Effectiveness of telemedicine for pregnant women with gestational diabetes mellitus: an updated meta-analysis of 32 randomized controlled trials with trial sequential analysis.

Maternal and neonatal/foetal complications Data from 19 trials [ 4 , 6 , 7 , 19 , 23 , 30 – 32 , 34 – 36 , 40 – 44 , 46 , 48 ] involving 2374 pregnant women reported that TM interventions played a significant role in decreasing the incidence of the caesarean section when compared to the control condition [ RR = 0.82, 95% CI = (0.69, 0.97), P = 0.02] with mildly significant heterogeneity among studies (I 2 = 57%, P < 0.01) (Table 2 ).

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