How Software Can Support Clinicians in Navigating Perinatal Anxiety
Perinatal anxiety affects 1 in 5 women, impacting mothers, families, and healthcare providers.1 Clinicians—including OB/GYNs, mental health professionals, doulas, and lactation consultants—play a vital role in recognizing and managing these symptoms. However, limited resources, time, and geographic barriers make this challenging.
Remote Therapeutic Monitoring (RTM) software offers valuable support. By integrating digital solutions, providers can monitor, assess, and manage perinatal anxiety more effectively, improving patient care and streamlining workflows. This article examines how Tandem Community RTM software can help clinicians address perinatal anxiety in maternal mental health care.
Perinatal Anxiety: Prevalence, Symptoms, and Innovative Care Solutions
Perinatal anxiety refers to feelings of intense worry, fear, or panic that occur during pregnancy (prenatal anxiety) or in the first year after giving birth (postnatal anxiety). Symptoms of perinatal anxiety may include persistent worry about the baby’s health or safety, intrusive thoughts, hypervigilance, and physical symptoms such as palpitations, shortness of breath, headaches, or stomach aches. It may also cause difficulty with sleeping or eating.
An estimated 15–20% of women experience antenatal anxiety, and 10% experience postnatal anxiety or depression, though prevalence rates can vary based on demographic, social, and economic factors.2 Untreated perinatal anxiety can lead to adverse outcomes, such as impaired mother-infant bonding, difficulty breastfeeding, and increased risks of behavioral and emotional issues in children.
Clinicians who serve perinatal populations are thus encouraged to screen for anxiety symptoms regularly, facilitate timely interventions, and provide ongoing support. However, traditional face-to-face approaches may not suffice, given the variability in patients’ needs and clinicians’ availability. Digital health solutions, including RTM, offer promising alternatives by enhancing clinicians’ ability to provide continuous, personalized, and accessible care.
What is Remote Therapeutic Monitoring (RTM)?
Remote Therapeutic Monitoring (RTM) refers to the use of digital tools and technology to collect and analyze health data. It allows healthcare providers to monitor patients’ health and treatment progress outside of traditional clinical settings. RTM is often used to track symptoms, adherence to treatment plans, physical activity, and responses to therapy, providing real-time data on patients’ conditions.
While RTM has gained popularity in chronic disease management, it is increasingly being applied in mental health contexts, particularly for conditions like perinatal anxiety. With RTM software, clinicians gain insights into patients’ mental health trends, treatment adherence, and any symptom changes.
For perinatal anxiety, RTM might involve using mobile apps, wearable devices, and online platforms that support remote data collection—such as mood tracking, symptom diaries, heart rate variability, sleep patterns, and patient-reported outcomes—while Tandem Community is prioritizing monitoring CBT and mental health data. By accessing this data, clinicians can make timely decisions, personalize care, and provide evidence-based interventions without requiring in-person visits
How Software Supports Clinicians in Perinatal Anxiety Care
Software solutions are crucial in helping clinicians manage perinatal anxiety by providing tools that enhance patient monitoring and support. Here are some key ways that RTM software aids clinicians:
Enhanced Screening and Early Detection
Software tools incorporate validated screening instruments, such as the Edinburgh Postnatal Depression Scale (EPDS) and the Generalized Anxiety Disorder-7 (GAD-7). This enables clinicians to identify perinatal anxiety earlier and more accurately, with automated scoring and alerts for at-risk individuals, allowing for timely interventions.
Continuous Monitoring and Data Collection
With Tandem Community’s RTM, clinicians can remotely collect real-time data on patients’ anxiety levels, mood changes, and engagement with CBT, which is especially valuable in perinatal care, where mental health symptoms can fluctuate significantly. The software tracks trends in anxiety and depression symptoms, mood patterns, and patient interaction with therapeutic or educational content, providing clinicians with insights to develop personalized and adaptive care plans.
Automated Alerts for Symptom Management
Many RTM tools feature automated alert systems that notify clinicians when a patient’s symptoms escalate. For instance, if anxiety scores rise or sleep disturbances worsen, the software prompts clinicians to perform timely check-ins or adjust treatment plans, preventing the patient’s condition from worsening.
Improved Patient Engagement
Digital platforms enhance patient engagement by offering educational resources, guided self-management tools, medication prompts, and mood-tracking features. These features empower patients to take an active role in managing their anxiety, which can lead to better adherence to treatment and improved overall outcomes.
Seamless Integration with EHRs
RTM software often integrates with electronic health records (EHRs), streamlining clinical workflows and minimizing administrative tasks. This integration allows clinicians to access patient data in one place, enhancing efficiency, reducing burnout, and improving the quality of care.
Facilitating Collaborative Care
Perinatal anxiety management often involves a multidisciplinary approach, with input from mental health professionals, OB/GYNs, family medicine providers, and lactation consultants. RTM and other software tools enable multidisciplinary teams to share data and insights to develop interdisciplinary digital programming, resulting in personalized content for a patient's condition. With shared access to mental health metrics, treatment notes, and monitoring trends, the overseeing clinician can work more efficiently, ensuring that each patient receives comprehensive, coordinated care.
Evidence Supporting the Use of Digital Health Tools for Perinatal Anxiety
Several studies support the use of digital interventions for mental health monitoring and treatment. For instance, research shows that eHealth interventions, including remote monitoring, can improve treatment adherence, reduce symptom severity, and enhance the overall quality of life for patients with anxiety disorders.3,4 Specifically, in perinatal populations, digital health tools have been linked to improved screening rates and improvement in perinatal anxiety.5,6
A 2023 study published in JMIR Formative Research Journal found that digital tracking of mood and anxiety symptoms during pregnancy led to better mental health outcomes for users compared to traditional care alone.7 Additionally, a systematic review highlighted that digital mental health tools improve accessibility and allow for faster intervention, which is especially crucial for underserved or rural populations where access to specialized maternal mental health care may be limited.5
Practical Considerations for Implementing RTM in Clinical Practice
Successful implementation of RTM and digital health tools relies on several key factors, all available on our software:
Data Security and Privacy: Protect patient data by selecting RTM platforms that meet HIPAA (Health Insurance Portability and Accountability Act) standards.
Patient Education: Ensure patients understand the purpose and benefits of RTM. Clinicians should clearly explain how to use the software and address any privacy or usability concerns.
User-Friendly Interface: Both clinician and patient interfaces should be intuitive and easy to navigate.
Ongoing Evaluation: Regularly assess the effectiveness of RTM tools for managing perinatal anxiety and adjust features based on patient feedback.
Interoperability: Confirm software compatibility with existing electronic health records (EHRs).
Conclusion
Integrating Remote Therapeutic Monitoring (RTM) into clinical practices empowers clinicians to support perinatal patients more effectively. By continuously monitoring mental health trends and allowing for early intervention in anxiety symptoms, clinicians can better meet their patients’ changing needs. This digital approach improves access to care and helps clinicians become more responsive partners in maternal mental health.
Ultimately, investing in RTM not only enhances clinical practice but also improves patient outcomes and strengthens therapeutic relationships with patients facing perinatal anxiety challenges.
Join the Tandem Community, a trusted software solution that helps providers quickly onboard qualified patients into affordable perinatal mental health programs. By signing up for our waitlist, you can book a demo and receive the latest product updates.
Additionally, you can join our advisory board to help shape the future of maternal mental health care. Stay informed about upcoming product launches and enhancements as part of our community.
Perinatal and maternal mental health software bridging gaps between providers and patients, optimized to support diverse communities’ needs
References
Fawcett EJ, Fairbrother N, Cox ML, White IR, Fawcett JM. The Prevalence of Anxiety Disorders During Pregnancy and the Postpartum Period: A Multivariate Bayesian Meta-Analysis. J Clin Psychiatry. 2019 Jul 23;80(4):18r12527. doi: 10.4088/JCP.18r12527. PMID: 31347796; PMCID: PMC6839961.https://pmc.ncbi.nlm.nih.gov/articles/PMC6839961/
Howard LM, Khalifeh H. Perinatal mental health: a review of progress and challenges. World Psychiatry. 2020 Oct;19(3):313-327. doi: 10.1002/wps.20769. PMID: 32931106; PMCID: PMC7491613. https://pmc.ncbi.nlm.nih.gov/articles/PMC7491613/
Leiz M, Pfeuffer N, Rehner L, Stentzel U, van den Berg N. Telemedicine as a Tool to Improve Medicine Adherence in Patients with Affective Disorders - A Systematic Literature Review. Patient Prefer Adherence. 2022 Dec 30;16:3441-3463. doi: 10.2147/PPA.S388106. PMID: 36605330; PMCID: PMC9809413. https://pmc.ncbi.nlm.nih.gov/articles/PMC9809413/
Firth J, Torous J, Nicholas J, Carney R, Rosenbaum S, Sarris J. Can smartphone mental health interventions reduce symptoms of anxiety? A meta-analysis of randomized controlled trials. J Affect Disord. 2017 Aug 15;218:15-22. doi: 10.1016/j.jad.2017.04.046. Epub 2017 Apr 25. PMID: 28456072.https://pubmed.ncbi.nlm.nih.gov/28456072/
Clarke JR, Gibson M, Savaglio M, Navani R, Mousa M, Boyle JA. Digital screening for mental health in pregnancy and postpartum: A systematic review. Arch Womens Ment Health. 2024 Aug;27(4):489-526. doi: 10.1007/s00737-024-01427-3. Epub 2024 Apr 1. PMID: 38557913; PMCID: PMC11230976.https://pmc.ncbi.nlm.nih.gov/articles/PMC11230976/
Loughnan SA, Joubert AE, Grierson A, Andrews G, Newby JM. Internet-delivered psychological interventions for clinical anxiety and depression in perinatal women: a systematic review and meta-analysis. Arch Womens Ment Health. 2019 Dec;22(6):737-750. doi: 10.1007/s00737-019-00961-9. Epub 2019 May 17. PMID: 31101993. https://pubmed.ncbi.nlm.nih.gov/31101993/
Dzubur E, Yu J, Hoffman J, Painter S, James R, Shah B. The Effect of a Digital Mental Health Program on Anxiety and Depression Symptoms: Retrospective Analysis of Clinical Severity. JMIR Form Res 2023;7:e36596 https://formative.jmir.org/2023/1/e36596/
