Addressing Disparities Through Telehealth for Preeclampsia Care in Asia: An Integrative Review

To explore the implementation of telehealth for the management of preeclampsia in pregnant women in Asia.

A systematic search was conducted across four major databases: PubMed, Scopus, ScienceDirect, and ProQuest, for articles published between August 2015 and 2025.

Eligibility criteria included original research articles discussing the implementation, use, or evaluation of telehealth interventions for pregnant women with preeclampsia in Asia. Risk of bias was assessed for individual studies using the Joanna Briggs Institute critical appraisal tools.

Data extraction was performed using a standardized form to record study characteristics (author, year, country, and aim), participants, details of telehealth implementation, outcomes, and primary findings.

Thirteen studies were included in the review, comprising 431,871 participants. The included evidence was geographically diverse, with studies originating from 5 countries, most being conducted in India (n = 4) and Pakistan (n = 4). The study designs included qualitative studies (n = 4), cohort studies (n = 2), randomized controlled trials (n = 3), cross-sectional studies (n = 2), and mixed methods studies (n = 2). The extracted data were synthesized using thematic analysis, resulting in four themes: (a) Impact of telehealth on maternal care and neonatal health outcomes, (b) Efficiency and feasibility of telehealth in preeclampsia management, (c) Positive user experiences with telehealth, and (d) Barriers and challenges in telehealth implementation. Most studies reported improvements in maternal monitoring, timely interventions, and increased patient satisfaction.

Telehealth is a feasible and effective strategy for preeclampsia management in Asia, characterized by improved maternal and perinatal outcomes and high user acceptance. Telehealth shows strong potential for long-term integration, particularly in regions with geographic and resource constraints. Overcoming implementation barriers is essential to ensure equity and accessibility in maternal health care.