Internet use in pregnancy informs women's decision making: a web-based survey.

BACKGROUND Internet access and usage is almost ubiquitous, providing new opportunities and increasing challenges for health care practitioners and users. With pregnant women reportedly turning to the Internet for information during pregnancy, a better understanding of this behavior is needed. The objective of this study was to ascertain why and how pregnant women use the Internet as a health information source, and the overall effect it had on their decision making. Kuhlthau's (1993) information-seeking model was adapted to provide the underpinning theoretical framework for the study. METHODS The design was exploratory and descriptive. Data were collected using a valid and reliable web-based questionnaire. Over a 12-week period, 613 women from 24 countries who had confirmed that they had used the Internet for pregnancy-related information during their pregnancy completed and submitted a questionnaire. RESULTS Most women (97%) used search engines such as Google to identify online web pages to access a large variety of pregnancy-related information and to use the Internet for pregnancy-related social networking, support, and electronic commerce (i.e., e-commerce). Almost 94 percent of women used the Internet to supplement information already provided by health professionals and 83 percent used it to influence their pregnancy decision making. Nearly half of the respondents reported dissatisfaction with information given by health professionals (48.6%) and lack of time to ask health professionals questions (46.5%) as key factors influencing them to access the Internet. Statistically, women's confidence levels significantly increased with respect to making decisions about their pregnancy after Internet usage (p < 0.05). CONCLUSIONS In this study, the Internet played a significant part in the respondents' health information seeking and decision making in pregnancy. Health professionals need to be ready to support pregnant women in online data retrieval, interpretation, and application.

[1]  J. Hedrick.  The lived experience of pregnancy while carrying a child with a known, nonlethal congenital abnormality. , 2005, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[2]  Thomas Hugh Feeley,et al.  Research Paper: Patient Internet Use for Health Information at Three Urban Primary Care Clinics , 2004, J. Am. Medical Informatics Assoc..

[3]  J. Eisenberg,et al.  Views from funding agencies. Agency for Health Care Policy and Research. , 1998, Medical care.

[4]  Susan Dunman,et al.  Seeking meaning: A process approach to library and information services , 1996 .

[5]  S. Akerkar,et al.  Use of the Internet as a resource of health information by patients: a clinic-based study in the Indian population. , 2005, Journal of postgraduate medicine.

[6]  Briege M Lagan,et al.  Pregnant women’s use of the internet: a review of published and unpublished evidence , 2006 .

[7]  Marian Makins,et al.  Collins English dictionary , 1991 .

[8]  Christian Köhler,et al.  How do consumers search for and appraise health information on the world wide web? Qualitative study using focus groups, usability tests, and in-depth interviews , 2002, BMJ : British Medical Journal.

[9]  H. Stapleton,et al.  Qualitative study of evidence based leaflets in maternity care , 2002, BMJ : British Medical Journal.

[10]  Joseph A. Diaz,et al.  Patients’ use of the internet for medical information , 2002, Journal of General Internal Medicine.

[11]  Arwa I Oweis.  Unexpected Diagnosis of Fetal Abnormality: Women??s Encounters With Caregivers , 2007 .

[12]  R. Thomson,et al.  Decision aids for people facing health treatment or screening decisions. , 2003, The Cochrane database of systematic reviews.

[13]  T. Hope,et al.  Are patients' decision‐making preferences being met? , 2003, Health expectations : an international journal of public participation in health care and health policy.

[14]  S. Vinker,et al.  Short communication: The use of a perinatal internet consultation forum in Israel * , 2006, BJOG : an international journal of obstetrics and gynaecology.

[15]  K. Hjelm,et al.  Management of gestational diabetes from the patient's perspective--a comparison of Swedish and Middle-Eastern born women. , 2006, Journal of clinical nursing.

[16]  Amy M. Romano,et al.  A Changing Landscape: Implications of Pregnant Women’s Internet Use for Childbirth Educators , 2007, Journal of Perinatal Education.

[17]  Janet Morahan-Martin,et al.  How Internet Users Find, Evaluate, and Use Online Health Information: A Cross-Cultural Review , 2004, Cyberpsychology Behav. Soc. Netw..

[18]  James Kalbach.  Feeling lucky?: emotions and information seeking , 2004, INTR.

[19]  Tara J Selman,et al.  Quality of health information for cervical cancer treatment on the internet , 2006, BMC women's health.

[20]  Sue Turnbull,et al.  What do obstetricians think about media influences on their patients? , 2006, The Australian & New Zealand journal of obstetrics & gynaecology.

[21]  Margareta Larsson,et al.  A descriptive study of the use of the Internet by women seeking pregnancy-related information. , 2009, Midwifery.

[22]  J. Allison,et al.  Users of Internet Health Information: Differences by Health Status , 2002, Journal of medical Internet research.

[23]  D. Protti.  Integrated care needs integrated information management and technology. , 2009, Healthcare quarterly.

[24]  Mohammad Al-Ubaydli.  Using Search Engines to Find Online Medical Information , 2005, PLoS medicine.

[25]  Briege M Lagan,et al.  A Web-based survey of midwives' perceptions of women using the Internet in pregnancy: a global phenomenon. , 2011, Midwifery.