Where your roots may grow: Nurturing equity in pregnancy outcomes for women with a vulnerable health status

This thesis examines how disparities in pregnancy outcomes can be addressed through a targeted intervention. It highlights the importance of preconception care for improving health outcomes for mothers and their children, especially for those with a low socioeconomic status who face increased health related risks. By focusing on ethical and effective healthcare practices, the research emphasizes the need to address inequities to promote health equity across generations.

Central to this thesis is the development and evaluation of "Pregnant Faster," an mHealth application designed to encourage pregnancy preparation through behavioral nudges. The app combines education, daily reminders, and a rewards-based system to encourage healthy behaviors, such as folic acid supplementation and increased physical activity. Through qualitative studies and co-creation processes with target users, the app was developed to align with user preferences while upholding ethical principles and moral permissibility.

By bridging healthcare gaps and fostering awareness among prospective parents and professionals, the thesis calls for the widespread adoption of standardized PCC protocols. It highlights the need for collaboration between midwives, obstetricians, and general practitioners to reduce barriers to care. Ultimately, the research underscores the value of tailored, equitable healthcare interventions in improving pregnancy outcomes and breaking the transgenerational cycle of social health inequities.