Google Académico | Citações: 16429 | índice h: 32 | índice i10: 482
El impacto de las tecnologías de salud móvil en la reducción de la mortalidad materna
PDF (portugués (Brasil))

Palabras clave

Aplicaciones móviles
Mortalidad materna
Telemedicina
Atención prenatal
Salud materna

Cómo citar

El impacto de las tecnologías de salud móvil en la reducción de la mortalidad materna. (2026). Revista Eletrônica Acervo Saúde, 26(2), e23336. https://doi.org/10.25248/reas.e23336.2026

Copyright © | Todos los derechos reservados.

La revista posee los derechos de autor exclusivos para la publicación de este artículo en los términos de la ley brasileña 9610/98.

Reproducción parcial
El uso de partes de los textos, figuras y cuestionario del artículo es libre, siendo obligatoria la citación de los autores y revista.

Reproducción total
Está expresamente prohibido y debe ser autorizado por la revista.

Resumen

Objetivo: Analizar la evidencia científica sobre el impacto de las tecnologías de m-Salud en la identificación de riesgos clínicos y la reducción de la mortalidad materna. Métodos: Se realizó una revisión bibliográfica integradora en la base de datos PubMed, SCIELO y Colección Media. La búsqueda utilizó descriptores controlados (DeCS/MeSH) y operadores booleanos, limitándose a artículos originales publicados en los últimos cinco años, en portugués, inglés y español. Tras la revisión de 164 registros y la aplicación de los criterios de inclusión, la muestra final quedó compuesta por 13 artículos. Resultados: Los hallazgos demuestran que el uso de aplicaciones y la telemonitorización optimiza la identificación temprana de síndromes hipertensivos y diabetes gestacional. Las intervenciones de m-Salud reducen los tres retrasos en la atención, mejorando la adherencia a la atención prenatal y la vigilancia posparto, especialmente en regiones de difícil acceso geográfico. Consideraciones finales: La m-Salud es una estrategia sólida para la seguridad obstétrica, aunque su implementación presenta limitaciones relacionadas con la alfabetización digital y la conectividad. El estudio refuerza la necesidad de tecnologías adaptadas a escenarios vulnerables.

PDF (portugués (Brasil))

Referencias

ALBUQUERQUE MV, de et al. As desigualdades regionais na saúde: mudanças e persistências no século XXI. Ciência & Saúde Coletiva, 2017; 22(4): 1055-1064.

ANTO-OCRAH M, et al. Mobile phones and postpartum health care-seeking: a cross-sectional study of Malawian mothers. BMC Pregnancy and Childbirth, 2022; 22(1): 550.

BARTON JR, et al. Telehealth for the management of postpartum hypertension. American Journal of Obstetrics and Gynecology, 2020; 223(3): 123-128.

BENDA N, et al. Understanding Symptom Self-Monitoring Needs Among Postpartum Black Patients: Qualitative Interview Study. Journal of Medical Internet Research, 2024; 26: e47484.

BRASIL. MINISTÉRIO DA SAÚDE. SIM (Sistema de Informações sobre Mortalidade). Painel de Monitoramento da Mortalidade Infantil e Fetal. 2024.

BRITO AR, et al. Aplicabilidade do uso de tecnologia móvel para registros em saúde durante a assistência pré-natal. Revista Eletrônica Acervo Saúde, 2021; 13(4): e6758.

CHEN H, et al. Integration of digital health interventions into postnatal care: a systematic review. Journal of Medical Internet Research, 2022; 24(5): e34215.

COULIBALY A, KOUANDA S. Effects of the Pregnancy and Newborn Diagnostic Assessment (PANDA) App on Antenatal Care Quality in Burkina Faso: Protocol for a Cluster Randomized Controlled Trial. JMIR Research Protocols, 2023; 12: e37136.

DALTON JA, et al. Digital clinical decision support systems in primary care: a review of impact on maternal health. The Lancet Digital Health, 2018; 2(4): 189-197.

DENICOLA N, et al. Telehealth Interventions to Improve Obstetric and Gynecologic Health Outcomes: A Systematic Review. Obstetrics & Gynecology, 2020; 135(2): 371-382.

DONABEDIAN A. The quality of care: how can it be assessed? JAMA, 1988; 260(12): 1743-1748.

ESCOBAR MF, et al. Experience of a telehealth and education program with maternal and perinatal outcomes in a low-resource region in Colombia. BMC Pregnancy and Childbirth, 2022; 22(1): 604.

FERNANDES ALB, et al. Mortalidade materna: principais causas e fatores relacionados. Revista Educação em Saúde, 2019; 7: 317-326.

FEROZ AS, et al. Using mobile health technologies to improve maternal and child health in low- and middle-income countries. Global Health Action, 2020; 13(1): 1764531.

FRANZON PHS, et al. PRENACEL: a Brazilian mobile health strategy for health promotion and antenatal care. Revista Brasileira de Saúde Materno Infantil, 2019; 19(1): 119-128.

GOMES MLS, et al. Evaluation of mobile Apps for health promotion of pregnant women with preeclampsia. Acta Paulista de Enfermagem, 2019; 32(3): 275-281.

GOUDAR SS, et al. Impact of a digital health tool on the quality of emergency obstetric care. International Journal of Gynecology & Obstetrics, 2021; 154(2): 301-308.

HADDAD SM, et al. Tecnologia móvel em saúde (mHealth) e cuidados pré-natais - Procurando por aplicativos e soluções disponíveis: uma revisão sistemática. Int JMed Informar, 2019; 127: 1-8.

HERNANDEZ-GREEN, N. et al. Using mHealth to reduce disparities in Black maternal health: Perspectives from Black rural postpartum mothers. Women's Health, 2024; 20: 17455057241239769.

LABRIQUE A, et al. Best practices in scaling digital health in low and middle income countries. Global Health: Science and Practice, 2018; 6(1): 12-24.

LAU Y, et al. Effectiveness of digital health interventions for maternal and child health: A systematic review. Maternal and Child Health Journal, 2020; 24(3): 327-345.

LITCHMAN ML, et al. The Digital Divide in Health: Emerging Issues in Equity and Access. Journal of the American Medical Informatics Association, 2022; 29(6): 1100-1110.

MARKO KI, et al. A mobile prenatal care app to reduce in-person visits: prospective controlled trial. JMIR Mhealth Uhealth, 2019; 7(5): 10520.

MELNYK BM, FINEOUT-OVERHOLT E. Evidence-based practice in nursing & healthcare: a guide to best practice. 2. ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins, 2011.

MELO C, et al. M-Health for prenatal care in the Amazon: challenges and opportunities. Revista Brasileira de Saúde Materno Infantil, 2022; 22(1): 45-53.

MWAISAKA J, et al. Leveraging Community-Based mHealth Interventions to Improve Maternal Outcomes Among Young Mothers in Kenya: A Quasi-Experimental Study. Global Health: Science and Practice, 2025; 13(1): e2400150.

NIKOOKAR N, et al. mHealth App for Remote Monitoring of Hypertensive and Mental Health Conditions in Pregnancy: A Feasibility Study. Journal of Medical Internet Research, 2025; 27: e52140.

NJUNG’E K, et al. SMS-based health interventions in remote settings: a pilot study. African Journal of Reproductive Health, 2019; 23(4): 88-97.

NOVOA RH, et al. Development of a Mobile Health Application Based on a Mixed Prenatal Care in the Context of COVID-19 Pandemic. Revista Brasileira de Ginecologia e Obstetrícia, 2023; 45(4): 179-185.

O’DONOVAN J, et al. Barriers and facilitators to the implementation of digital health interventions. BMC Health Services Research, 2020; 20(1): 1-12.

OLAJUBU AO, et al. Effectiveness of a mobile health intervention on uptake of recommended postnatal care services in Nigeria. PLoS ONE, 2020; 15(9): e0238911.

PAIM J, et al. The Brazilian health system: history, advances, and challenges. The Lancet, 2011; 377(9779): 1778-1797.

SHEIKHTAHERI A, KERMANI F. Use of mobile apps among medical and nursing students in Iran. In: Health Informatics Meets eHealth. IOS Press, 2018.

SHOREY S, et al. Digital health interventions for postpartum depression: a systematic review. Journal of Advanced Nursing, 2019; 75(11): 2299-2317.

SILVA RC, FERREIRA MA. Tecnologia na terapia intensiva e suas influências nas ações do enfermeiro. Revista da Escola de Enfermagem da USP, 2011; 45(6): 1403-1411.

THADDEUS S, MAINE D. Too far to walk: maternal mortality in context. Social Science & Medicine, 1994; 38(8): 1091-1110.

THOMPSON S, et al. Connecting mothers to care: Effectiveness and scale-up of an mHealth program in Timor-Leste. Journal of Global Health, 2019; 9(2): 020428.

TULLY KP, et al. The 4th Trimester: A critical transition for maternal health. Health Affairs, 2021; 40(12): 1850-1857.

VICTORA CG, et al. Health conditions and health-policy innovations in Brazil: the way forward. The Lancet, 2011; 377(9782): 2042-2053.

WANG J, et al. The influence of mobile health intervention on the rate of prenatal diagnosis and pregnancy outcomes among pregnant women with high-risk prenatal screening results: protocol for a randomized controlled trial. Frontiers in Psychiatry, 2025; 16: 1582368.

WATTERSON C, et al. Emergency obstetric transport systems: a systematic review of mHealth impacts. Journal of Global Health, 2020; 10(2): 020412.

WILLIAMS J, et al. Reducing the 'Third Delay': The impact of mHealth on emergency obstetric referrals. International Journal of Gynecology & Obstetrics, 2024; 164(1): 88-95.

ZHANG Y, et al. Impact of a Mobile Health Intervention on Postpartum Care Access and Clinical Outcomes: The IMPACT Randomized Clinical Trial. JAMA Network Open, 2025; 8(1): e2451230.