Mishra Manisha, Parida Debasini, Murmu Jogesh, Singh Damini, Rehman Tanveer, Kshatri Jaya Singh, Pati Sanghamitra
ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India.
Healthcare (Basel). 2023 Sep 27;11(19):2635. doi: 10.3390/healthcare11192635.
Antenatal care (ANC) is essential in maternal and child health since it provides care to pregnant women from conception through to labour in order to ensure a safe pregnancy and childbirth. In recent years, mobile health (mHealth) interventions have emerged as a promising solution to improve maternal and child health outcomes in low- and middle-income countries (LMICs). The present study aimed to conduct a systematic review and meta-analysis of trials to evaluate the effectiveness of mHealth interventions to monitor prenatal care among pregnant women in LMICs. A systematic literature review was conducted using the databases CINHAL, Embase, MEDLINE, and PsycINFO on the effectiveness of mHealth interventions in monitoring the antenatal care of pregnant women. The study selection, data extraction of the included articles, and quality appraisal were assessed. Our study included six studies considering 7886 participants. All articles were from low- and middle-income countries (LMICs). Antenatal mothers who used a mobile health intervention were more likely (RR = 1.66, 95%CI = 1.07-2.58, I = 98%) to attend ANC check-ups when compared with the women who did not use any mobile health applications or did not receive any short message services. mHealth technologies are being utilised more and more to increase care accessibility and improve maternal and fetal health. Policymakers should prioritise the integration of mHealth interventions into maternal healthcare services in LMICs, ensuring that they are cost-effective, accessible, and sustainable and that healthcare workers are trained to deliver these interventions effectively.
产前护理(ANC)在母婴健康中至关重要,因为它为孕妇提供从受孕到分娩期间的护理,以确保安全怀孕和分娩。近年来,移动健康(mHealth)干预措施已成为改善低收入和中等收入国家(LMICs)母婴健康结果的一种有前景的解决方案。本研究旨在对试验进行系统评价和荟萃分析,以评估mHealth干预措施对LMICs孕妇产前护理监测的有效性。使用CINHAL、Embase、MEDLINE和PsycINFO数据库对mHealth干预措施在监测孕妇产前护理方面的有效性进行了系统的文献综述。对研究选择、纳入文章的数据提取和质量评估进行了评估。我们的研究纳入了六项研究,涉及7886名参与者。所有文章均来自低收入和中等收入国家(LMICs)。与未使用任何移动健康应用程序或未接收任何短信服务的女性相比,使用移动健康干预措施的产前母亲更有可能(RR = 1.66,95%CI = 1.07 - 2.58,I = 98%)参加产前检查。移动健康技术正越来越多地被用于提高护理可及性并改善母婴健康。政策制定者应优先将移动健康干预措施纳入LMICs的孕产妇医疗服务中,确保它们具有成本效益、可及且可持续,并确保医护人员接受培训以有效提供这些干预措施。