Digital tools to support postpartum recovery: a systematic review
File(s)
Accepted version
Author(s)
Kwasnicki, AJE
Rizk, C
Western, MJ
Zaidi, H
Kwasnicki, Richard
Type
Journal Article
Abstract
Introduction: Returning to physical activity (PA) postpartum is challenging due to physical,
psychological and socio-cultural barriers. Successful return is associated with physical
and mental health benefits. Advancements in digital technology access, and a digital
focus for providers offer potential areas to improve PA, however current strategies and
their efficacy have not been described in the literature.
Methods and analysis: A systematic review of studies evaluating digital technologies in
returning postpartum women to PA was completed according to Preferred Reporting
Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Electronic
databases: Web of Science, SCOPUS, Embase, APA Psycnet and PubMed were
searched from inception until 24 July 2022. Primary objectives were return to PA
postpartum when utilising digital technologies and secondary objectives included patient
satisfaction and confidence towards returning to physical activity.
Results: The review returned 14 eligible studies (n=2714), using digital technologies such
as pedometers, text messaging and smartphone applications. Outcome measures were
patient questionnaires, although some used activity trackers. Statistically significant
differences in PA were seen in 7 studies with an average intervention increase of
approximately 108%. Secondary outcomes of perceived reduction in barriers, increased
satisfaction and self-reported confidence towards engaging in physical activity were
investigated in 6 of the studies with 4 studies reporting an increase in physical
activity.
Conclusion: Digital interventions may play a role in supporting return to physical activity
after childbirth, particularly as part of a multi-modal strategy. However, further research
randomising participants into digital and standard arms is needed to quantify the specific
contribution of digital tools.
psychological and socio-cultural barriers. Successful return is associated with physical
and mental health benefits. Advancements in digital technology access, and a digital
focus for providers offer potential areas to improve PA, however current strategies and
their efficacy have not been described in the literature.
Methods and analysis: A systematic review of studies evaluating digital technologies in
returning postpartum women to PA was completed according to Preferred Reporting
Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Electronic
databases: Web of Science, SCOPUS, Embase, APA Psycnet and PubMed were
searched from inception until 24 July 2022. Primary objectives were return to PA
postpartum when utilising digital technologies and secondary objectives included patient
satisfaction and confidence towards returning to physical activity.
Results: The review returned 14 eligible studies (n=2714), using digital technologies such
as pedometers, text messaging and smartphone applications. Outcome measures were
patient questionnaires, although some used activity trackers. Statistically significant
differences in PA were seen in 7 studies with an average intervention increase of
approximately 108%. Secondary outcomes of perceived reduction in barriers, increased
satisfaction and self-reported confidence towards engaging in physical activity were
investigated in 6 of the studies with 4 studies reporting an increase in physical
activity.
Conclusion: Digital interventions may play a role in supporting return to physical activity
after childbirth, particularly as part of a multi-modal strategy. However, further research
randomising participants into digital and standard arms is needed to quantify the specific
contribution of digital tools.
Date Acceptance
2025-06-11
Citation
Women's Health Reports
ISSN
2688-4844
Publisher
Mary Ann Liebert
Journal / Book Title
Women's Health Reports
Copyright Statement
Subject to copyright. This paper is embargoed until publication. Once published the Version of Record (VoR) will be available on immediate open access.
Publication Status
Accepted