A scoping review of digital technologies in antenatal care: recent progress and applications of digital technologies

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 13, 2025

Digital health technologies have vastly improved monitoring, diagnosis, and care during pregnancy. As expectant mothers increasingly engage with social media, online platforms, mobile applications, these innovations present valuable opportunities to enhance the quality of maternal healthcare services. This review aims assess applicability, outcomes, recent advancement digital modalities in antenatal care. We conducted a scoping by searching four electronic databases (Scopus, Web Science, PubMed, EBSCOhost), performing manual searches Google Scholar, examining references relevant studies. Eligible studies included original research published English between 2010 2024 involving use for care, complying Preferred Reporting Items Systematic Reviews Meta-Analyses extension guidelines. One hundred twenty-six eligible articles were identified, majority (61.11%) high-income countries, including United States, Kingdom, Australia. increased over time, driven telehealth adoption affluent nations. Interventions predominantly focused on patient-provider consultations, remote education, complementing in-person visits or as substitute when necessary. High levels acceptance satisfaction reported among users. These interventions primarily targeted general (28.57%), gestational diabetes mellitus (15.07%), mental (13.49%) while also addressing weight management, hypertensive disorders, high-risk pregnancies education. The findings demonstrated positive outcomes managing clinical conditions, enhancing knowledge, promoting birth preparedness, improving access utilisation. Additionally, revealed cost-effectiveness approaches alleviating financial burdens patients systems. is emerging pivotal tool child fostering high providers. Its integration into ensures maintenance standard quality, no adverse effects despite limited discussions safety privacy concerns. continue evolve, they are set redefine offering more accessible, efficient, patient-centred solutions, ultimately shaping future delivery.

Language: Английский

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A randomized controlled trial of telemedicine CBTI and PUMAS for prenatal insomnia: Reducing nocturnal cognitive arousal is a treatment mechanism for alleviating insomnia and depression during pregnancy.

Sleep Medicine, Journal Year: 2025, Volume and Issue: unknown, P. 106570 - 106570

Published: May 1, 2025

Language: Английский

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Insomnia During the Perinatal Period and its Association with Maternal and Infant Psychopathology: A Systematic Review and Meta-Analysis

Current Psychiatry Reports, Journal Year: 2023, Volume and Issue: 25(11), P. 617 - 641

Published: Oct. 11, 2023

Language: Английский

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Reducing cognitive arousal and sleep effort alleviates insomnia and depression in pregnant women with DSM-5 insomnia disorder treated with a mindfulness sleep program

SLEEP Advances, Journal Year: 2023, Volume and Issue: 4(1)

Published: Jan. 1, 2023

Abstract Objectives Combining mindfulness with behavioral sleep strategies has been found to alleviate symptoms of insomnia and depression during pregnancy, but mechanisms for this treatment approach remain unclear. The present study examined nocturnal cognitive arousal effort as potential alleviating via a program pregnant women. Methods Secondary analysis from proof-of-concept trial 12 women DSM-5 disorder who were treated Perinatal Understanding Mindful Awareness Sleep (PUMAS), which places within framework. Data collected across eight weekly assessments: pretreatment, six sessions, posttreatment. Measures included the severity index (ISI), Edinburgh postnatal scale (EPDS), pre-sleep scale’s factor (PSASC), Glasgow (GSES). We used linear mixed modeling test concurrent prospective predictors depression. Results Most patients reported high before PUMAS (75.0%), decreased 8.3% after treatment. All remitters low treatment, whereas half nonremitters continued reporting arousal. Both associated same-week changes in throughout yielded effect on insomnia. Lower levels prospectively predicted reductions Conclusions offers preliminary evidence that reducing may serve key mindfulness-based therapy. ClinicalTrials.gov ID: NCT04443959

Language: Английский

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Sleep effort and its measurement: A scoping review

Journal of Sleep Research, Journal Year: 2024, Volume and Issue: unknown

Published: April 6, 2024

Insomnia disorder is characterized by disruption in sleep continuity and an overall dissatisfaction with sleep. A relevant feature of insomnia effort, which refers to both cognitive behavioural conscious attempts initiate The Glasgow Sleep Effort Scale a self-report tool developed assess this construct. objective the current scoping review was map how effort has been discussed literature operationalized through its respective measure. Medline/PubMed, Scopus, Web Science PsycInfo databases were used search for potential studies. query specific name self-reported itself (Glasgow Scale) "sleep effort" term. This followed JBI guidelines. To be included, records pertaining any type study that mentioned considered. No language constraint used. At end, 166 initial retrieved. From those, 46 met eligibility criteria analysed. Among main findings, it observed increasingly recent years, notable upward trend, especially last 2 years. In addition original measure, only three published adapted versions instrument identified. suggests there limited research on adapting scale different populations or contexts. studied few Nonetheless, more recommended, including cross-cultural adaptations.

Language: Английский

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Preliminary evidence of psychological improvements and increased maternal–fetal attachment associated with a mindfulness sleep programme: secondary analysis of uncontrolled data in 11 pregnant women with insomnia disorder

Journal of Sleep Research, Journal Year: 2023, Volume and Issue: 33(1)

Published: Sept. 10, 2023

Summary Treating insomnia during pregnancy improves sleep and depressed mood. However, given well‐established links between poor a broad spectrum of adverse maternal outcomes, the benefits care may reach beyond depression. The present study evaluated preliminary efficacy ‘Perinatal Understanding Mindful Awareness for Sleep’ (PUMAS)—a mindfulness programme tailored to that combines behavioural strategies meditation—for enhancing everyday maternal–fetal attachment, as well alleviating anxiety, repetitive thinking, sleep‐related daytime impairment. We conducted secondary analysis single‐arm proof‐of‐concept trial 11 pregnant women with fifth edition Diagnostic Statistical Manual Mental Disorders diagnosed disorder who completed PUMAS (six sessions), which was delivered in an individual format via telemedicine video. Pre‐ post‐treatment outcomes included Cognitive Affective Mindfulness Scale‐Revised (CAMS‐R), Maternal–Fetal Attachment Scale (MFAS), Generalised Anxiety Disorder seven‐item survey (GAD‐7), Perseverative Thinking Questionnaire (PTQ), Daytime Insomnia Symptoms Response (DISRS), Patient‐Reported Outcomes Measurement Information System Sleep‐Related Impairment (PROMIS‐SRI). Symptom changes were paired‐samples t tests. Results showed patients reported large increases CAMS‐R (Cohen's d z = 1.81) medium‐large MFAS scores 0.73). Moreover, reductions on GAD‐7 1.09), PTQ 1.26), DISRS 1.38), PROMIS‐SRI 1.53). Preliminary evidence suggests mindfulness‐based perinatal benefit several domains wellbeing substantially enhanced patient ratings while reporting alleviations perseverative insomnia‐focused rumination,

Language: Английский

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Sleep Quality in High-Risk Pregnancies: Mixed Methods Results from a Randomized Controlled Trial of a Mindfulness Training Intervention

Journal of Integrative and Complementary Medicine, Journal Year: 2024, Volume and Issue: 30(10), P. 953 - 960

Published: April 17, 2024

Objectives: Sleep difficulties in pregnancy are common and increase the risk for obstetric complications. Past research shows that mindfulness training (MT) is helpful improving sleep non-pregnant adults may improve during pregnancy. However, it unknown if MT improves among pregnant people at We examined effects of on quality individuals developing hypertensive disorders

Language: Английский

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Efficacy of Mindfulness Meditation on Patients With Stroke With Concurrent Coronary Heart Disease: A Randomised Controlled Trial

Clinical Psychology & Psychotherapy, Journal Year: 2024, Volume and Issue: 31(6)

Published: Nov. 1, 2024

ABSTRACT Objective This study aimed to investigate the efficacy of mindfulness meditation on sleep quality and negative emotions in patients with stroke concurrent coronary heart disease. Methods was a randomised controlled trial. A total 72 disease were randomly divided into an observation group control group, 36 each group. The received routine treatment plus eszopiclone tablets at dosage 3 mg once daily. addition given Pittsburgh Sleep Quality Index used assess status, Self‐Rating Anxiety Scale Depression depression anxiety, Fugl–Meyer Assessment motor function. All participants both groups 6‐week intervention. Results Pairwise comparisons revealed that had better outcomes quality, onset latency, duration, efficiency, disturbances, daytime function scores 6 12 weeks compared ( p < 0.05). After intervention, score improved more significantly (9.22 ± 2.35/6.26 2.47). Additionally, different methods varying effects anxiety scores, between two 0.001). Further showed lower higher Conclusion Mindfulness can effectively improve reduce disease, as well promote recovery limb functions.

Language: Английский

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