Advances in obstetric telemonitoring: a systematic review

Alves, Danielle Santos; Times, Valéria Cesário; Silva, Érika Maria Alves da; Melo, Priscila Santos Alves; Novaes, Magdala de Araújo

doi:10.1016/j.ijmedinf.2019.104004

Cited by 38 publications

(34 citation statements)

References 26 publications

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“…5,18,19 The available literature has mainly focused on the use of telemonitoring or mobile health applications for targeted approaches, such as smoking cessation, influenza vaccination, blood pressure monitoring, blood sugar level monitoring, and wellness checks. 4,[19][20][21][22][23][24][25][26] In developing our programme, regular antenatal consultations were maintained because fewer consultations have been associated with increased incidence of adverse pregnancy outcomes, patient anxiety, and dissatisfaction with care. 27,28 Therefore, telehealth was integrated into this schedule to maintain regular consultations, but to reduce the need for in-person attendance.…”

Section: Discussionmentioning

confidence: 99%

Widespread implementation of a low-cost telehealth service in the delivery of antenatal care during the COVID-19 pandemic: an interrupted time-series analysis

et al. 2021

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Background Little evidence is available on the use of telehealth for antenatal care. In response to the COVID-19 pandemic, we developed and implemented a new antenatal care schedule integrating telehealth across all models of pregnancy care. To inform this clinical initiative, we aimed to assess the effectiveness and safety of telehealth in antenatal care. MethodsWe analysed routinely collected health data on all women giving birth at Monash Health, a large health service in Victoria (Australia), using an interrupted time-series design. We assessed the impact of telehealth integration into antenatal care from March 23, 2020, across low-risk and high-risk care models. Allowing a 1-month implementation period from March 23, 2020, we compared the first 3 months of telehealth integrated care delivered between April 20 and July 26, 2020, with conventional care delivered between Jan 1, 2018, and March 22, 2020. The primary outcomes were detection and outcomes of fetal growth restriction, pre-eclampsia, and gestational diabetes. Secondary outcomes were stillbirth, neonatal intensive care unit admission, and preterm birth (birth before 37 weeks' gestation).

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Section: Discussionmentioning

confidence: 99%

Widespread implementation of a low-cost telehealth service in the delivery of antenatal care during the COVID-19 pandemic: an interrupted time-series analysis

et al. 2021

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“…The term “tele-monitoring” refers to the ability of measuring, storing and forwarding detailed information of patients at any particular moment in time [ 57 ]. Four studies used telehealth for monitoring.…”

Section: Taxonomymentioning

confidence: 99%

Telehealth utilization during the Covid-19 pandemic: A systematic review

Garfan¹,

Alamoodi²,

Zaidan

et al. 2021

Computers in Biology and Medicine

195

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During the coronavirus disease (COVID-19) pandemic, different technologies, including telehealth, are maximised to mitigate the risks and consequences of the disease. Telehealth has been widely utilised because of its usability and safety in providing healthcare services during the COVID-19 pandemic. However, a systematic literature review which provides extensive evidence on the impact of COVID-19 through telehealth and which covers multiple directions in a large-scale research remains lacking. This study aims to review telehealth literature comprehensively since the pandemic started. It also aims to map the research landscape into a coherent taxonomy and characterise this emerging field in terms of motivations, open challenges and recommendations. Articles related to telehealth during the COVID-19 pandemic were systematically searched in the WOS, IEEE, Science Direct, Springer and Scopus databases. The final set included (n=86) articles discussing telehealth applications with respect to (i) control (n=25), (ii) technology (n=14) and (iii) medical procedure (n=47). Since the beginning of the pandemic, telehealth has been presented in diverse cases. However, it still warrants further attention. Regardless of category, the articles focused on the challenges which hinder the maximisation of telehealth in such times and how to address them. With the rapid increase in the utilization of telehealth in different specialised hospitals and clinics, a potential framework which reflects the authors’ implications of the future application and opportunities of telehealth has been established. This article improves our understanding and reveals the full potential of telehealth during these difficult times and beyond.

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“…3 In addition, findings from a review of obstetric telemonitoring indicated that this approach has much potential to contribute to improved gestational outcomes, early detection of complications, and the provision of local interventions before hospitalization. 35 Examples of telemedicine programs that aim to increase health care access and address shortages in the maternity care workforce can be found across the United States. The Massachusetts Child Psychiatry Access Program for Moms (also known as MCPAPs for Moms) helps to combat mental health and substance use issues in pregnant and postpartum women by building the capacity of local obstetricians, primary care physicians, and pediatricians.…”

Section: Quality Of Care and MMMmentioning

confidence: 99%

Section: Telemedicine and MMMmentioning

confidence: 99%

The Potential for Health Information Technology Tools to Reduce Racial Disparities in Maternal Morbidity and Mortality

Jean‐Francois

Lash

Dagher

et al. 2021

Journal of Women's Health

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Health information technology (health IT) potentially is a promising vital lever to address racial and ethnic, socioeconomic, and geographic disparities in maternal morbidity and mortality (MMM). This is especially relevant given that approximately 60% of maternal deaths are considered preventable. 1-36 Interventions that leverage health IT tools to target the underlying drivers of disparities at the patient, clinician, and health care system levels potentially could reduce disparities in quality of care throughout the continuum (antepartum, intrapartum, and postpartum) of maternity care. This article presents an overview of the research (and gaps) on the potential of health IT tools to document SDoH and community-level geocoded data in EHR-based CDS systems, minimize implicit bias, and improve adherence to clinical guidelines and coordinated care to inform multilevel (patient, clinician, system) interventions throughout the continuum of maternity care for health disparity populations impacted by MMM. Telemedicine models for improving access in rural areas and new technologies for risk assessment and disease management (e.g., regarding preeclampsia) also are discussed.

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Advances in obstetric telemonitoring: a systematic review

Cited by 38 publications

References 26 publications

Widespread implementation of a low-cost telehealth service in the delivery of antenatal care during the COVID-19 pandemic: an interrupted time-series analysis

Widespread implementation of a low-cost telehealth service in the delivery of antenatal care during the COVID-19 pandemic: an interrupted time-series analysis

Telehealth utilization during the Covid-19 pandemic: A systematic review

The Potential for Health Information Technology Tools to Reduce Racial Disparities in Maternal Morbidity and Mortality

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