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Advances in obstetric telemonitoring: a systematic review.

Danielle Santos Alves1, Valéria Cesário Times2, Érika Maria Alves da Silva3

  • 1Department of Nursing, Federal University of Pernambuco, UFPE, Brazil; Post-Graduation Program in Computer Science, Federal University of Pernambuco, UFPE, Brazil; Telehealth Center, Clinical Hospital, Federal University of Pernambuco, UFPE, Brazil.

International Journal of Medical Informatics
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PubMed
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Obstetric telemonitoring enhances prenatal care by enabling early detection of complications. Further development is needed to integrate childbirth and postpartum monitoring for comprehensive maternal health.

Keywords:
Mobile HealthPregnancyPrenatal telemedicine serviceTele-obstetricsTelemonitoring

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Area of Science:

  • Obstetrics and Gynecology
  • Digital Health
  • Maternal Healthcare Technology

Background:

  • Obstetric telemonitoring offers improved gestational care, reducing travel needs and enabling early complication detection.
  • It facilitates local intervention before hospitalization, enhancing patient outcomes.
  • Mobile technologies are increasingly integrated into remote obstetric care.

Purpose of the Study:

  • To identify advances in obstetric telemonitoring using mobile technologies.
  • To assess the contributions and limitations of current telemonitoring practices.
  • To highlight areas for future research and development in the field.

Main Methods:

  • Systematic review of literature from 2008-2018.
  • Searches conducted across major databases including Pubmed, Medline, LILACS, Cochrane, Scielo, Embase, ACM Surveys, and IEEE.
  • Methodological rigor assessed using PRISMA and CASP guidelines.

Main Results:

  • 26 papers were included, primarily focusing on prenatal care, high-risk pregnancies, and homecare.
  • Smartphone applications interacting with telemonitoring devices showed promising results for data accuracy and clinical decision-making.
  • Significant gaps identified include limited postpartum/delivery focus, isolated health aspect monitoring, and insufficient usability testing.
  • Underinvestment in studies for developing countries with high maternal/fetal mortality was noted.

Conclusions:

  • Obstetric telemonitoring holds significant potential for improving gestational outcomes and early complication detection.
  • Development of integrated telemonitoring systems covering childbirth and postpartum periods is recommended.
  • Further research and investment are crucial, particularly in resource-limited settings.