Educational technologies and self-care needs in high-risk pregnancy: an integrative review
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v17.13905Keywords:
Self-care; High-risk pregnancy; Educational technologyAbstract
ABSTRACT
Objective: to identify educational technologies and self-care needs in high-risk pregnancy.
Method: an integrative literature review conducted from August 2024 to January 2025. The study search was performed in the following databases and virtual libraries: PubMed/Medline, Scopus, SciELO, Virtual Health Library, Web of Science, CINAHL, and Embase. Results: the sample consisted of 23 studies, which identified that the most commonly used educational technology for promoting self-care among high-risk pregnant women was a smartphone application. Additionally, the most highlighted self-care needs in this population were psychological support, blood glucose monitoring, healthy eating habits, physical activity, and smoking cessation. Conclusion: educational technologies are valuable tools for promoting self-care in high-risk pregnant women and preventing adverse pregnancy outcomes.
DESCRIPTORS: Self-care; High-risk pregnancy; Educational technology.
Downloads
References
Araújo KC, Souza ACD, Silva ADD, Weis, AH. Tecnologias educacionais para abordagens de saúde com adolescentes: revisão integrativa. Acta Paul. Enferm. [Internet]. 2022 [acesso em 20 de março 2025];35:eAPE003682. Disponível em: https://doi.org/10.37689/acta-ape/2022AR03683
Nevez PVT, Rodrigues ILA, Pereira AA, Andrade EGRD, Nogueira LMV, Maia RP, Moraes CMDS. Tecnologia educativa sobre infecção do trato urinário para gestantes ribeirinhas: construção compartilhada. Cogitare Enferm. [Internet]. 2023 [acesso em 20 de março 2025];28:e87352. Disponível em: https://doi.org/10.1590/ce.v28i0.87352
Oliveira YSPC, Costa R, Lima MMD, Velho MB, Gomes IEM, Wilhelm LA, Coelho LPI. Infográfico para gestantes e acompanhantes: tecnologia educacional no contexto do atendimento obstétrico. Cogitare Enferm. [Internet]. 2023 [acesso em 20 de março 2025];28:e87939. Disponível em: https://doi.org/10.1590/ce.v28i0.87939
Mendes RCMG, Holanda PCM, Pontes CM, Mangueira SO, Linhares FMP. Sistema de Enfermagem apoio-educação na promoção do autocuidado a gestante de alto risco: Revisão Integrativa. Rev. Min. Enferm. [Internet]. 2023 [acesso em 20 de março 2025];27:e-1500. Disponível em: https://doi.org/10.35699/2316-9389.2023.38505
Whittemore R, Knafl K. The integrative review: updated methodology. J. Adv. Nurs. [Internet]. 2005 [cited 2025 mar 20];52(5):546-53. Available from: https://doi.org/10.1111/j.1365-2648.2005.03621.x
Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing and healthcare: A guide to best practice. Baltimare: LWW; 2011.
Adamczak JE, Wolf EJ. Maternal blood pressure adaptation in the first trimester of pregnancy. Am. J. Perinatol. [Internet]. 2010 [cited 2025 mar 20];27(04):339-42. Available from: https://doi.org/10.1055/s-0029-1243305
Aaronson NK, Ershoff DH, Danaher BG. Smoking cessation in pregnancy: a self-help approach. Addict. Behav. [Internet]. 1985 [cited 2025 mar 20];10(1):103-8. Available from: https://doi.org/10.1016/0306-4603(85)90060-7
Abbaspoor Z, Amani A, Afshari P, Jafarirad S. The effect of education through mobile phone short message service on promoting self-care in pre-diabetic pregnant women: A randomized controlled trial. J. Telemed. Telecare [Internet]. 2020 [cited 2025 mar 20];26(4):200-6. Available from: https://doi.org/10.1177/1357633X18791419
Aittasalo M, Raitanen J, Kinnunen TI, Ojala K, Kolu P, Luoto R. Is intensive counseling in maternity care feasible and effective in promoting physical activity among women at risk for gestational diabetes? Secondary analysis of a cluster randomized NELLI study in Finland. Int. J. Behav. Nutr. Phys. Act. [Internet]. 2012 [cited 2025 mar 20];9(104):1-12. Available from: https://doi.org/10.1186/1479-5868-9-104
Al Hashmi I, Alsabti H, Al Omari O, Al Nasseri Y, Khalaf A. Development, feasibility and acceptability of a self-efficacy-enhancing smartphone application among pregnant women with gestational diabetes mellitus: single-arm pilot clinical trial. BMC Pregnancy Childbirth [Internet]. 2022 [cited 2025 mar 20]; 22:358. Available from: https://doi.org/10.1186/s12884-022-04684-1
Alqudah A, McMullan P, Todd A, O'Doherty C, McVey A, McConnell M, et al. Service evaluation of diabetes management during pregnancy in a regional maternity hospital: potential scope for increased self-management and remote patient monitoring through mHealth solutions. BMC Health Serv. Res. [Internet]. 2019 [cited 2025 mar 20];19:1-6. Available from: https://doi.org/10.1186/s12913-019-4471-9
Ashworth DC, Maule SP, Stewart F, Nathan HL, Shennan AH, Chappell LC. Setting and techniques for monitoring blood pressure during pregnancy. Cochrane Database Syst. Rev. [Internet]. 2020 [cited 2025 mar 20];8:1-86. Available from: https://doi.org/10.1002/14651858.CD012739.pub2
Au CPY, Raynes-Greenow CH, Turner RM, Carberry AE, Jeffery HE. Antenatal management of gestational diabetes mellitus can improve neonatal outcomes. Midwifery [Internet]. 2016 [cited 2025 mar 20]; 34:66-71. Available from: https://doi.org/10.1016/j.midw.2016.01.001
Bales M, Pambrun E, Melchior M, Glangeaud-Freudenthal NM, Charles MA, Verdoux H, et al. Prenatal psychological distress and access to mental health care in the ELFE cohort. Eur. Psychiatry [Internet]. 2015 [cited 2025 mar 20];30(2):322-8. Available from: https://doi.org/10.1016/j.eurpsy.2014.11.004
Barbour LA. Changing perspectives in pre-existing diabetes and obesity in pregnancy: maternal and infant short- and long-term outcomes. Curr. Opin. Endocrinol. Diabetes Obes [Internet]. 2014 [cited 2025 mar 20];21(4):257-6;3. Available from: https://doi.org/10.1097/MED.0000000000000079
Barron J, Petrilli F, Strath L, McCaffrey R. Successful interventions for smoking cessation in pregnancy. MCN Am J Matern Child Nurs [Internet]. 2007 [cited 2025 mar 20];32(1):42-7. Available from: https://journals.lww.com/mcnjournal/abstract/2007/01000/successful_interventions_for_smoking_cessation_in.9.aspx
Benhalima K, Beunen K, Siegelaar SE, Painter R, Murphy HR, Feig DS, et al. Management of type 1 diabetes in pregnancy: update on lifestyle, pharmacological treatment, and novel technologies for achieving glycaemic targets. Lancet Diabetes Endocrinol. [Internet]. 2023 [cited 2025 mar 20];11(7):490-508. Available from: https://www.thelancet.com/journals/landia/article/PIIS2213-8587(23)00116-X/abstract
Bennett HA, Boon HS, Romans SE, Grootendorst P. Becoming the best mom that I can: women's experiences of managing depression during pregnancy–a qualitative study. BMC Women's Health [Internet]. 2007 [cited 2025 mar 20];7:1-14. Available from: https://doi.org/10.1186/1472-6874-7-13
Berglund A, Lindmark G. The impact of obstetric risk factors and socioeconomic characteristics on utilization of antenatal care. J. Public Health Med. [Internet]. 1998 [cited 2025 mar 20];20(4):455-62. Available from: https://doi.org/10.1093/oxfordjournals.pubmed.a024802
Bookari K, Yeatman H, Williamson M. Australian Pregnant Women's Awareness of Gestational Weight Gain and Dietary Guidelines: Opportunity for Action. J. Pregnancy [Internet]. 2016 [cited 2025 mar 20];2016(1):8162645. Available from: https://doi.org/10.1155/2016/8162645
Borgen I, Garnweidner-Holme LM, Jacobsen AF, Bjerkan K, Fayyad S, Joranger P, et al. Smartphone application for women with gestational diabetes mellitus: a study protocol for a multicentre randomised controlled trial. BMJ Open [Internet]. 2017 [cited 2025 mar 20]; 7(3): e013117. Available from: https://doi.org/10.1136/bmjopen-2016-013117
Brown J, Alwan NA, West J, Brown S, McKinlay CJ, Farrar D, et al. Lifestyle interventions for the treatment of women with gestational diabetes. Cochrane Database Syst. Rev. [Internet]. 2017 [cited 2025 mar 20];5:1-155. Available from: https://doi.org/10.1002/14651858.CD011970.pub2
Edwards KJ, Maslin K, Andrade J, Jones RB, Shawe J. Mobile health as a primary mode of intervention for women at risk of or diagnosed with gestational diabetes mellitus: a scoping review. JBI Evid. Synth. [Internet]. 2022 [cited 2025 mar 20];20(9):2195-2243. Available from: https://doi.org/10.11124/JBIES-21-00294
Egan AM, Murphy HR, Dunne FP. The management of type 1 and type 2 diabetes in pregnancy. QJM: Int. J. Med. [Internet]. 2015 [cited 2025 mar 20];108(12):923-7. Available from: https://doi.org/10.1093/qjmed/hcv060
Enato EF, Okhamafe AO, Okpere EE. A survey of knowledge, attitude and practice of malaria management among pregnant women from two health care facilities in Nigeria. Acta Obstet. Gynecol. Scand. [Internet]. 2007 [cited 2025 mar 20];86(1):33-6. Available from: https://doi.org/10.1080/00016340600984670
Engberg E, Stach-Lempinen B, Rönö K, Kautiainen H, Eriksson JG, Koivusalo SB. A randomized lifestyle intervention preventing gestational diabetes: effects on self-rated health from pregnancy to postpartum. J. Psychosom. Obstet. Gynaecol. [Internet]. 2018 [cited 2025 mar 20];39(1):1-6. Available from: https://doi.org/10.1080/0167482X.2017.1286642
Evans K, Spiby H, Morrell CJ. A psychometric systematic review of self-report instruments to identify anxiety in pregnancy. J. Adv. Nurs. [Internet]. 2015 [cited 2025 mar 20];71(9):1986-2001. Available from: https://doi.org/10.1111/jan.12649
Ganapathy R, Grewal A, Castleman JS. Remote monitoring of blood pressure to reduce the risk of preeclampsia related complications with an innovative use of mobile technology. Pregnancy Hypertens. [Internet]. 2016 [cited 2025 mar 20];6(4):263-5. Available from: https://doi.org/10.1016/j.preghy.2016.04.005
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Critérios e parâmetros para o planejamento e programação de ações e serviços de saúde no âmbito do Sistema Único de Saúde [Internet]. 1. ed. Brasília: Ministério da Saúde; 2015 [acesso em 20 de março 2025]. Disponível em: https://www.gov.br/saude/pt-br/acesso-a-informacao/gestao-do-sus/programacao-regulacao-controle-e-financiamento-da-mac/programacao-assistencial/arquivos/caderno-1-criterios-e-parametros-assistenciais-1-revisao.pdf
Toquinto SM, Berglas NF, McLemore MR, Delgado A, Roberts SC. Pregnant women's acceptability of alcohol, tobacco, and drug use screening and willingness to disclose use in prenatal care. Women's Health Issues [Internet]. 2020 [cited 2025 mar 20];30(5):345-52. Available from: https://doi.org/10.1016/j.whi.2020.05.004
Downloads
Published
Versions
- 2025-07-31 (2)
- 2025-06-16 (1)
How to Cite
Issue
Section
License
Copyright (c) 2025 Revista de Pesquisa Cuidado é Fundamental Online
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
TRANSFER AGREEMENT COPYRIGHT I transfer copyright of the article to the Journal of Care Survey is Fundamental - Online - RPCF, so it is accepted due to electronic publishing. The copyright includes the right to reproduce in whole or in part by any means, distributing that article, including figures, photographs, and any translations. The author can also print and distribute copies of your article, stating that since the rights belong to RPCF. I declare that this manuscript is original and has not been submitted for publication, in whole or in part to other online journals or not, so BMMC in the Annals of scientific events or book chapters.
