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RCOG World Congress 2025

June 23 - 25, 2025 | ExCeL London, UK

EP.0062

The Role of E-Health in Reducing Delay Of Maternal Emergency

Part of Topic

AI & digital health

THE ROLE OF E-HEALTH IN REDUCING DELAY OF MATERNAL EMERGENCY

Sella Zenitasari 1,2 , Eugenius Phyowai Ganap ¹

¹Department of Obstetrics and Gynaecology, Faculty of Medicine, Nursing, and Public Health,

Universitas Gadjah Mada, Yogyakarta, Indonesia. ²Faculty of Medicine, Universitas

Pendidikan Indonesia, Bandung, Indonesia

BACKGROUND

- Maternal health remains a universal concern in developed and developing countries 
- 94 % of maternal deaths occur in LMICs 
- E-health solutions are considered revolutionary instruments in healthcare
- The use of technology in health has changed the outcomes of maternal care for the better
 
AIM: To analyze all digital interventions that improve maternal emergency delay

METHOD

•Three databases searched

•Primary evidence from 2014-2024

•Inclusion:  pregnant women incorporated with e-intervention for maternal health 

RESULT

The identified e-health interventions address key components of the Three Delays Model.

1. mHealth tools (e.g., SMS reminders, mobile apps) primarily reduce the first delay by increasing maternal awareness, improving health literacy, and encouraging timely antenatal visits and facility-based deliveries

2. Community-based mobile reporting and telemedicine interventions support the second delay, particularly in remote or rural areas. They facilitate early risk identification and timely referral.

3. Early Warning Systems and EHR-based predictive models directly target the third delay by improving provider response times within facilities.
 

DISCUSSION

Digital interventions such as mHealth applications and electronic medical records (EMRs) have improved clinical decision-making, emergency management, and adherence to essential birth practices. This scoping review found that several interventions address all three delays in the maternal care pathway. Geographic variation remains a key factor. Countries such as Rwanda and Kenya demonstrate effective national-level implementation of mHealth strategies to boost ANC coverage and emergency care response.These findings highlight that while digital tools can enhance readiness and response, the impact on mortality often depends on health system capacity and referral efficiency. 

CONCLUSION

•Integration of digital intervention into maternal healthcare has the potential to mitigate delays in emergency situations and significantly improve maternal outcomes.
•mHealth tools, electronic health records, and early warning systems have enhanced early risk detection, referral efficiency, and emergency response, particularly in low-resource settings.
•Digital intervention should be contextually adapted, supported by policy, and integrated into national maternal health strategies in low- and middle-income countries.
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