Midwifery最新文献

{"title":"Exploring the acceptability of a risk prediction tool for cardiometabolic risk (gestational diabetes and hypertensive disorders of pregnancy) for use in early pregnancy: A qualitative study","authors":"Sarah Lang ,&nbsp;Jennifer G. McIntosh ,&nbsp;Joanne Enticott ,&nbsp;Rebecca Goldstein ,&nbsp;Susanne Baker ,&nbsp;Margaret McGowan ,&nbsp;Shamil Cooray ,&nbsp;Lan Du ,&nbsp;Anjana Reddy ,&nbsp;Cheryce L. Harrison ,&nbsp;Eleanor Thong ,&nbsp;Kushan De Silva ,&nbsp;Helena Teede ,&nbsp;Lisa J. Moran ,&nbsp;Siew Lim","doi":"10.1016/j.midw.2024.104270","DOIUrl":"10.1016/j.midw.2024.104270","url":null,"abstract":"<div><h3>Problem/ Background</h3><div>The acceptability of providing women with personalised cardiometabolic risk information using risk prediction tools early in pregnancy is not well understood.</div></div><div><h3>Aim</h3><div>To explore women's and healthcare professionals’ perspectives of the acceptability of a prognostic, composite risk prediction tool for cardiometabolic risk (gestational diabetes and/or hypertensive disorders of pregnancy) for use in early pregnancy.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted to explore the acceptability of cardiometabolic risk prediction tools, preferences for risk communication and considerations for implementation into antenatal care. The Theoretical Framework of Acceptability informed interview questions. Transcripts were thematically analysed.</div></div><div><h3>Findings</h3><div>Women ≤24 weeks’ gestation (<em>n</em> = 13) and healthcare professionals (<em>n</em> = 8), including midwives (<em>n</em> = 2), general practitioners (<em>n</em> = 2), obstetricians (<em>n</em> = 2), an endocrinologist (<em>n</em> = 1) and cardiologist (<em>n</em> = 1) participated. Participants indicated that providing personalised risk information is only appropriate when preventative measures can be initiated to mitigate risks. Differentiating the risk for each condition (single risk outputs) was often preferred to composite risk outputs to enable targeted monitoring and management. Defining conditions and risks to mother/baby, visually depicting personalised risk scores, and providing clear, patient-centred clinical management plans were recommended. Supportive clinical policy changes, staff engagement/training, and integration into electronic health records were suggested to facilitate uptake into routine antenatal care.</div></div><div><h3>Conclusion</h3><div>Women and healthcare professionals suggested that early pregnancy cardiometabolic risk prediction tools may be acceptable when preventative interventions are available to reduce risks. Risk prediction tools with integrated patient-centred education materials may promote timely access and engagement with preventative interventions to optimise women's current and future health.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104270"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Walking the journey’ with pregnant and birthing women from remote Australian First Nations communities: A qualitative study in the Top End of the Northern Territory","authors":"Emily R Bowden ,&nbsp;Maree R Toombs ,&nbsp;Anne B Chang ,&nbsp;Gabrielle B McCallum ,&nbsp;Robyn L Williams","doi":"10.1016/j.midw.2024.104277","DOIUrl":"10.1016/j.midw.2024.104277","url":null,"abstract":"<div><h3>Problem/Background</h3><div>Australian First Nations people experience disproportionate burdens of poor outcomes compared to non-First Nations people. Further, women living in remote communities face more barriers to care-seeking in pregnancy. Despite work being done in some remote communities, there is limited data exploring women's experiences of pregnancy care, thus a limited understanding of specific barriers and enablers to care-seeking for these women.</div></div><div><h3>Aim</h3><div>This study aimed to identify barriers and enablers to care-seeking during pregnancy for Australian First Nations women living in several remote communities in the Northern Territory, by listening to their stories.</div></div><div><h3>Methods</h3><div>Yarning, highly regarded and rigorous qualitative approach developed by and for First Nations peoples, was undertaken in several settings with women living in remote First Nations communities. Using purposive sampling, nine women participated.</div></div><div><h3>Findings</h3><div>Two themes emerged: (1) the importance of family and community for women's emotional wellbeing; (2). ways healthcare providers and services build trust with pregnant women.</div></div><div><h3>Discussion</h3><div>Women identified various family and community members as significant sources of support in community and while hospitalised, including having companions while away from home. Further, reduced access to community life impacted emotional wellbeing.</div><div>Continuity-of-care throughout pregnancy was essential for building trust, as was responsive, clear communication. Intentional connection building by care providers enabled development of trust.</div></div><div><h3>Conclusion</h3><div>Providing culturally safe care will likely facilitate enablers and reduce barriers to care-seeking in pregnancy in remote communities. It requires ongoing and sustained efforts to ensure true partnership and collaboration between First Nations peoples and health services.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104277"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Needs of women that experience pregnancy with an ostomy: A scoping review","authors":"Sandra Figueiredo ,&nbsp;Alexandra Tereso","doi":"10.1016/j.midw.2025.104322","DOIUrl":"10.1016/j.midw.2025.104322","url":null,"abstract":"<div><h3>Background</h3><div>The presence of intestinal elimination ostomies concomitant with pregnancy poses complex challenges for health professionals in providing antenatal care to these women and their families. In this context, identifying the specific needs of these pregnant women is crucial for effective care.</div></div><div><h3>Aim</h3><div>This scoping review aims to map the evidence on the needs of women with intestinal elimination ostomies during pregnancy.</div></div><div><h3>Methods</h3><div>This review was based on the Joanna Briggs Institute guidelines. The search was carried out on the EBSCOhost platform using the MEDLINE Ultimate, CINAHL Ultimate, MedicLatina and Cochrane Database of Systematic Reviews databases and on the PubMed and SciELO platforms, with no time limits.</div></div><div><h3>Findings</h3><div>We identified 570 studies, 6 websites and one citation of which 16 were included. The selected records were published between the years 1957 and 2024. The results were categorised into four types which summarise the pregnant women's needs: daily life permeated by stoma care requirements, to be supported, challenges in assessing foetal well-being and having a plan.</div></div><div><h3>Conclusions</h3><div>Attending to the needs of these women requires health professionals with specific training and the involvement of a multidisciplinary team. Given the scarcity of articles identified and the publication dates, it is considered necessary to develop primary research addressing this issue.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"143 ","pages":"Article 104322"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Edinburgh Postnatal Depression Scale and its 3-item anxiety subscale, and the Generalised Anxiety Disorder-7 item for screening of postpartum depression and anxiety in women in Malta","authors":"Rachel Buhagiar ,&nbsp;Kristina Bettenzana ,&nbsp;Kerry-Ann Grant","doi":"10.1016/j.midw.2024.104256","DOIUrl":"10.1016/j.midw.2024.104256","url":null,"abstract":"<div><h3>Background &amp; Aim</h3><div>Perinatal mental health disorders are common complications of pregnancy and the postpartum period. The value of screening for their early detection is well-recognized, but to-date, research-validated mental health measures for postpartum women in Malta are lacking. In this prospective cross-sectional study, we assessed the validity of the Edinburgh Postnatal Depression Scale (EPDS), an EPDS subscale (EPDS-3A), and the Generalised Anxiety Disorder-7 item (GAD-7) as screening measures for postpartum depression and anxiety. The optimal cut points were calculated.</div></div><div><h3>Methods</h3><div>243 randomly selected women from birth to 12 months postnatally self-completed the EPDS and the GAD-7. For women scoring ≥10 in at least one of the questionnaires, the Mini International Neuropsychiatric Interview (MINI) was applied to confirm or refute a diagnosis of depression and/or anxiety disorder based on DSM-5 criteria. Total EPDS, EPDS-3A and GAD-7 scores were analysed against MINI outcomes using receiver operator curve (ROC), and area under curves (AUCs) were determined. Sensitivity, specificity, positive and negative predictive values, likelihood ratios and Youden's indices were calculated across a range of cut-off values.</div></div><div><h3>Findings</h3><div>Both the EPDS and GAD-7 had significant AUCs (&gt;0.8) and Youden's indices (&gt;0.6), contrary to the EPDS-3A. When screening for postnatal depression with the EPDS, the optimal cut-off is 11/12 (sensitivity 75 %; specificity 87.6 %). For postnatal anxiety, the recommended GAD-7 cut-off is 8/9 (sensitivity 79.2 %; specificity 85.3 %).</div></div><div><h3>Conclusion</h3><div>Both the EPDS and GAD-7 are valid screening measures for postpartum depression and anxiety, respectively. These findings can inform the implementation of postpartum screening programs to improve maternal healthcare in Malta.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104256"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing maternal wellbeing: A qualitative exploration of women's experiences of tailored education and holistic support while experiencing Hyperemesis Gravidarum","authors":"Taryn J Elder ,&nbsp;Gina Iacurto ,&nbsp;Linda Deys","doi":"10.1016/j.midw.2024.104258","DOIUrl":"10.1016/j.midw.2024.104258","url":null,"abstract":"<div><h3>Problem</h3><div>Hyperemesis Gravidarum (HG), poses significant physical, psychological, emotional, and financial challenges for affected women and their families. Despite its prevalence and impact, tailored education and holistic support interventions are lacking.</div></div><div><h3>Background</h3><div>Nausea and vomiting in pregnancy affect 69 % of pregnancies, HG impacts around 1.1 %, though it is likely underreported. It is a leading cause of early pregnancy hospitalisation. Prior research highlights the benefits of professional support, including individualised health education and telephone calls. However, understanding the experiences of women with HG receiving personalised care remains a gap.</div></div><div><h3>Methods</h3><div>A qualitative, explorative study employing reflexive thematic analysis was used to understand the experience of women with HG who were enrolled and recruited from a newly established treatment program. In-depth semi structured interviews (<em>n</em> = 9) were conducted with participants throughout 2022 and 2023 at the conclusion of their HG experience.</div></div><div><h3>Findings</h3><div>Four main themes were identified - The impact of HG; Lack of understanding and recognition of HG; Impact of HG Program; and Need for improved resources and education.</div></div><div><h3>Discussion</h3><div>Women's experience with HG highlights the significant physiological and psychosocial impact and the need for increased clinician knowledge and support. Having dedicated HG clinicians can positively impact symptom reduction, mental health, and health-system navigation.</div></div><div><h3>Conclusion</h3><div>HG profoundly affects women. Tailored education and holistic support by dedicated clinicians is crucial. There is a need for improved recognition, support, and access to care, advocating for expanded services and increased clinician knowledge and response skills.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104258"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptation and psychometric assessment of the postpartum childcare stress checklist among Arab women in the United Arab Emirates","authors":"Randa Fakhry ,&nbsp;Nick Metheny ,&nbsp;Godfred O. Boateng ,&nbsp;Hadia Radwan ,&nbsp;Wegdan Bani issa ,&nbsp;MoezAlIslam E. Faris ,&nbsp;Reyad Shaker Obaid ,&nbsp;Hessa Al Ghazal ,&nbsp;Justine Dol ,&nbsp;Nivine Hanache ,&nbsp;Cindy-Lee Dennis","doi":"10.1016/j.midw.2024.104265","DOIUrl":"10.1016/j.midw.2024.104265","url":null,"abstract":"<div><h3>Problem</h3><div>There is currently no validated version of the Postpartum Childcare Stress Checklist (PCSC) in the context of Arabic-speaking women in the United Arab Emirates (UAE).</div></div><div><h3>Background</h3><div>The postpartum period is a transformative phase in a woman's life, during which mothers are highly vulnerable to mental health problems, compounded by childcare demands. Childcare stress is a strong predictor of postpartum depression. Thus, there is a need for a validated Arabic measure of childcare stress.</div></div><div><h3>Aim</h3><div>This study aims to translate and psychometrically evaluate the Arabic version of the PCSC among mothers residing in the UAE.</div></div><div><h3>Methods</h3><div>The PCSC was psychometrically assessed in a cohort of 399 women in the UAE between February 2017 and September 2018. Using best practices in instrument translation; psychometric evaluation included item-test and item-total correlations, confirmatory factor analysis, tests at two-time points, and validity tests.</div></div><div><h3>Results</h3><div>The analysis produced a 19-item scale in both unidimensional and multidimensional formats, with Geomin rotated factor loadings ranging from 0.31 to 0.84 and an average variance of 0.46, demonstrating adequate validity. The Arabic PCSC had acceptable reliability coefficients at three (α= = 0.79) and six (α=0.80) months and adequate concurrent and predictive validity at three and six months postpartum.</div></div><div><h3>Discussion</h3><div>Childcare stress is an internationally reliable and validated construct. The PCSC was also positively correlated with depressive and anxiety symptoms.</div></div><div><h3>Conclusion</h3><div>The Arabic PCSC is a psychometrically validated measure which can be used in future Arabic-language studies and may lead to improved interventions for maternal mental health across Arab-speaking communities.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104265"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Doula support for perinatal mental health needs: Perspectives on training and practice","authors":"Eleanore M. Hall ,&nbsp;Susan Forman ,&nbsp;Barbara M. Ostfeld ,&nbsp;Jeffrey D. Shahidullah","doi":"10.1016/j.midw.2024.104275","DOIUrl":"10.1016/j.midw.2024.104275","url":null,"abstract":"<div><h3>Problem</h3><div>Doulas are perinatal support professionals who increasingly serve parents across socioeconomic levels in the U.S. Although present during a time of significant emotional upheaval, doulas receive limited training in emotional support.</div></div><div><h3>Background</h3><div>Research suggests that brief clinical trainings for health professionals can prevent or alleviate depressive symptoms in women of all demographics. Such training has not been extended to doulas, who may be uniquely positioned to address perinatal mood and anxiety disorders (PMADs).</div></div><div><h3>Aim</h3><div>To understand doulas’ perception of their clients’ emotional support needs, their desire for further training in emotional support, and their training format preferences.</div></div><div><h3>Methods</h3><div>We surveyed birth, postpartum, and community doulas across the U.S., recruiting participants via email and social media.</div></div><div><h3>Findings</h3><div>Doulas (<em>n</em> = 252) overwhelmingly desired more training in emotional support. Nearly all doulas perceived symptoms of emotional distress in their clients and endorsed moderate-to-high frequencies thereof. Doulas expressed a preference for in-person training incorporated into foundational doula training workshops, primarily to gain skills to prevent or address anxiety and depression.</div></div><div><h3>Discussion</h3><div>Clinical training for doulas may help mitigate the perinatal mental health treatment gap and address doulas’ self-reported training needs. Such a training would a) build skills in addressing and preventing symptoms of emotional distress, and b) refine doulas’ sensitivity to clients’ mental health referral needs, furthering doulas’ impact while remaining within their scope of certification.</div></div><div><h3>Conclusion</h3><div>As doula services become more financially accessible in the U.S., training doulas in emotional support techniques may contribute to maternal mental health equity.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104275"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes to provision of childbirth education during COVID-19 and its implications for ongoing service delivery – An Australian Survey","authors":"Kate M. Levett ,&nbsp;Jack McLean ,&nbsp;Kerry L. Sutcliffe ,&nbsp;Hazel Keedle","doi":"10.1016/j.midw.2024.104264","DOIUrl":"10.1016/j.midw.2024.104264","url":null,"abstract":"<div><h3>Background</h3><div>Childbirth and parenting education (CBPE) programs provide participants with information about pregnancy and labour and have a multitude of positive health impacts. During COVID-19, many CBPE classes ceased or transitioned to an online format, significantly impacting pregnant women across Australia. Little is known about the provision and delivery of CBPE in Australia during the COVID-19 pandemic from the perspective of CBPE educators and hospital managers, regarding its impact on staff and implications for ongoing service delivery.</div></div><div><h3>Methods</h3><div>The PACS study was an online survey distributed through CBPE networks across Australia, including via Childbirth and Parenting Educators of Australia (CAPEA) and the NSW Parenting, Birth and Early Parenting Education Coordinators Network.</div></div><div><h3>Results</h3><div>From the 67 responses received, there was a substantial shift toward online delivery, however, there was an overall decrease in the number of classes provided. Respondents reported that CBPE was not prioritised by management during the pandemic, citing increased workloads, and a lack of access to equipment, infrastructure and support. Educators adapted over time, however, the loss of social connection and participant engagement was the main barrier to service delivery and raises concerns regarding ongoing services.</div></div><div><h3>Conclusion</h3><div>Health systems should ensure there is adequate technological infrastructure, equipment, consultation and support for CBPE to make a positive transition to online and hybrid services and for future proofing delivery. It is essential that greater prioritisation and investment in educator staffing, consultation and training is provided, as well as further research into improving the quality of classes for continued delivery of high-quality education.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104264"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"International News February 2025","authors":"Elizabeth Duff (International NewsEditor)","doi":"10.1016/j.midw.2024.104278","DOIUrl":"10.1016/j.midw.2024.104278","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104278"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143177350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's experiences and needs in the use of digital technologies for the management of gestational diabetes: An integrative systematic review","authors":"Qimeng Zhao ,&nbsp;Alison Cooke ,&nbsp;Gading Aurizki ,&nbsp;Dawn Dowding","doi":"10.1016/j.midw.2024.104262","DOIUrl":"10.1016/j.midw.2024.104262","url":null,"abstract":"<div><h3>Introduction</h3><div>Gestational diabetes mellitus (GDM) represents a widespread complication occurring during pregnancy, posing potential risks to both expectant mothers and their babies. Evidence shows that digital technologies provide comparable levels of care to conventional methods for GDM self-management, which help to improve maternal and neonatal outcomes. This systematic review aimed to explore women's experiences in using digital technologies, inform future technology design for gestational diabetes and potentially help improve usability.</div></div><div><h3>Methods</h3><div>An integrative systematic review including quantitative, qualitative and mixed-method studies. The search was conducted in five databases including CINAHL, Web of Science, Medline, Embase, and PsycInfo. Studies were eligible when including the experience of using digital technologies for GDM self-management from the women's perspective. The screening processes were conducted by two independent reviewers and reached an overall moderate agreement on inter-rater reliability. Quality appraisal was conducted using the Mixed Method Appraisal Tool version 2018.</div></div><div><h3>Results</h3><div>Thirty peer-reviewed articles were included, with a predominant or partial focus on five types of digital technologies including mobile applications, virtual care services, webpages, digital devices, and online communities. Women's experiences and needs of using GDM digital technologies were synthesised into five overarching themes: (1) sufficient and straightforward GDM-relevant educational information; (2) advanced personalisation and broader commitments in coaching components; (3) easy data recording and advanced data visualisation in data management; (4) improved healthcare professionals’ engagement; (5) development of online community interfaces.</div></div><div><h3>Conclusion</h3><div>This integrative systematic review gives information on the types of available features across technologies and specific preferences for features by women with GDM. According to the inferred gaps, efforts should be made to facilitate women's self-monitoring using data and feedback, provide personalised information corresponding to women's condition, meet different behaviour change needs using customised coaching features, and enable wider access to information and support.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"141 ","pages":"Article 104262"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}