Mobile Health Interventions for Postpartum Maternal Health: An Umbrella Review
DOI:
https://doi.org/10.33755/jkk.v12i2.1006Keywords:
Maternal wellbeing, Mobile health, Nursing intervention, Postpartum period, Self-careAbstract
Background: The postpartum period is a critical phase involving physical recovery, emotional adaptation, and social transition, which may affect maternal wellbeing. Limited access to continuous postnatal care can increase the risk of depression, inadequate self-care, and delayed recovery. Mobile health (mHealth) interventions have emerged as a potential solution to support continuity of care through remote monitoring, digital education, and ongoing support.
Objective: This review aimed to synthesize evidence on the role of mobile health interventions in improving maternal health outcomes during the postpartum period.
Methods: An umbrella review was conducted following the PRISMA 2020 framework. Relevant studies published between 2019 and 2025 were identified from PubMed, Scopus, CINAHL, and ScienceDirect. Eligibility was determined using the PICO framework, focusing on postpartum women receiving mHealth interventions compared to standard care. Five review-level studies were included and analyzed using descriptive and thematic synthesis.
Results: mHealth interventions showed potential benefits in improving maternal self-efficacy, self-care engagement, physical activity, and overall wellbeing. They were also associated with reduced postpartum depression symptoms and improved adherence to follow-up care.
Conclusion: Mobile health interventions may contribute positively to both psychological and physical health outcomes in postpartum women. However, the available evidence remains limited an indirect. Further high-quality primary studies are needed to establish effectiveness and inform clinical implementation.
References
1. World Health Organization. WHO recommendations on maternal and newborn care. Geneva: WHO; 2022.
2. Shorey S, Ng ED, Chan YH. Global prevalence of postpartum depression: A meta-analysis. J Psychiatr Res. 2021;136:120–129.
3. Slomian J, Honvo G, Emonts P, Reginster JY, Bruyère O. Consequences of maternal postpartum depression: A systematic review. Arch Public Health. 2019;77:37.
4. Camacho EM, et al. Postnatal care provision and women’s experiences: A systematic review. BMC Pregnancy Childbirth. 2020;20:192.
5. McEwen M, Wills EM. Theoretical basis for nursing. 5th ed. Philadelphia: Wolters Kluwer; 2019.
6. World Health Organization. Recommendations on digital interventions for health system strengthening. Geneva: WHO; 2019.
7. DeNicola N, Grossman D, Marko K, et al. Telehealth interventions to improve obstetric and gynecologic health outcomes: A systematic review. Obstet Gynecol. 2020;135(2):371–382.
8. Dosani A, Arora H, Mazmudar S. mobile health and perinatal depression in low- and middle-income countries: A scoping review. Int J Environ Res Public Health. 2020;17(20):7679.
9. Han Y, Tian Q, Xu M, Zhao W, Wang Z. Effects of nurse-led e-health interventions on health-related outcomes of pregnant women: A systematic review. J Clin Nurs. 2025;34(4):1121–1135.
10. Mertens L, Braeken MAK, Bogaerts A. Effect of lifestyle coaching including telemonitoring on gestational weight gain and postnatal weight loss: A systematic review. Telemed e-Health. 2019;25(7):597–607.
11. Garg N, Arunan SK, Arora S. Application of mobile technology for monitoring gestational diabetes mellitus: A systematic review. J Diabetes Sci Technol. 2022;16(2):441–450.
12. Yao J, Wang H, Jia S, Chen W, Hu E. Effects of mobile health technology on physical activity in pregnant women: A systematic review and meta-analysis. BMC Pregnancy Childbirth. 2025;25:84.
13. Lee SH, Nurmatov UB, Nwaru BI, et al. Effectiveness of mobile health interventions for maternal and child health: A systematic review. J Glob Health. 2021;6(1):010401.
14. Ernawati SN, Rahayuningsih FB. Relationship between postpartum depression risk and mother–infant bonding attachment. Adi Husada Nurs J. 2025;11(2):87–93.
15. Arfiyana I, Rahayuningsih FB. Effectiveness of counseling on contraceptive decision-making among postpartum mothers. Health Inf J Penelit. 2025;17(3):369–382.
16. Monika I, Rahayuningsih FB. Relationship between breastfeeding knowledge and motivation among postpartum mothers. J Manaj Asuhan Keperawatan. 2026;10(1):67–76.
17. Schmidt-Hantke J, Jacobi C. Investigating perspectives on e-health interventions to enhance maternal mental well-being: results of a stakeholder interview. PLOS Digital Health. 2023;2(8):e0000326.
18. McCarter DE, Demidenko E, Sisco TS, Hegel MT. Technology‐assisted nursing for postpartum support: A randomized controlled trial. J Adv Nurs. 2019;75(10):2223–35.
19. Han R, Zeng L, Lin J, Xu Q, Ma J, Chen X, et al. Effectiveness of E‐Health Interventions on Improving Physical Activity in Pregnant Women: A Systematic Review and Meta‐Analysis. J Clin Nurs. 2026;35(3):1164–84.
20. Sandborg J. HealthyMoms: a smartphone application to promote healthy weight gain, diet and physical activity during pregnancy: a randomized controlled trial. Karolinska Institutet (Sweden); 2022.
