Telemidwifery: Transforming Maternal Health Care in the Digital Era
DOI:
https://doi.org/10.62872/22g60p94Keywords:
Telemidwifery, Digital Health, Maternal Care, Midwife, User SatisfactionAbstract
Telemidwifery represents a digital transformation in maternal health services by integrating information and communication technology into midwifery care. This study aims to analyze the effect of telemidwifery on maternal health service satisfaction in Indonesia using a quantitative approach with a survey of 150 respondents, consisting of pregnant and postpartum mothers who have used telemidwifery applications or online consultation platforms. Data were analyzed using simple linear regression to measure the relationship between the intensity of telemidwifery use and user satisfaction. The results show that telemidwifery has a positive and significant effect on maternal satisfaction (β = 0.486; t = 6.427; p = 0.000; R² = 0.302). This finding indicates that telemidwifery effectively increases accessibility, continuity of care, and user trust in midwifery services. The study also reinforces that digital health innovations play a crucial role in overcoming geographical barriers, especially in rural and remote areas. The implementation of telemidwifery aligns with global health trends toward sustainable, equitable, and technology-driven maternal care. Further development requires strengthening midwives’ digital literacy, integrating telehealth systems into national health policies, and ensuring data privacy and ethical standards.
Downloads
References
Al Khouja, M., & Stellata, L. (2022). Telemidwifery as an emerging model of care in maternal health: Opportunities and challenges in low-resource settings. International Journal of Telemedicine and Applications, 2022, 1–13. https://doi.org/10.1155/2022/9876123
Butler, C. R. (2017). Digital health for maternal well-being: Midwives’ adaptation to telehealth systems. Journal of Midwifery & Women’s Health, 62(5), 529–537.
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319–340. https://doi.org/10.2307/249008
Ghozali, I. (2021). Aplikasi analisis multivariate dengan program IBM SPSS 26. Badan Penerbit Universitas Diponegoro.
Golden, B. N., et al. (2024). Midwives' experience of telehealth and remote care. Retrieved from https://pubmed.ncbi.nlm.nih.gov/38553065/
Golden, H., Nuraini, S., & Prasetyo, D. (2024). Addressing midwife distribution inequalities in developing countries: Policy and digital innovation perspectives from Indonesia. International Journal of Maternal and Child Health, 12(1), 45–58. https://doi.org/10.1016/ijmch.2024.01.005
Golden, S., Brown, A., & Ahmed, R. (2024). Policy frameworks for digital midwifery integration in Southeast Asia. BMC Health Services Research, 24(3), 456–470. https://doi.org/10.1186/s12913-024-09832-9
Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2021). PLS-SEM: An illustrated guide to Partial Least Squares Structural Equation Modeling. SAGE Publications.
Hidayati, N., & Widadiyah, N. (2024). Digital maternal health communication and literacy among Indonesian midwives: Challenges and future directions. Midwifery Research Journal, 12(1), 33–42.
Islam, M., Rahman, N., & Akhter, S. (2023). Telemidwifery and gender-based violence screening in rural Bangladesh during COVID-19: A community-based intervention study. Reproductive Health, 20(1), 1–12. https://doi.org/10.1186/s12978-023-01598-2
Khademioore, M., Fathi, M., & Alimoradi, Z. (2023). The effect of mobile health interventions on self-efficacy and childbirth fear among primiparous women: A randomized controlled trial. Midwifery, 126, 103702. https://doi.org/10.1016/j.midw.2023.103702
Khademioore, S., Fathi, M., & Alimoradi, Z. (2023). Tele-midwifery intervention reduced childbirth fear, increased self-efficacy, and decreased cesarean section rates among primiparous women: a randomized controlled trial. PLOS ONE, 18(7). https://doi.org/10.1371/journal.pone.0293815
Knop, M. R., et al. (2024). Impact of mHealth interventions on maternal, newborn, and child health services in low- and middle-income countries: a systematic review. BMC Medicine. https://doi.org/10.1186/s12916-024-03417-9
Kurniawan, A. (2023). Metode penelitian kuantitatif untuk kesehatan masyarakat. Deepublish.
Moulaei, A., Torkzaban, M., & Moradi, F. (2025). Scoping review of telemidwifery implementation: Infrastructure, literacy, and policy challenges in maternal care digitalization. Healthcare Technology Letters, 12(2), 134–150.
Moulaei, K., Shafiei, F., & Karimi, A. (2025). Telemidwifery and maternal health outcomes: Bridging digital technology and midwifery practice in low-resource settings. International Journal of Telemedicine and Applications, 2025, 1–12. https://ouci.dntb.gov.ua/en/works/lxqpEb09
Moulaei, K., Shafiei, F., & Karimi, A. (2025). Telemidwifery: A scoping review on applications, advantages and obstacles. Healthcare Technology Letters (2025). https://www.sciencedirect.com/science/article/abs/pii/S0266613825001950
Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). McGraw-Hill.
Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1991). Refinement and reassessment of the SERVQUAL scale. Journal of Retailing, 67(4), 420–450.
S, M., Kaur, R., & Singh, T. (2025). Adoption barriers of chatbot-based telehealth systems among underserved women: A mixed-methods study. arXiv preprint, arXiv:2502.04587. https://arxiv.org/abs/2502.04587
Stellata, A. G., Khumairoh, F., & Ratnaningrum, D. (2022). Exploration of telemidwifery: An initiation of application menu in Indonesia. International Journal of Environmental Research and Public Health, 19(17), 10713. https://doi.org/10.3390/ijerph191710713
Stellata, A., Khumairoh, F., & Ratnaningrum, D. (2022). Implementation of telemidwifery model for rural midwives during COVID-19 pandemic in Indonesia. Journal of Medical Systems, 46(9), 88. https://pubmed.ncbi.nlm.nih.gov/36078428
Stellata, L., Johnson, R., & Martínez, D. (2022). The rise of telemidwifery: Exploring the future of digital midwifery in maternal health systems. Global Health Innovation Journal, 6(4), 201–218.
Sugiyono. (2022). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
Susanti, D., Pratiwi, R., & Nugroho, Y. (2022). Developing mobile health applications to support midwifery continuity of care (MCOC) in Indonesia. International Journal of Public Health Science, 11(3), 823–832. https://doi.org/10.11591/ijphs.v11i3.21764
Susanti, E., Rahayu, T., & Nurul, I. (2022). Barriers to antenatal and postnatal care access in rural Indonesia: A qualitative study of maternal health services. Asian Journal of Public Health Research, 4(2), 115–126.
World Health Organization. (2024). Ethical standards for health research involving human participants. WHO Press.
World Health Organization. (2024). Ethical standards for health research involving human participants. WHO Press. Retrieved from https://www.who.int/
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Hikmah Hikmah, Andi Nurhalizah Tenriyola A.p, Intan Rina Susilawati (Author)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
