A scoping review of digital technologies in antenatal care: recent progress and applications of digital technologies.

Halila Mohamed, Aniza Ismail, Rosnah Sutan, Rahana Abd Rahman, Kawselyah Juval
Author Information
  1. Halila Mohamed: Department of Public Health Medicine, Faculty of Medicine, National University of Malaysia, National University of Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Wilayah Persekutuan, 56000, Kuala Lumpur, Malaysia.
  2. Aniza Ismail: Department of Public Health Medicine, Faculty of Medicine, National University of Malaysia, National University of Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Wilayah Persekutuan, 56000, Kuala Lumpur, Malaysia. aniza@hctm.ukm.edu.my.
  3. Rosnah Sutan: Department of Public Health Medicine, Faculty of Medicine, National University of Malaysia, National University of Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Wilayah Persekutuan, 56000, Kuala Lumpur, Malaysia.
  4. Rahana Abd Rahman: Department of Obstetrics and Gynaecology, Faculty of Medicine, National University of Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Wilayah Persekutuan, 56000, Kuala Lumpur, Malaysia.
  5. Kawselyah Juval: Family Health Development Division, Federal Government Administrative Centre, Ministry of Health, Block E1,E3,E6, E7 and E10, Complex E, Putrajaya, 62590, Malaysia.

Abstract

INTRODUCTION: Digital health technologies have vastly improved monitoring, diagnosis, and care during pregnancy. As expectant mothers increasingly engage with social media, online platforms, and mobile applications, these innovations present valuable opportunities to enhance the quality of maternal healthcare services.
OBJECTIVE: This review aims to assess the applicability, outcomes, and recent advancement of digital health modalities in antenatal care.
METHOD: We conducted a scoping review by searching four electronic databases (Scopus, Web of Science, PubMed, EBSCOhost), performing manual searches of Google Scholar, and examining the references of relevant studies. Eligible studies included original research published in English between 2010 and 2024 involving the use of digital health technologies for antenatal care, complying with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping review guidelines.
RESULTS: One hundred twenty-six eligible articles were identified, with the majority (61.11%) conducted in high-income countries, including the United States, United Kingdom, and Australia. Digital health studies have increased over time, driven by telehealth adoption in affluent nations. Interventions predominantly focused on patient-provider consultations, remote monitoring, and health education, complementing in-person visits or as a substitute when necessary. High levels of acceptance and satisfaction were reported among users. These interventions primarily targeted general maternal care (28.57%), gestational diabetes mellitus (15.07%), and mental health (13.49%) while also addressing gestational weight management, hypertensive disorders, high-risk pregnancies and maternal education. The findings demonstrated positive outcomes in managing clinical conditions, enhancing knowledge, promoting birth preparedness, and improving antenatal care access and utilisation. Additionally, the findings revealed the cost-effectiveness of these approaches in alleviating financial burdens for patients and healthcare systems.
CONCLUSION: Digital health is emerging as a pivotal tool in maternal and child care, fostering positive outcomes and high acceptance among patients and healthcare providers. Its integration into antenatal care ensures the maintenance of standard care quality, with no adverse effects reported despite limited discussions on safety and privacy concerns. As these technologies continue to evolve, they are set to redefine antenatal care by offering more accessible, efficient, and patient-centred solutions, ultimately shaping the future of maternal healthcare delivery.

Keywords

References

  1. Midwifery. 2021 Jan;92:102877 [PMID: 33157497]
  2. Future Healthc J. 2022 Jul;9(2):154-160 [PMID: 35928204]
  3. Obstet Gynecol Surv. 2024 May;79(5):290-303 [PMID: 38764206]
  4. Front Public Health. 2022 Nov 22;10:1025675 [PMID: 36483243]
  5. PLoS One. 2015 May 05;10(5):e0123940 [PMID: 25942018]
  6. Eur J Obstet Gynecol Reprod Biol. 2018 Apr;223:72-78 [PMID: 29500948]
  7. Int J Med Inform. 2023 Nov;179:105234 [PMID: 37776668]
  8. J Epidemiol Community Health. 2013 Dec 1;67(12):1013-8 [PMID: 24072743]
  9. Addict Behav. 2024 Jul;154:108005 [PMID: 38513327]
  10. JMIR Mhealth Uhealth. 2018 Mar 20;6(3):e71 [PMID: 29559428]
  11. Diabet Med. 2024 Feb;41(2):e15201 [PMID: 37643876]
  12. Telemed J E Health. 2017 Nov;23(11):891-898 [PMID: 28481167]
  13. J Multidiscip Healthc. 2024 Jan 05;17:71-82 [PMID: 38196936]
  14. BMC Pregnancy Childbirth. 2022 Dec 13;22(1):932 [PMID: 36514010]
  15. Digit Health. 2021 Feb 24;7:2055207620986296 [PMID: 33717497]
  16. Front Digit Health. 2023 Apr 21;5:1155708 [PMID: 37153515]
  17. Psychiatr Serv. 2018 Jan 1;69(1):104-107 [PMID: 29032705]
  18. J Med Internet Res. 2023 Oct 13;25:e47266 [PMID: 37831505]
  19. J Multidiscip Healthc. 2024 Mar 02;17:923-936 [PMID: 38449841]
  20. Vaccine. 2020 May 19;38(24):4024-4031 [PMID: 32321684]
  21. Clin Diabetes. 2015 Oct;33(4):169-74 [PMID: 26487790]
  22. Health Sci Rep. 2022 Dec 21;6(1):e970 [PMID: 36570344]
  23. Int J Med Inform. 2021 Nov 23;158:104653 [PMID: 34875485]
  24. BMJ Open. 2020 Dec 12;10(12):e041690 [PMID: 33310807]
  25. BMC Pregnancy Childbirth. 2023 Mar 20;23(1):195 [PMID: 36941565]
  26. Am J Prev Med. 2017 Sep;53(3):282-289 [PMID: 28495223]
  27. J Clin Med. 2024 Sep 28;13(19): [PMID: 39407855]
  28. Am J Obstet Gynecol. 2018 Apr;218(4):453.e1-453.e7 [PMID: 29425836]
  29. Braz J Psychiatry. 2023 Mar 13;45(1):50-53 [PMID: 36049141]
  30. Aust N Z J Obstet Gynaecol. 2023 Oct;63(5):681-688 [PMID: 37101250]
  31. Digit Health. 2024 Aug 8;10:20552076241266056 [PMID: 39130522]
  32. BMJ Glob Health. 2021 Feb;6(2): [PMID: 33632772]
  33. Matern Child Health J. 2022 Jul;26(7):1401-1408 [PMID: 35292887]
  34. Front Nutr. 2017 Nov 22;4:57 [PMID: 29214155]
  35. JAMA Netw Open. 2021 Apr 1;4(4):e215854 [PMID: 33852002]
  36. Indian J Community Med. 2022 Jan-Mar;47(1):133-137 [PMID: 35368494]
  37. JMA J. 2023 Oct 16;6(4):499-504 [PMID: 37941695]
  38. J Med Internet Res. 2023 May 15;25:e43180 [PMID: 37184930]
  39. Int J Med Inform. 2017 Jun;102:35-49 [PMID: 28495347]
  40. BMC Pregnancy Childbirth. 2024 May 14;24(1):360 [PMID: 38745288]
  41. BMC Pregnancy Childbirth. 2024 Mar 27;24(1):222 [PMID: 38539140]
  42. J Telemed Telecare. 2024 Jul;30(6):1005-1016 [PMID: 35912493]
  43. Telemed Rep. 2023 May 15;4(1):61-66 [PMID: 37283855]
  44. Cureus. 2024 Sep 16;16(9):e69555 [PMID: 39421118]
  45. Telemed J E Health. 2020 Jul;26(7):879-888 [PMID: 31682181]
  46. Diabetes Res Clin Pract. 2018 Aug;142:276-285 [PMID: 29885390]
  47. Sleep Med. 2023 Aug;108:79-89 [PMID: 37343335]
  48. J Educ Health Promot. 2023 Aug 31;12:296 [PMID: 37849860]
  49. Addiction. 2017 Jul;112(7):1238-1249 [PMID: 28239919]
  50. Arch Gynecol Obstet. 2016 Nov;294(5):937-944 [PMID: 27084763]
  51. Indian J Anaesth. 2024 Feb;68(2):183-188 [PMID: 38435660]
  52. BMC Pregnancy Childbirth. 2017 Dec 19;17(1):427 [PMID: 29258469]
  53. Matern Child Health J. 2016 May;20(5):1091-101 [PMID: 26649879]
  54. Digit Health. 2019 Dec 01;5:2055207619892756 [PMID: 31832224]
  55. J Med Internet Res. 2017 Jan 09;19(1):e6 [PMID: 28069560]
  56. Obstet Gynecol. 2020 Feb;135(2):493-494 [PMID: 31977794]
  57. Lancet Digit Health. 2022 Feb;4(2):e126-e136 [PMID: 35090675]
  58. J Med Internet Res. 2018 Jun 05;20(6):e202 [PMID: 29871855]
  59. J Med Internet Res. 2014 Dec 05;16(12):e274 [PMID: 25486675]
  60. Reprod Health. 2017 Nov 7;14(1):146 [PMID: 29116028]
  61. BMC Med Inform Decis Mak. 2023 Nov 15;23(1):261 [PMID: 37968639]
  62. BMC Pregnancy Childbirth. 2023 Mar 22;23(1):198 [PMID: 36949403]
  63. J Telemed Telecare. 2017 Jun;23(5):536-543 [PMID: 27365320]
  64. JMIR Mhealth Uhealth. 2015 Jan 23;3(1):e10 [PMID: 25650765]
  65. Lancet Digit Health. 2023 Mar;5(3):e116-e124 [PMID: 36828605]
  66. Arch Gynecol Obstet. 2024 Jul;310(1):307-314 [PMID: 38217763]
  67. JMIR Mhealth Uhealth. 2017 Mar 09;5(3):e25 [PMID: 28279948]
  68. BMC Pregnancy Childbirth. 2023 May 12;23(1):346 [PMID: 37173639]
  69. Eur J Obstet Gynecol Reprod Biol. 2019 Sep;240:226-231 [PMID: 31330428]
  70. JMIR Pediatr Parent. 2023 Dec 25;6:e53933 [PMID: 38145479]
  71. PLoS One. 2021 Apr 23;16(4):e0249713 [PMID: 33891597]
  72. Am J Perinatol. 2021 Jan;38(1):88-92 [PMID: 33038898]
  73. Clin Ther. 2019 Nov;41(11):2426-2434 [PMID: 31587813]
  74. Ann Intern Med. 2018 Oct 2;169(7):467-473 [PMID: 30178033]
  75. Am J Obstet Gynecol MFM. 2020 Nov;2(4):100233 [PMID: 32984803]
  76. Asian J Psychiatr. 2020 Dec;54:102277 [PMID: 32682298]
  77. Medicine (Baltimore). 2022 Jul 1;101(26):e29566 [PMID: 35777056]
  78. Ultrasound Q. 2014 Sep;30(3):167-72 [PMID: 25148484]
  79. JMIR Mhealth Uhealth. 2020 Oct 14;8(10):e17377 [PMID: 33052134]
  80. Front Pediatr. 2021 Mar 03;9:642369 [PMID: 33748048]
  81. Diabetes Technol Ther. 2012 Jul;14(7):624-9 [PMID: 22512287]
  82. Lancet Diabetes Endocrinol. 2020 Jun;8(6):490-500 [PMID: 32445736]
  83. JMIR Hum Factors. 2024 Oct 1;11:e59269 [PMID: 39352732]
  84. AIDS Care. 2017 Jul;29(7):890-897 [PMID: 28107805]
  85. JMIR Form Res. 2023 Jul 20;7:e44362 [PMID: 37471135]
  86. Implement Sci. 2010 Sep 20;5:69 [PMID: 20854677]
  87. JMIR Mhealth Uhealth. 2017 Sep 13;5(9):e133 [PMID: 28903892]
  88. Am J Obstet Gynecol. 2019 Dec;221(6):638.e1-638.e8 [PMID: 31228414]
  89. Obstet Gynecol. 2020 Feb;135(2):371-382 [PMID: 31977782]
  90. Reprod Health. 2020 Oct 20;17(1):160 [PMID: 33081795]
  91. Pediatr Cardiol. 2023 Oct;44(7):1479-1486 [PMID: 37355506]
  92. Telemed J E Health. 2024 Jun;30(7):e2096-e2102 [PMID: 38563767]
  93. BMC Pregnancy Childbirth. 2022 Jul 29;22(1):604 [PMID: 35906534]
  94. Psychiatry Res. 2023 Dec;330:115599 [PMID: 37988816]
  95. BJOG. 2017 Oct;124(11):1718-1728 [PMID: 28220604]
  96. Cost Eff Resour Alloc. 2024 Mar 1;22(1):18 [PMID: 38429805]
  97. Women Birth. 2023 May;36(3):305-313 [PMID: 36184532]
  98. Reprod Health. 2019 Dec 12;16(1):177 [PMID: 31831076]
  99. Am J Obstet Gynecol. 2023 Apr;228(4):453.e1-453.e10 [PMID: 36174746]
  100. Front Digit Health. 2023 May 18;5:1193920 [PMID: 37274765]
  101. Sci Rep. 2022 Aug 13;12(1):13793 [PMID: 35963935]
  102. JMIR Res Protoc. 2016 Nov 18;5(4):e200 [PMID: 27864167]
  103. Int J Environ Res Public Health. 2022 Nov 20;19(22): [PMID: 36430061]
  104. BMC Pregnancy Childbirth. 2024 Jul 30;24(1):516 [PMID: 39080659]
  105. JMIR Form Res. 2023 Mar 2;7:e36619 [PMID: 36862461]
  106. J Family Med Prim Care. 2021 Oct;10(10):3712-3719 [PMID: 34934670]
  107. JMIR Mhealth Uhealth. 2023 Dec 20;11:e46910 [PMID: 38117555]
  108. Front Public Health. 2021 Jan 26;8:623773 [PMID: 33585391]
  109. BMC Pregnancy Childbirth. 2014 Jan 17;14:29 [PMID: 24438517]
  110. Rev Bras Enferm. 2019 Dec;72(suppl 3):266-273 [PMID: 31851263]
  111. J Int Med Res. 2019 Feb;47(2):754-764 [PMID: 30442052]
  112. Healthcare (Basel). 2022 Jul 12;10(7): [PMID: 35885813]
  113. BMC Health Serv Res. 2023 Mar 16;23(1):259 [PMID: 36922841]
  114. J Perinat Med. 2018 Jan 26;46(1):67-74 [PMID: 28285274]
  115. Obesity (Silver Spring). 2017 Jul;25(7):1217-1227 [PMID: 28573669]
  116. Eur J Obstet Gynecol Reprod Biol X. 2023 Sep 09;20:100235 [PMID: 37736306]
  117. JMIR Form Res. 2024 Feb 2;8:e51066 [PMID: 38306159]
  118. Pregnancy Hypertens. 2020 Oct;22:30-36 [PMID: 32717653]
  119. J Med Internet Res. 2023 Feb 10;25:e41298 [PMID: 36763452]
  120. PLoS One. 2013 Oct 29;8(10):e77563 [PMID: 24204872]
  121. J Telemed Telecare. 2024 May;30(4):607-630 [PMID: 35570738]
  122. BMC Pregnancy Childbirth. 2023 Mar 8;23(1):139 [PMID: 36882709]
  123. Int J Med Inform. 2023 Dec;180:105277 [PMID: 37944274]
  124. Int J Surg. 2021 Apr;88:105906 [PMID: 33789826]
  125. Internist (Berl). 2022 Mar;63(3):255-265 [PMID: 35181796]
  126. BMJ Glob Health. 2018 Apr 24;3(Suppl 2):e000559 [PMID: 29713503]
  127. Obstet Gynecol. 2020 Feb;135(2):e73-e79 [PMID: 31977796]
  128. Am J Prev Med. 2018 Nov;55(5):603-614 [PMID: 30262148]
  129. Diabetes Technol Ther. 2015 May;17(5):349-54 [PMID: 25629547]
  130. EClinicalMedicine. 2024 Sep 05;76:102822 [PMID: 39296586]
  131. J Perinat Educ. 2023 Jul 1;32(3):133-140 [PMID: 37520789]
  132. J Obes. 2015;2015:814830 [PMID: 25960889]
  133. J Immigr Minor Health. 2018 Oct;20(5):1128-1136 [PMID: 29143900]
  134. JMIR Mhealth Uhealth. 2019 May 01;7(5):e10520 [PMID: 31042154]
  135. Gen Hosp Psychiatry. 2018 May - Jun;52:14-20 [PMID: 29494854]
  136. BMC Health Serv Res. 2019 Sep 13;19(1):662 [PMID: 31514743]
  137. Womens Health (Lond). 2022 Jan-Dec;18:17455057221104659 [PMID: 35726912]
  138. Lancet. 2021 Jul 3;398(10294):41-52 [PMID: 34217399]
  139. J Med Internet Res. 2023 Apr 7;25:e42161 [PMID: 37027199]
  140. Ann Intern Med. 2022 Sep;175(9):1285-1297 [PMID: 35878405]
  141. JMIR Mhealth Uhealth. 2024 Jul 12;12:e55617 [PMID: 39012077]
  142. Patient Educ Couns. 2022 Jul;105(7):2562-2572 [PMID: 35063311]
  143. Reprod Health. 2023 Jul 25;20(1):109 [PMID: 37488593]
  144. Patient Educ Couns. 2014 Nov;97(2):256-60 [PMID: 25153313]
  145. Matern Child Health J. 2023 Jul;27(7):1191-1198 [PMID: 36917394]

MeSH Term

Humans
Pregnancy
Prenatal Care
Female
Digital Technology
Telemedicine

Word Cloud

Created with Highcharts 10.0.0carehealthantenataltechnologiesmaternalDigitalhealthcarereviewdigitalmonitoringoutcomesscopingstudiesapplicationsqualityrecentconductedUnitededucationacceptancereportedamonggestationalfindingspositivepatientsINTRODUCTION:vastlyimproveddiagnosispregnancyexpectantmothersincreasinglyengagesocialmediaonlineplatformsmobileinnovationspresentvaluableopportunitiesenhanceservicesOBJECTIVE:aimsassessapplicabilityadvancementmodalitiesMETHOD:searchingfourelectronicdatabasesScopusWebSciencePubMedEBSCOhostperformingmanualsearchesGoogleScholarexaminingreferencesrelevantEligibleincludedoriginalresearchpublishedEnglish20102024involvingusecomplyingPreferredReportingItemsSystematicReviewsMeta-AnalysesextensionguidelinesRESULTS:Onehundredtwenty-sixeligiblearticlesidentifiedmajority6111%high-incomecountriesincludingStatesKingdomAustraliaincreasedtimedriventelehealthadoptionaffluentnationsInterventionspredominantlyfocusedpatient-providerconsultationsremotecomplementingin-personvisitssubstitutenecessaryHighlevelssatisfactionusersinterventionsprimarilytargetedgeneral2857%diabetesmellitus1507%mental1349%alsoaddressingweightmanagementhypertensivedisordershigh-riskpregnanciesdemonstratedmanagingclinicalconditionsenhancingknowledgepromotingbirthpreparednessimprovingaccessutilisationAdditionallyrevealedcost-effectivenessapproachesalleviatingfinancialburdenssystemsCONCLUSION:emergingpivotaltoolchildfosteringhighprovidersintegrationensuresmaintenancestandardadverseeffectsdespitelimiteddiscussionssafetyprivacyconcernscontinueevolvesetredefineofferingaccessibleefficientpatient-centredsolutionsultimatelyshapingfuturedeliverycare:progressConsultationGestationalMobilePrenatalRemoteTelehealthTelemedicine

Similar Articles

Cited By

No available data.