Impact Of Nurse-Led Technology-Enabled Antenatal Care On Maternal & Foetal Well-Being Among Primigravid Women: A Systematic Review

Abstract

This systematic review evaluates the impact of nurse-led, technology-enabled antenatal care on maternal and foetal well-being among primigravid women. A comprehensive search was conducted across databases including PubMed, Scopus, Web of Science, and EBSCOhost, including randomized controlled trials (RCTs), cohort studies, and case-control studies. Selection criteria focused on studies involving nurse-led interventions incorporating telehealth services, mobile health applications, and digital monitoring tools. Significant improvements in maternal health outcomes were identified, including reduced gestational weight gain, enhanced maternal knowledge, and decreased stress levels. Notably, interventions utilizing mobile health applications and telehealth services demonstrated high efficacy in managing gestational weight and improving maternal mental health. Studies such as Lee et al. (2023) and Chen et al. (2021) highlighted the effectiveness of mHealth apps in preventing excessive gestational weight gain among overweight and obese women. Furthermore, the integration of comprehensive nutritional assessments within antenatal care, as explored by Grammatikopoulou et al. (2023), underscored the importance of addressing nutritional risks during pregnancy. Despite the overall positive outcomes, variability in intervention types and measured outcomes was noted, presenting challenges in generalizability. Exclusion of non-English studies and potential language bias were identified as limitations. The findings suggest that healthcare providers and policymakers should prioritize the integration of technology-enabled interventions in antenatal care frameworks. Future research should focus on long-term outcomes, cost-effectiveness, and cultural adaptation of these interventions to enhance their applicability across diverse populations. This review underscores the potential of nurse-led, technology-enabled antenatal care to significantly improve maternal and fetal health outcomes, particularly for first-time mothers.