ReviewDigital health
The use of digital solutions for the reduction of maternal and perinatal mortality: A systematic review.
Review in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Maternal and perinatal mortality are critical health and development indicators. Technological solutions, such as monitoring and telemedicine applications, have the potential to improve prenatal care and significantly reduce these risks by enhancing access to healthcare. Methods: A systematic review of studies published between 2019 and 2026 was conducted. Searches were performed in Medline, Scopus, Web of Science, Scielo, and the Cochrane Central Register of Controlled Trials (CENTRAL). Observational and intervention studies evaluating digital solutions like teleconsultation, m-health, telecare, and mobile applications were considered. Results: Eight studies were included in the final review, encompassing a total population of 54,074 women. The primary digital solutions identified were teleconsultation (six studies), a mobile application (one study), and a telecare project (one study). The findings were mixed. A telecare system (WONDER project) in India was associated with a 50.1% reduction in maternal mortality. In Rwanda, the Safe Delivery Application was linked to a significant decrease in maternal deaths due to postpartum hemorrhage (from 3% to 0%, p=0.048) and the elimination of neonatal deaths post-resuscitation in the study group (from 7% to 0%, p<0.001). One study in Colombia found a statistically significant reduction in perinatal mortality with teleconsultation (OR= 0.22; 95% CI [0.07-0.71]; p= 0.022). However, other studies on teleconsultation did not find statistically significant differences in maternal or perinatal mortality rates. Conclusion: Digital solutions integrated into clinical care, particularly telemonitoring systems and mobile applications, may reduce maternal and perinatal mortality in specific contexts. The evidence for teleconsultation as a standalone intervention remains inconclusive. Further high-quality research is needed to establish robust evidence for widespread implementation.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.