Digital Approaches to Antenatal Education: A Scoping Review of Innovations and Health Benefits

Main Article Content

Mika Oktarina
Delmi Sulastri
Bobby Indra Utama
Firdawati Firdawati

Abstract

Introduction: Antenatal education prepares expectant mothers for childbirth and parenthood, traditionally through face-to-face sessions. Modern digital tools like mobile apps, SMS reminders, and mHealth platforms address barriers such as distance and scheduling conflicts. Purpose: This scoping review aims to evaluate the health benefits, accessibility, and effectiveness of digital antenatal education in comparison to traditional face-to-face methods. The review examines its impact on maternal confidence, anxiety, parenting skills, and healthcare utilization. Method: A systematic search was conducted across PubMed, Web of Science, and Scopus to identify randomized controlled and quasi-experimental trials focused on digital antenatal education. Thirteen relevant studies were included, assessing various outcomes such as antenatal care uptake, maternal knowledge, and neonatal outcomes. Results: The review found that digital antenatal education methods, including mobile apps, SMS reminders, and mHealth platforms, significantly improve maternal knowledge, increase antenatal care uptake, and positively impact neonatal outcomes. However, the studies also identified challenges such as digital literacy, technological barriers, and disparities in access to digital tools. Conclusion: Digital antenatal education demonstrates promising potential in enhancing maternal and neonatal health outcomes. Addressing challenges related to digital access and literacy is crucial to ensure equitable and widespread implementation of these methods for optimal maternal and child health.

Downloads

Download data is not yet available.

Article Details

How to Cite
Mika Oktarina, Delmi Sulastri, Bobby Indra Utama, & Firdawati Firdawati. (2026). Digital Approaches to Antenatal Education: A Scoping Review of Innovations and Health Benefits. Malaysian Journal of Medicine and Health Sciences, 22(1), 1544.1–1544.9. https://doi.org/10.47836/mjmhs.v22.i1.1544
Section
Original Articles

References

Davis-Floyd RE, Sargent CF. Childbirth and authoritative knowledge: Cross-cultural perspectives. Univ of California Press; 2023.

Van Den Heuvel JFM, Groenhof TK, Veerbeek JHW, Van Solinge WW, Lely AT, Franx A, et al. eHealth as the next-generation perinatal care: an overview of the literature. J Med Internet Res. 2018;20(6):e202.

Haddad SM, Souza RT, Cecatti JG. Mobile technology in health (mHealth) and antenatal care–Searching for apps and available solutions: A systematic review. Int J Med Inform. 2019;127:1–8.

Chang CY, Sung HY, Guo JL, Chang BY, Kuo FR. Effects of spherical video-based virtual reality on nursing students’ learning performance in childbirth education training. Interactive Learning Environments. 2022;30(3):400–16.

Mohamed H, Ismail A, Sutan R, Abd Rahman R, Juval K. A Scoping Review of Digital Technologies in Antenatal Care: Recent Progress and Applications of Digital Technologies. 2023;

Serçekuş P, Başkale H. Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery. 2016;34:166–72.

Jaynes S, Brathwaite D, Tully KP. Systematic review of the effect of technology-mediated education intervention on maternal outcomes in the first year after birth. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2022;51(3):278–89.

Jones E, Lattof SR, Coast E. Interventions to provide culturally-appropriate maternity care services: factors affecting implementation. BMC Pregnancy Childbirth. 2017;17:1–10.

Whitworth K, Donnellan-Fernandez R, Fleet JA. Digital transformation of antenatal education: A descriptive exploratory study of women’s experiences of online antenatal education. Women and Birth. 2024;37(1):188–96.

Rockliffe L, Peters S, Heazell AEP, Smith DM. Factors influencing health behaviour change during pregnancy: a systematic review and meta-synthesis. Health Psychol Rev. 2021;15(4):613–32.

Coast E, Jones E, Lattof SR, Portela A. Effectiveness of interventions to provide culturally appropriate maternity care in increasing uptake of skilled maternity care: a systematic review. Health Policy Plan. 2016;31(10):1479–91.

Divakar H, Mishra R, Joshi S, Kulkarni B, Narayanan P, Singh R, et al. Overcoming challenges of in person prenatal care: a pilot study on the usability and acceptability of a remote monitoring device for pregnant women in India. Asian Research Journal of Gynaecology and Obstetrics. 2023;9(1):39–45.

Lau Y, Cheng JY, Wong SH, Yen KY, Cheng LJ. Effectiveness of digital psychotherapeutic intervention among perinatal women: A systematic review and meta-analysis of randomized controlled trials. World J Psychiatry. 2021;11(4):133.

Gitonga E, Nyamari J, Warutere P, Wanyoro A. Influence of short message service reminders on utilisation of focused antenatal care among women in rural Kenya: a randomised controlled trial. Afr J Midwifery Womens Health. 2021;15(2):1–11.

Kebede AS, Ajayi IO, Arowojolu AO. Effect of enhanced reminders on postnatal clinic attendance in Addis Ababa, Ethiopia: a cluster randomized controlled trial. Glob Health Action. 2019;12(1):1609297.

Kassa A, Matlakala MC. Effectiveness of mHEALTH application at primary health care to improve maternal and new-born health services in rural Ethiopia: comparative study. medRxiv. 2022;2022–4.

Modi D, Dholakia N, Gopalan R, Venkatraman S, Dave K, Shah S, et al. mHealth intervention “ImTeCHO” to improve delivery of maternal, neonatal, and child care services—A cluster-randomized trial in tribal areas of Gujarat, India. PLoS Med. 2019;16(10):e1002939.

Dhiren Modi DM, Nishith Dholakia ND, Ravi Gopalan RG, Sethuraman Venkatraman SV, Kapilkumar Dave KD, Shobha Shah SS, et al. Mhealth intervention" ImTeCHO" to improve delivery of maternal, neonatal, and child care services-a cluster-randomized trial in tribal areas of Gujarat, India. 2019;

Singh JK, Acharya D, Paudel R, Gautam S, Adhikari M, Kushwaha SP, et al. Effects of female community health volunteer capacity building and text messaging intervention on gestational weight gain and hemoglobin change among pregnant women in southern Nepal: a cluster randomized controlled trial. Front Public Health. 2020;8:312.

Acharya A, Chang CL, Chen M, Weissman A. Facilitators and barriers to participation in health mothers’ groups in improving maternal and child health and nutrition in Nepal: A mixed-methods study. BMC Public Health. 2022;22(1):1660.

TJ M, Kibusi SM, Ernest A, Lilungulu AG. The effectiveness of interactive mobile health technologies in improving antenatal care service utilization in Dodoma region, Tanzania: A quasi experimental study. 2020;

Omole O, Ijadunola MY, Olotu E, Omotoso O, Bello B, Awoniran O, et al. The effect of mobile phone short message service on maternal health in south‐west Nigeria. Int J Health Plann Manage. 2018;33(1):155–70.

Kebede MM, Pischke CR. Popular diabetes apps and the impact of diabetes app use on self-care behaviour: a survey among the digital community of persons with diabetes on social media. Front Endocrinol (Lausanne). 2019;10:135.

Barron P, Pillay Y, Fernandes A, Sebidi J, Allen R. The MomConnect mHealth initiative in South Africa: Early impact on the supply side of MCH services. J Public Health Policy. 2016;37:201–12.

Flueckiger RM, Thierno DM, Colaço R, Guilavogui T, Bangoura L, Reithinger R, et al. Using short message service alerts to increase antenatal care and malaria prevention: findings from implementation research pilot in Guinea. Am J Trop Med Hyg. 2019;101(4):806.

MAKUNYI EG. UTILIZATION OF MOBILE PHONE SHORT MESSAGE SERVICE TO ENHANCE UPTAKE OF FOCUSED ANTENATAL CARE IN THARAKA NITHI COUNTY, KENYA. 2018;

Masoi TJ, Kibusi SM. Improving pregnant women’s knowledge on danger signs and birth preparedness practices using an interactive mobile messaging alert system in Dodoma region, Tanzania: a controlled quasi experimental study. Reprod Health. 2019;16:1–10.

Thompson S, Mercer MA, Hofstee M, Stover B, Vasconcelos P, Meyanathan S. Connecting mothers to care: Effectiveness and scale-up of an mHealth program in Timor-Leste. J Glob Health. 2019;9(2).

Masoi TJ, Kibusi SM, Bintabara D, Lilungulu A. The effectiveness of interactive mobile health technologies in improving antenatal care service utilization in Dodoma region, Tanzania: A quasi—Experimental study. PLOS Digital Health. 2023;2(8):e0000321.

Salem A, Lacour O, Scaringella S, Herinianasolo J, Benski AC, Stancanelli G, et al. Cross-sectional survey of knowledge of obstetric danger signs among women in rural Madagascar. BMC Pregnancy Childbirth. 2018;18:1–9.

Murthy N, Chandrasekharan S, Prakash MP, Ganju A, Peter J, Kaonga N, et al. Effects of an mHealth voice message service (mMitra) on maternal health knowledge and practices of low-income women in India: findings from a pseudo-randomized controlled trial. BMC Public Health. 2020;20:1–10.

Ngabo F, Nguimfack J, Nwaigwe F, Mugeni C, Muhoza D, Wilson DR, et al. Designing and implementing an innovative SMS-based alert system (RapidSMS-MCH) to monitor pregnancy and reduce maternal and child deaths in Rwanda. Pan Afr Med J. 2012;13.

Valencia SA, Gómez JGB, Ramirez MCG, Luna IF, Caicedo HA, Torres-Silva EA, et al. Evaluation of a telehealth program for high-risk pregnancy in a health service provider institution. Int J Med Inform. 2023;179:105234.

Dai Y, Min H, Sun L, Wang X, Zhu C, Gu C. Assessing women’s and health professionals’ views on developing a midwifery‐led mobile health app intervention in pregnancy: A descriptive qualitative study. J Adv Nurs. 2024;

Hong K, Hwang H, Han H, Chae J, Choi J, Jeong Y, et al. Perspectives on antenatal education associated with pregnancy outcomes: Systematic review and meta-analysis. Women and Birth. 2021;34(3):219–30.