Maternal and Child Health Journal

, Volume 20, Issue 12, pp 2502–2509 | Cite as

Patterns of Internet Use by Pregnant Women, and Reliability of Pregnancy-Related Searches

  • Deepa Maheswari Narasimhulu
  • Scarlett Karakash
  • Jeremy Weedon
  • Howard Minkoff


Objective To assess patterns of e-health use in pregnancy in an underserved racially diverse inner-city population, and to assess the accuracy of pregnancy-related information obtained from the Internet. Methods A cross sectional study of 503 pregnant/postpartum women belonging to an underserved racially diverse inner-city population who completed a survey regarding e-health use. To assess accuracy, four independent expert-reviewers rated the first 10 webpages on Google searches for each of five questions based upon those in ACOG bulletins. Results 70.8 % of pregnant/postpartum women belonging to an underserved racially diverse inner-city population were e-health users. E-health users were younger (mean age 29.4 vs. 31.2, P = 0.009), more likely to be nulliparous (50.3 vs. 21.3 %, P < 0.001), have English as their primary language (62.3 vs. 49.1 %, P = 0.014) and have a college/graduate education (78 vs. 26.6 %, P < 0.001). While 60 % of these women said e-health influenced decision making, only 71.3 % of them discussed their searches with their provider. Expert reviewers determined that the online information was fairly accurate (mean score: +1.48 to +4.33 on a scale of −5 to +5) but not uniformly accurate, and there was at least one webpage with inaccurate information for every question. Conclusions for practice Pregnant women frequently use e-health resources but do not routinely share their findings with their providers. Most, but not all, information obtained is accurate. Therefore it is important for providers to discuss their patients’ use, and help to guide them to reliable information.


E-health Internet Pregnancy 



We thank Dr Tinu Hirachan and Dr Lia Mamistvalova for helping us administer the questionnaire to our participants.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.


  1. (2010). Census Results, United States. and . Accessed 22 June 2014.
  2. Bert, F., Gualano, M. R., Brusaferro, S., De Vito, E., de Waure, C., La Torre, G., et al. (2013). Pregnancy e-health: a multicenter Italian cross-sectional study on Internet use and decision-making among pregnant women. Journal of Epidemiology and Community Health, 67(12), 1013–1018.CrossRefPubMedGoogle Scholar
  3. Declercq, E. R., Sakala, C., Corry, M. P., Applebaum, S., & Herrlich, A. (2013). Listening to Mothers III Pregnancy and Birth. Report of the Third National U.S. Survey of Women’s Childbearing Experiences. May 2013 . Accessed 22 June 2014.
  4. Eysenbach, G., Powell, J., Kuss, O., & Sa, E. R. (2002). Empirical studies assessing the quality of health information for consumers on the world wide web: A systematic review. JAMA, 287(20), 2691–2700.CrossRefPubMedGoogle Scholar
  5. Fioretti, B., Reiter, M., Betrán, A. P., & Torloni, M. R. (2015). Googling caesarean section: A survey on the quality of the information available on the Internet. BJOG, 122(5), 731–739.CrossRefPubMedGoogle Scholar
  6. Fox, S. (2006). Online Health Search 2006. Pew Research Internet Project. Accessed 22 June 2014.
  7. Gao, L. L., Larsson, M., & Luo, S. Y. (2013). Internet use by Chinese women seeking pregnancy-related information. Midwifery, 29(7), 730–735.CrossRefPubMedGoogle Scholar
  8. Grimes, H. A., Forster, D. A., & Newton, M. S. (2014). Sources of information used by women during pregnancy to meet their information needs. Midwifery, 30(1), e26–e33.CrossRefPubMedGoogle Scholar
  9. Hardwick, J. C., & MacKenzie, F. M. (2003). Information contained in miscarriage-related websites and the predictive value of website scoring systems. European Journal of Obstetrics & Gynecology and Reproductive Biology, 106(1), 60–63.CrossRefGoogle Scholar
  10. Huberty, J., Dinkel, D., Beets, M. W., & Coleman, J. (2013). Describing the use of the Internet for health, physical activity, and nutrition information in pregnant women. Maternal and Child Health Journal, 17(8), 1363–1372.CrossRefPubMedGoogle Scholar
  11. Kavlak, O., Atan, S. Ü., Güleç, D., Oztürk, R., & Atay, N. (2012). Pregnant women’s use of the Internet in relation to their pregnancy in Izmir, Turkey. Informatics for Health and Social Care, 37(4), 253–263.CrossRefPubMedGoogle Scholar
  12. Lagan, B. M., Sinclair, M., & Kernohan, W. G. (2010). Internet use in pregnancy informs women’s decision making: A web-based survey. Birth, 37(2), 106–115.CrossRefPubMedGoogle Scholar
  13. Larsson, M. (2009). A descriptive study of the use of the Internet by women seeking pregnancy-related information. Midwifery, 25(1), 14–20.CrossRefPubMedGoogle Scholar
  14. Laz, T. H., & Berenson, A. B. (2013). Racial and ethnic disparities in Internet use for seeking health information among young women. Journal of Health Communication, 18(2), 250–260.CrossRefPubMedGoogle Scholar
  15. Statistical portrait of the foreign-born population in the United States (2012). . Accessed 22 June 2014.

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyMaimonides Medical CenterBrooklynUSA
  2. 2.Department of BiostatisticsSUNY DownstateBrooklynUSA

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