اثربخشی مداخلات m-Health و کلینیک مجازی بر دریافت مراقبت های پس از زایمان و شیردهی در مادران مبتلا به کووید-19 یک مرور سیستماتیک و متاآنالیز

طلعت خدیوزاده © ℗, عاطفه یاس

اثربخشی مداخلات m-Health و کلینیک مجازی بر دریافت مراقبت های پس از زایمان و شیردهی در مادران مبتلا به کووید-19 یک مرور سیستماتیک و متاآنالیز

کد: G-1146

نویسندگان: طلعت خدیوزاده © ℗, عاطفه یاس

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خلاصه مقاله

Background and objectives: During the covid-19 pandemic, the rate of receiving the post-natal care significantly decreased. This indicates the necessity to innovative solutions. Mobile technologies (mHealth) and virtual clinics can be a suitable alternative for in-person post-natal care during pandemics. However, the effectiveness of these technologies should be evaluated. This systematic review and meta-analysis study was conducted to evaluate the effectiveness of mHealth and virtual clinics interventions on the rate of receiving post-natal care and exclusive breastfeeding during the covid-19 pandemic based on previously published studies. Methods: A comprehensive search was conducted in several databases, including PubMed, Cochrane and Scopus, focusing on studies published from January 2020 to October 2023. Eligible studies included RCTs and observational studies searched with keywords of: mHealth, virtual clinics, post-natal care, exclusive breastfeeding and COVID-19 pandemic. The quality of interventional studies was evaluated using the ROB2 tool and the quality of observational studies using the NOS tool. A total of 18 published articles were included with more than 4500 participants. The effects of the mentioned technologies on the amount of receiving post-natal visits and the mother's satisfaction and rate of exclusive breast feeding were analyzed. Findings: Despite the heterogeneity between the published studies, the present meta-analysis showed that the use of new MHealth and virtual clinics significantly increaseS the receiving of post-natal care between the mothers technologies users compared to non-users (1/20-1/75=95% CI and 45%). The results indicate that mentioned technologies that The rate of exclusive breastfeeding and mothers' satisfaction increases significantly (15%-45%=95% CI and 30%). Conclusion: Wide access to mHealth interventions and virtual clinic have positive results during COVID-19. Findings highlight the need for continued improvements in technology, patient support systems, and equitable access to ensure the delivery of effective post-natal care. The integration of the mentioned technologies in the systems of providing post-natal care to mothers is emphasized as an effective strategy in order to prevent and control infection in pandemics and conditions where the possibility of transmission of infectious diseases increases. Further research is needed on the long-term effects and optimization of mHealth and virtual clinic interventions.

کلمات کلیدی

mHealth, virtual clinics, post-natal care, exclusive breastfeeding, covid-19 pandemic

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