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A Systematic Review of MHealth Strategies Aimed at Enhancing Maternal
Outcomes for Pregnant Women with Hypertension Disorders

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J. Noronha, B. Nayak, and M. Lewis 1
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Manipal College of Nursing, Manipal Academy of Higher Education, India

Background: The common medical disorders that develop during pregnancy is hypertension, which
can have serious consequences for both the mother and the unborn child. One cutting-edge strategy
for providing maternity and child health care services is mHealth. There is insufficient data to support
the idea that mHealth interventions can improve the health of expectant mothers with hypertension
diseases.

Objective: To identify the type of Mhealth interventions used in improving the maternal
outcomes among pregnant women with hypertensive disorders.

Methods: The PRISMA-P guidelines were used for systematic review. Randomised Control Trails (RCTs)
non-randomized controlled trials (non-RCTs) and cohort studies on mobile health interventions for
Oral Presentation Abstracts
pregnant women with hypertensive problems were included. PubMed-Medline, Pro-Quest, CINHAL,
Scopus, Web of Science, and Cochrane CENTRAL from 2000 to 2023 were searched. Two review
authors, who also extracted data, reviewed papers according to eligibility requirements and used the
Cochrane Risk of Bias 2 tool to critically evaluate the included research.

Results: A total of 5856 studies were identified by the initial search (PubMed = 137, Scopus = 130, Web of
science = 7, CINAHL = 3840, ProQuest = 423, and Cochrane Library = 1259). 606 studies were found to be
duplicate was removed. 5250 studies were identified for screening. After title and abstract screening
5200 studies were excluded. Full-text screening of 50 studies were done and finally 20 studies were
included. Quality appraisal was done. Findings revealed that remote blood pressuring was the
commonest type of mHealth intervention used (n=16), followed by SMS reminders (n=14) and
educational materials disseminated through mHealth applications (n=10). Findings also showed that
the mhealth interventions helped to monitor the Blood pressure, decraesed incidence of eclampsia
and improved fetal wellbeing.

Conclusion: The review’s conclusions show that pregnant women are using mHealth interventions
more frequently to remotely check their blood pressure, which has improved maternal outcomes.

Keywords: mhealth, mobile application, pregnant women, cardiovascular disease, pregnancy
induced hypertension, textmessaging

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Correspondence: Judith Angelitta Noronha, Manipal College of Nursing, Manipal Academy of Higher
Education, India
E-mail: judith.n@manipal.edu

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