Digital Technologies in Maternal Healthcare: A Thematic Review of mHealth, Telehealth and Artificial Intelligence
DOI:
https://doi.org/10.54536/jhmhe.v1i1.8884Keywords:
Artificial Intelligence, Maternal Health, Mhealth, Telehealth, Thematic AnalysisAbstract
Digital health has evolved through multiple technological generations from machine learning prediction, but these technologies have never been synthesized as a single trajectory. Thus, this paper provides a thematic review of the evolutionary progression of digital health interventions in maternal care, with a focus on continuity and emergence of themes. Searches were conducted using structured search protocols for mHealth, telehealth, data infrastructure, artificial intelligence predictions, decision support systems, cosnversational agents, remote monitoring, equitable delivery of care and governance. Records were screened for relevance to digital maternal care, and thematic synthesis was performed on 67 sources that met the criteria for the study. The synthesis was organized by generation and coded for continuity vs. emergence. Ten themes were identified across all 67 sources. While mHealth improved attendance at antenatal appointments and service linkage, most studies had poor methodological quality and did not assess mortality effects directly. Telehealth demonstrated safety at scale, with 45.94% of antenatal consultations provided via video, without significant change in preeclampsia, fetal growth restriction, preterm birth or stillbirth. Artificial intelligence-based prediction studies reported strong discrimination (AUROC = 0.7–0.9; median = 0.8); however, only 11 of 28 studies (39%) provided external validation, and data completeness in one national maternal electronic record reached 28%. Themes such as equity, infrastructure, data quality and clinician trust were consistent throughout all three generations. Calibration, explainability, algorithmic bias, federated learning and large-language-model governance were identified as emerging themes during the transition from mHealth to AI. Thus, instead of resolving the field’s core problems, each successive technology generation amplified those same issues rather than replacing them. The field’s current constraints remain workflow integration and data quality.
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