Pregnancy can be one of the most exciting and enjoyable times in our patients’ lives. Every prenatal visit has specific goals, and there is so much for both the patient and provider to learn before the big delivery day. But how do you handle high-risk pregnancies? Do you continue to care for these patients, or do you refer them to an OB/GYN or Maternal-Fetal Medicine (MFM) provider? If you refer, you may want to consider prescribing patients an app that could help them with difficult conversations and challenging terminology, etc. The Emily Center at Phoenix Children’s Hospital has produced an app for patients experiencing a high-risk pregnancy to help explain this complex and potentially overwhelming time using the teach-back method. 

Their goal was to help enhance comprehension before visits, admissions, procedures via a series of embedded resources, websites, and note-taking. Parents can use the app as a teaching tool for themselves and their providers. The app comes from the same team who co-authored Phoenix’s previous hit, Car Seat Helper, and the recently reviewed Simply Sayin’ app. 

The Emily Center/Phoenix Children’s has an entire series of these teach-back apps covering everything from asthma to heart transplants. Their new high-risk pregnancy app aims to improve discussions between the patient/patient’s family and her healthcare team. The app contains resources to teach the patient and then utilizes to teach-back method to ensure understanding with their provider. Ultimately, the app aims to better prepare families for this medically complex time in their lives and prevent miscommunication. The app is easily toggled between English and Spanish.  

Evidence-based medicine

The Our Journey through High-Risk Pregnancy app is based on the teach-back method of patient education. This proven method helps to ensure understanding and retention of medical information. The resources provided in the app are written at an appropriate level for patients and appear to be accurate/current. Some resources link to reputable websites such as ACOG for additional information. 

What providers would benefit from this app?

Students, residents, mid-levels, primary care, OB/GYN, maternal-fetal medicine providers. The app should be prescribed to patients experiencing a high-risk pregnancy as early as possible in the “journey” to delivery and beyond. 

Price

o Free.

Likes

-Comprehensive sections covering high-risk pregnancy “journey”

-Quality resources available via PDFs in-app or via web links

-Available in English/Spanish with a touch of a button

Dislikes

-Some resource sections are blank

-No links to teach-back resources

-Some sections not generalizable to other locations except Phoenix Children’s Hospital

Overall

Another in the series of patient apps from the Emily Center at Phoenix Children’s Hospital who brought you Car Seat Helper and the recently reviewed, Simply Sayin’. The Our Journey through High-Risk Pregnancy uses the teach-back method for expectant parents to explain medical terms and procedures related to a high-risk pregnancy. The app’s ease of use, quality educational materials, and links to online resources make it a winner. 

Overall Score

o 4.5 stars.

User Interface

o 4.5 stars.

Easy to use, available in English/Spanish with quality handouts and explanations of test results, procedures, etc. using soft language and avoiding jargon. 

Multimedia Usage

o 4.5 stars.

The app includes a number of quality handouts available as PDFs as well as links to reputable materials online. Some information is specific to Phoenix Children’s Hospital.

Price

o 5.0 stars.

App is free.

Real-World Applicability

o 4.0 stars.

If you are a provider who provides prenatal care but does not take care of high-risk pregnancies, then consider prescribing this app to those specific patients. This High-Risk Pregnancy app, which is part of the Emily Center’s series of apps, utilizes the teach-back method to facilitate productive conversations between parents and providers. The app provides quality information and resources from ultrasound results to genetic testing to delivery and aftercare. Although some portions of the app are deliberately specific to Phoenix Children’s Hospital, most sections could be utilized by patients without creating confusion. 

Device Used For Review

o iPhone 11 Pro running iOS 13.2. 

Available for iPhone and iPad. Not yet available for Android.