Reduction of Adverse Pregnancy Outcomes With a Smartphone Application in Ghana

Inclusion criteria for Hospitals: * Located in the region of Greater Accra. * The hospital should have at least 10 midwives employed. * The patient flow for each midwife should be at least 10 deliveries per month. * The annual average number of deliveries should be at least 1,200. Inclusion criteria for midwives: * Should have no leave or vacation from June 17th to September 17th 2014. * Should have a full time employment at the delivery ward (conducting deliveries 100% of the work time). * Should be willing and available to participate in an information meeting at the hospital where the balloting among eligible midwives will take place. * Should give an informed consent to participate in the study. * Should be willing and available to participate in a workshop July 14th 2014 (this is the day of randomization, and intervention midwives will receive smartphone training). * Should be willing and available to participate in a workshop September 17th 2014 (to complete an end of study questionnaire, the key feature questionnaire, and control midwives will receive smartphones). * Should be proficient in English to understand the spoken instructions in the animated videos. Inclusion criteria for women in labor: * Should be in active labor. * Should give informed consent to participate in the study. * Should give birth vaginally. The women in labor and their newborn children will be the primary observational units.