern of women's attendance at antenatal classes: Is this good enough? Perkins Health Education Journal.1980; 39: 3-9 Women's health in perspective: Framing problems, framing solutions A. Rosenfield ?, C.J. Min Mailman School of Public Health, Columbia University, New York, USA Received 16 May 2007; accepted 18 May 2007 International Journal of Gynecology and Obstetrics (2007) 98, 200-202 What your patients do (and don't) want to hear from you about their pregnancy Janelle Yates, OBG Management Senior Editor obgmanagement.com Vol. 21 No. 3 | March 2009 | OBG Management Kim, S & Chung, DS. Characteristics of cancer blog users. Journal of the Medical Library Association. 2007; 95:4, 445-450. Available at: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2000789 (accessed 15/10/09).

The Prematurity Awareness survey, commissioned by Hologic, Inc., was conducted independently by the Pregnancy Research Center. www.pregnancyresearchcenter.com perceptions of Preterm Birth Survey Result 2008