The femtech revolution—A new approach to pregnancy management: Digital transformation of maternity care—The hybrid e‐health perinatal clinic addressing the unmet needs of low‐ and middle‐income countries

Author:

Hod Moshe12,Divakar Hema34567,Kihara Anne B.78910,Geary Michael1112

Affiliation:

1. Sackler Faculty of Medicine Tel Aviv University Tel‐Aviv Israel

2. Mor Comprehensive Women's Health Care Center Tel‐Aviv Israel

3. Divakars Speciality Hospital Bengaluru Karnataka India

4. Karnataka College of Obstetrics and Gynaecology Bengaluru Karnataka India

5. Asian Research and Training Institute for Skill Transfer (ARTIST) Bengaluru Karnataka India

6. International Federation of Gynecology and Obstetrics (FIGO) London UK

7. Federation of Obstetricians and Gynaecologists Societies of India (FOGSI) Mumbai India

8. Department of Obstetrics and Gynaecology University of Nairobi Nairobi Kenya

9. African Federation of Obstetricians and Gynaecologists (AFOG) Khartoum Sudan

10. Kenyan Obstetrical and Gynaecological Society (KOGS) Nairobi Kenya

11. Department of Obstetrics and Gynaecology The Rotunda Hospital Dublin Ireland

12. Royal College of Surgeons Ireland Dublin Ireland

Abstract

AbstractPrenatal care and infant mortality rates are crucial indicators of healthcare quality. However, millions of women in low‐income countries lack access to adequate care. Factors such as high‐risk pregnancies and unmanaged diet increase the risk of developing complications during pregnancy, highlighting the need for continuous monitoring of maternal health. The increasing burden of non‐communicable diseases represents a significant threat to fragile health systems. The lack of access to appropriate prenatal care and poor maternal and newborn health outcomes are major concerns in low‐ and middle‐income countries (LMICs). It emphasizes the need for innovative, integrative approaches to healthcare delivery, especially in pregnant women. The health services need to be reorganized holistically and effectively, focusing on factors that directly impact maternal, neonatal, and infant mortality, resulting in improved access to maternity services and survival of “at‐risk” mothers and their offspring in many LMICs. Based on the FIGO (the International Federation of Gynecology & Obstetrics) recommendations of extending preconception care to the postpartum stage, the authors of this review have developed a new model of care—PregCare—based on the triple‐intervention‐based holistic and multidisciplinary maternal and fetal medicine model for low‐risk pregnancies. This model will help transform the traditional model's high visitation frequency into a safe and reduced office visit, while increasing virtual connections, point of care and self‐care with doctors, nurses, and community‐based providers of self‐care. This shall be based on a sophisticated central PregCare call center powered by innovative technologies combined with experienced personnel in perinatal management (doctors and nurses/midwives).

Publisher

Wiley

Subject

Obstetrics and Gynecology,General Medicine

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