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Mary Amoakoh‐Coleman

Noguchi Memorial Institute for Medical Research

65 publications · 1,950 citations · ORCID 0000-0002-0320-0396

Global Maternal and Child HealthMobile Health and mHealth ApplicationsDiabetes Management and EducationPregnancy and preeclampsia studiesMaternal and Neonatal Healthcare

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How do specific maternal microbiota profiles (gut, oral, or vaginal) during gestation correlate with the development of gestational diabetes mellitus (GDM) and subsequent long-term metabolic health in offspring?

Why this gap exists: While recent reviews [8] confirm GDM alters maternal gut microbiota and neonatal health, and older studies [0] note dysbiosis across maternal sites, the retrieved evidence lacks direct, longitudinal studies correlating specific gestational maternal microbiota profiles with the *long-term* metabolic health of offspring, leaving the core question unresolved.

What is the comparative effectiveness of telemedicine versus traditional in-person care in maintaining essential antenatal coverage and reducing maternal mortality in low-income and middle-income countries during future health system shocks?

Why this gap exists: While abstracts [4], [7], [8], and [9] discuss digital tools and maternity care in low- and middle-income countries, none provide a direct comparative effectiveness analysis of telemedicine versus in-person care regarding maternal mortality during health system shocks, leaving the specific question unresolved.

Sources

  1. COVID-19 and resilience of healthcare systems in ten countriesNature Medicine, 2022
  2. Community Health Workers Can Provide Psychosocial Support to the People During COVID-19 and Beyond in Low- and Middle- Income CountriesFrontiers in Public Health, 2021
  3. Social Impacts and Responses Related to COVID-19 in Low- and Middle-income CountriesOpenDocs (Institute of Development Studies), 2020
  4. Seizing the moment to rethink health systemsThe Lancet Global Health, 2021
  5. Use of mHealth in promoting maternal and child health in “BIMARU” states of India “A health system strengthening strategy”: Systematic literature reviewPLOS Digital Health, 2024
  6. Investments for effective functionality of health systems towards Universal Health Coverage in Africa: A scoping reviewPLOS Global Public Health, 2022
  7. Infant and young child feedingOECD eBooks, 2023
  8. Facilitators and barriers to the implementation of a Mobile Health Wallet for pregnancy-related health care: A qualitative study of stakeholders’ perceptions in MadagascarPLoS ONE, 2020
  9. The impact of digital interventions on health insurance coverage for reproductive, maternal, newborn and child health services utilization in Kakamega, Kenya: a cluster randomized controlled trialHealth Policy and Planning, 2024
  10. Seeking digital maternity healthcare during the pandemic health system shock: a systematic review of women's experiences in low- and middle-income countriesFrontiers in Reproductive Health, 2026

What are the specific long-term treatment strategies required to mitigate the risk of developing chronic non-communicable diseases in children born to mothers with gestational diabetes mellitus?

Why this gap exists: While the retrieved literature consistently establishes that maternal gestational diabetes mellitus (GDM) increases the long-term risk of cardiometabolic diseases in offspring [1][2][3], it focuses primarily on pathogenesis and risk association rather than defining specific, evidence-based long-term treatment strategies for the children to mitigate these risks.

What is the comparative efficacy of digital versus in-person delivery of mental health interventions for mitigating the increased risk of perinatal depression and anxiety in low-income and middle-income countries during future pandemic-like disruptions?

Why this gap exists: While abstracts [6] and [8] compare digital and in-person delivery during the pandemic, they are set in high-income contexts (Spain, unspecified high-income), and abstract [7] focuses on LMICs but lacks a comparative digital vs. in-person design, leaving the specific question of comparative efficacy in LMICs unresolved.

Sources

  1. Mobile Health for Perinatal Depression and Anxiety: Scoping ReviewJournal of Medical Internet Research, 2020
  2. Effects of COVID-19 on College Students’ Mental Health in the United States: Interview Survey StudyJournal of Medical Internet Research, 2020
  3. A Preventive Social Media Intervention for Perinatal Depression and Anxiety in Regional, Rural, and Remote Communities: Participatory Co-Design Study.Journal of medical Internet research, 2026
  4. Risk-Stratified Screening for Perinatal Depression and Anxiety: Integrating Sexual Function, Self-Esteem, and Psychosocial Context.Diagnostics (Basel, Switzerland), 2026
  5. A Brief Intervention for the Treatment of Anxiety in Pregnancy: A Pilot Randomized Controlled Trial (The TAP Study).Psychotherapy and psychosomatics, 2026
  6. Barriers to and Facilitators of User Engagement With Digital Mental Health Interventions: Systematic ReviewJournal of Medical Internet Research, 2021
  7. Engagement, efficacy, and experiences of psychotherapy for perinatal populations with depression and anxiety during the COVID-19 pandemic.Frontiers in psychiatry, 2025
  8. Integration of stepped care for perinatal mood and anxiety disorders among women attending maternal and child health clinics in Kenya: Protocol for a cluster randomized controlled trial.PloS one, 2026
  9. Internet-based interdisciplinary therapeutic group (Grupo Interdisciplinar Online, GIO) for perinatal anxiety and depression-a randomized pilot study during COVID-19.Archives of women's mental health, 2024
  10. Detecting anxiety and depression in dialogues: a multi-label and explainable approachde Arriba-Pérez, F., García-Méndez, S. (2024). Detecting anxiety and depression in dialogues: a multi-label and explainable approach. In Proceedings of the 3rd AIxIA Workshop on Artificial Intelligence For Healthcare (pp. 257-271), 2024
  11. Community Interventions for Addressing Postpartum Depression Across the United States: A Narrative Review.Cureus, 2026
  12. Perspectives and support needs for a spouse-inclusive digital intervention for perinatal depression and anxiety: a qualitative study.Women's health nursing (Seoul, Korea), 2026
  13. How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta‐analytic update of the evidenceWorld Psychiatry, 2016
  14. Association between maternal and neonatal outcomes and psychosocial risk levels in pregnant women: a convergent parallel mixed methods study protocol.Reproductive health, 2026
  15. Detecting anxiety and depression in dialogues: a multi-label and explainable approachde Arriba-Pérez, F., García-Méndez, S. (2024). Detecting anxiety and depression in dialogues: a multi-label and explainable approach. In Proceedings of the 3rd AIxIA Workshop on Artificial Intelligence For Healthcare (pp. 257-271), 2024
  16. Multitask learning for recognizing stress and depression in social mediaOnline Social Networks and Media (Volumes: 37-38, September 2023), 2023
  17. Digital Cognitive Behavioral Therapy for Insomnia Versus Sleep Hygiene Education for Prevention of Perinatal Depression: Protocol for a Randomized Clinical Trial.JMIR research protocols, 2026

What is the comparative efficacy of digital or telehealth lactation support versus traditional face-to-face peer support on breastfeeding exclusivity rates during pandemic-related social restrictions?

Why this gap exists: While Abstract [3] confirms the general effectiveness of digital health interventions on breastfeeding practices and Abstract [0] notes the cancellation of face-to-face peer support during the pandemic, the retrieved evidence does not contain a direct comparative study between digital/telehealth lactation support and traditional face-to-face peer support specifically regarding exclusivity rates during social restrictions.

To what extent do changes in the maternal microbiota (gut, oral, or vaginal) during pregnancy mediate the relationship between maternal perinatal anxiety/depression and the neurodevelopmental outcomes of the offspring?

Why this gap exists: While recent studies confirm associations between maternal mental health and microbiota composition (Abstract 5, 8) and suggest the microbiome-gut-brain axis influences neurodevelopment (Abstract 0, 2), the retrieved evidence does not contain studies that directly test the mediating role of maternal microbiota changes between perinatal anxiety/depression and offspring neurodevelopmental outcomes.

Publications