Effect of a Nurse-Led, Technology-Enabled Antenatal Care Programme (e-MACC) on Quality of Life and Maternal-Fetal Outcomes among Primigravid Women: A Randomized Controlled Trial with Mixed-Effects and Multivariable Analysis
Background: Pregnancy imposes profound physical, psychological, social and environmental demands on first-time mothers, and a substantial proportion of primigravid women report a measurable decline in health-related quality of life (QoL) across gestation. Nurse-led, technology-enabled antenatal programmes have been pro...