2025, Vol. 8, Issue 2, Part B

author(s)
Heena Bahl and Simarjeet Kaur

abstract

Introduction: Rapid expansion of digital health technologies has reshaped obstetric and gynecological nursing by strengthening remote surveillance, education delivery, clinical decision support, documentation accuracy, and triage autonomy. From early telehealth models to recent Artificial Intelligence (AI) integration, nurses now operate in hybrid care ecosystems that demand both technical proficiency and preserved clinical judgment.

Methods: A comprehensive literature review was conducted following scoping review submission standards aligned with IMRAD expectations. Peer-reviewed articles published between 2018-2025 focusing on nurse-led or nurse-operated digital interventions in antenatal, postnatal, fertility, menstrual, menopausal, and gynecological oncology care were synthesized. Digital modalities assessed included tele-nursing, IoT wearable monitoring logs, AI fetal heart and colposcopy interpretation dashboards, machine-learning (ML) risk-prediction aiding referrals, AI patient-education chat assistants supervised by nurses, automated EHR documentation, and robotic workflow support minimizing ergonomic burden.

Results: Digital interventions improved antenatal follow-up reliability, reduced maternal anxiety, and strengthened breastfeeding and contraception adherence. AI and ML tools enhanced early detection of pre-eclampsia, gestational diabetes, fetal distress, sepsis after gynecological procedures, and cancer-risk escalation, contributing to faster triage and earlier referrals. AI-assisted documentation reduced nursing report time, while supervised chatbots decreased repetitive queries and improved patient literacy and satisfaction. Robotics redistributed physical tasks, supporting nurse sustainability. Ethical checkpoints including encrypted communication, digital consent, AI transparency logging, EHR integrity, and bias audits remained nurse-owned responsibilities.

Discussion: Digital-AI integration functions as clinical augmentation rather than replacement. Nurses remain central decision-makers who validate AI alerts with critical reasoning and contextual empathy, ensuring culturally safe and ethically accountable care.