Telehealth Interventions to Improve Obstetric and Gynecologic Health Outcomes: A Systematic Review

Nathaniel DeNicola*, Daniel Grossman, Kathryn Marko, Sarita Sonalkar, Yvonne S. Butler Tobah, Nihar Ganju, Catherine T. Witkop, Jillian T. Henderson, Jessica L. Butler, Curtis Lowery

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

205 Scopus citations

Abstract

OBJECTIVE: To systematically review the effectiveness of telehealth interventions for improving obstetric and gynecologic health outcomes. DATA SOURCES: We conducted a comprehensive search for primary literature in ClinicalTrials.gov, Cochrane Library, Cochrane Collaboration Registry of Controlled Trials, EMBASE, PubMed, and MEDLINE. METHODS OF STUDY SELECTION: Qualifying primary studies had a comparison group, were conducted in countries ranked very high on the United Nations Human Development Index, published in English, and evaluated obstetric and gynecologic health outcomes. Cochrane Collaboration’s tool and ROBINS-I tool were used for assessing risk of bias. Summary of evidence tables were created using the United States Preventive Services Task Force Summary of Evidence Table for Evidence Reviews. TABULATION, INTEGRATION, RESULTS: Of the 3,926 published abstracts identified, 47 met criteria for inclusion and included 31,967 participants. Telehealth interventions overall improved obstetric outcomes related to smoking cessation and breastfeeding. Telehealth interventions decreased the need for high-risk obstetric monitoring office visits while maintaining maternal and fetal outcomes. One study found reductions in diagnosed preeclampsia among women with gestational hypertension.

Original languageEnglish
Pages (from-to)371-382
Number of pages12
JournalObstetrics and gynecology
Volume135
Issue number2
DOIs
StatePublished - 1 Feb 2020
Externally publishedYes

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