As well, evidence on anxiety from two studies was limited and did not reach statistical significance nor clinical importance [ 51 , 55 ], whereas evidence on psychological stress was mixed but showed potential; one study among antenatal women showed a statistically significant and clinically important improvements in stress levels compared to usual care at 12 weeks follow-up (MD = -11.12 [95% CI -17.19 to -5.05]; p<0.001; GRADE certainty: very low) [ 60 ], whereas another study found no added benefit at 4 weeks of follow-up [ 51 ].
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Mobile interventions targeting common mental disorders among pregnant and postpartum women: An equity-focused systematic review.
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Evidence on postpartum anxiety, psychological stress, and utilization of care showed a trend of improvements that were statistically significant but not clinically important; among women who underwent medically-induced abortion, one study of a text messaging intervention found statistically significant but not clinically important decrease in levels of anxiety relative to usual discharge care at 2–3 weeks after abortion (MD = -1.30 [95% CI -2.33 to -0.27]; p = 0.01; GRADE certainty: very low) [ 63 ].