Evidence map›Paper›PMID 39934681›Full record

ArticleBMC pregnancy and childbirth2025

Barriers and facilitators for mHealth utilization in pregnancy care: a qualitative analysis of pregnant women and stakeholder's perspectives.

Fateme Asadollahi, Samira Ebrahimzadeh Zagami, Saeid Eslami, Robab Latifnejad Roudsari

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. The FemTech revolution: Unlocking the potential of new technology for optimizing pregnancy outcomes in low- and middle-income countries and remote areas.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fateme AsadollahiReproductive Health, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Samira Ebrahimzadeh ZagamiNursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Saeid EslamiDepartment of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Robab Latifnejad RoudsariNursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. rlatifnejad@yahoo.com.ORCID http://orcid.org/0000-0002-1438-8822

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMobile health (mHealth) technologies offer potential benefits for enhancing pregnancy care through timely information and personalized support. Yet, various barriers limit their adoption among pregnant women. This study explored the perspectives of Iranian pregnant women and healthcare stakeholders on the barriers and facilitators influencing mHealth utilization in pregnancy care.

methodsA qualitative content analysis was conducted involving 21 participants including 14 pregnant women and seven healthcare stakeholders (including two obstetricians, two midwives, two medical informatics specialists, and one sociologist), who recruited via purposive sampling from hospitals affiliated with Mashhad University of Medical Sciences and private clinics in Northeast Iran from May to December 2023. Data were collected through semi-structured, in-depth interviews and analyzed using Hsieh and Shannon's (2005) conventional content analysis approach. Trustworthiness was ensured through triangulation, researcher's prolonged engagement, peer debriefing, member check, and audit trial.

resultsThe main theme, "Barriers and facilitators for mhealth utilization in pregnancy care," encompassed four key categories including (1) Digital ecosystem challenges highlighting structural issues like inadequate infrastructure, economic constraints, cultural adaptation gaps, interface complexity, and data security concerns, (2) Healthcare system implementation barriers including integration issues, low digital literacy, and a lack of continuity with traditional healthcare practices, (3) User empowerment and engagement revealing that mHealth can enhance access to information, promote autonomy, and provide personalized support, and (4) Integration of mHealth in the Healthcare system demonstrating the transformative potential of mHealth for improving maternal health monitoring, communication, and evidence-based care strategies.

conclusionAddressing digital, financial, and cultural barriers while enhancing usability and user autonomy could significantly improve healthcare access and equity for pregnant women in Iran. Policymakers should prioritize scalable and culturally sensitive mHealth interventions to maximize these benefits across diverse communities.

Indexed as

Patient Acceptance of Health CarePregnant PeoplePrenatal CareTelemedicineAdultFemaleHealth Services AccessibilityHumansIranPregnancyQualitative ResearchStakeholder ParticipationBarriersDigital healthFacilitatorsmHealthMobile applicationsPregnancyQualitative research

Identifiers

PMID39934681
PMCPMC11817079

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.