SEARCHSYSTEMATIC_REVIEWobstetrics and gynecology, public health

systematic_review·obstetrics and gynecology, public health, systematic review, pediatrics, epidemiology·PMC10026210

Lessons from digital technology-enabled health interventions implemented during the coronavirus pandemic to improve maternal and birth outcomes: a global scoping review

BMC Pregnancy and Childbirth · 6 authors, 6 centres

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This global scoping review synthesized 22 peer-reviewed studies published from January 2020 to May 2022 examining mHealth and telehealth interventions implemented during the COVID-19 pandemic to support pregnancy care. Key functionalities focused on mental and physical wellness, health promotion, patient tracking, health education, and parenting support. Experimental study designs accounted for 68.8% of mHealth studies and 33.3% of telehealth studies. Only 3 studies integrated digital technologies into healthcare systems and only 3 designed and evaluated mobile app feasibility. The review underscores an emerging but still insufficient evidence base for digital health interventions during emergencies in maternity care.

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systematic_review

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obstetrics and gynecology

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ORIGINAL PAPER

PMC10026210

Lessons from digital technology-enabled health interventions implemented during the coronavirus pandemic to improve maternal and birth outcomes: a global scoping review

BMC Pregnancy and Childbirth

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ABSTRACT

Abstract Background Timely access to essential obstetric and gynecologic healthcare is an effective method for improving maternal and neonatal outcomes; however, the COVID-19 pandemic impacted pregnancy care globally. In this global scoping review, we select and investigate peer-reviewed empirical studies related to mHealth and telehealth implemented during the pandemic to support pregnancy care and to improve birth outcomes. Methods We searched MEDLINE and PubMed, Scopus, CINAHL and Web of Science for this Review because they include peer-reviewed literature in the disciplines of behavioral sciences, medicine, clinical sciences, health-care systems, and psychology. Because our investigative searches reviewed that there is considerable ‘grey literature’ in this area; we did not restrict our review to any study design, methods, or place of publication. In this Review, peer-reviewed preprints were comparable to published peer-reviewed articles, with relevant articles screened accordingly. Results The search identified 1851 peer reviewed articles, and after removal of duplicates, using inclusion and exclusion criteria, only 22 studies were eligible for inclusion in the review published from January 2020 to May 2022. mHealth interventions accounted for 72.7% (16 of 22 studies) and only 27.3% (6 of 22 studies) were telehealth studies. There were only 3 example studies that integrated digital technologies into healthcare systems and only 3 studies that developed and evaluated the feasibility of mobile apps. Experimental studies accounted 68.8% of mHealth studies and only 33.3% studies of telehealth studies. Key functionalities of the pregnancy apps and telehealth platforms focused on mental and physical wellness, health promotion, patient tracking, health education, and parenting support. Implemented interventions ranged from breastfeeding and selfcare to behavioral health. Facilitators of uptake included perceived benefits, user satisfaction and convenience. Mobile apps and short messaging services were the primary technologies employed in the implemented mHealth interventions. Conclusion Although our Review emphasizes a lack of studies on mHealth interventions and data from pregnant women during the COVID-19 crisis, the review shows that implementation of digital health interventions during emergencies are inevitable given their potential for supporting pregnancy care. There is also a need for more randomized clinical trials and longitudinal studies to better understand the effectiveness and feasibility of implementing such interventions during disease outbreaks and emergencies. Supplementary Information The online version contains supplementary material available at 10.1186/s12884-023-05454-3. Keywords: mHealth, App, Mobile health technology, Telehealth, Telemedicine, COVID-19, Pandemic, Women’s health, Pregnancy, Prenatal care

CITATION EXPORT

Imelda K Moise, Nicole Ivanova, Cyril Wilson et al.. Lessons from digital technology-enabled health interventions implemented during the coronavirus pandemic to improve maternal and birth outcomes: a global scoping review. BMC Pregnancy and Childbirth. (2023). https://doi.org/10.1186/s12884-023-05454-3

AUTHORS

6 · 6 CENTRES

Imelda K Moise, Nicole Ivanova, Cyril Wilson, Sigmond Wilson, Hikabasa Halwindi, Vera M Spika

1Department of Geography & Sustainable Development, College of Arts and Sciences, University of Miami, 1300 Campo Sano Ave, Coral Gables, FL 33124 USA
2Global Health Studies Program, College of Arts and Sciences, University of Miami, 1252 Memorial Drive, Coral Gables, FL 33146 USA
3Department of Geography & Anthropology, University of Wisconsin-Eau Claire, Eau Claire, WI 54702-4004 USA
4Department of History & Political Science, Rogers State University, 1701 W. Will Rogers Blvd, Claremore, OK 74017 USA
5Department of Community and Family Medicine, School of Public Health, University of Zambia, P.O Box 50110, Lusaka, Zambia
6University of Miami, 1300 Memorial Drive, Coral Gables, FL 33124 USA

Imelda K Moise, Nicole Ivanova, Cyril Wilson et al.. Lessons from digital technology-enabled health interventions implemented during the coronavirus pandemic to improve maternal and birth outcomes: a global scoping review. BMC Pregnancy and Childbirth. (2023). https://doi.org/10.1186/s12884-023-05454-3