Integrating technologies to provide comprehensive remote fetal surveillance: A prospective pilot study

Author:

Nir Omer12ORCID,Dvir Gur12ORCID,Galler Esther1,Axelrod Michal12ORCID,Farhi Adel3ORCID,Barkai Galia24ORCID,Weisz Boaz125ORCID,Sivan Eyal12ORCID,Mazaki Tovi Shali125ORCID,Tsur Abraham1234ORCID

Affiliation:

1. Department of Obstetrics and Gynecology Sheba Medical Center Ramat Gan Israel

2. Sackler Faculty of Medicine Tel Aviv University Tel Aviv‐Yafo Israel

3. The Gertner Institute for Epidemiology and Health Policy Ramat Gan Israel

4. Sheba Beyond The Virtual Hospital, Sheba Medical Center Ramat Gan Israel

5. The Dr. Pinchas Bornstein Talpiot Medical Leadership Program Sheba Medical Center Ramat‐Gan Israel

Abstract

AbstractObjectiveTo determine the feasibility of extending remote maternal‐fetal care to include fetus well‐being.MethodsThe authors performed a prospective pilot study investigating low‐risk pregnant participants who were recruited at the time of their first full‐term in‐person visit and scheduled for a follow‐up telemedicine visit. Using novel self‐operated fetal monitoring and ultrasound devices, fetal heart monitoring and amniotic fluid volume measurements were obtained to complete a modified biophysical profile (mBPP). Total visit length was measured for both the in‐person first visit and the subsequent telemedicine encounter. A patient satisfaction survey form was obtained.ResultsTen women between 40 + 1 and 40 + 6 weeks of gestation participated in telemedicine encounters. Nine women (90%) were able to complete remote mBPP assessment. For one participant, fetal assessment was not completed due to technically inconclusive fetal monitoring. Another participant was referred for additional assessment in the delivery room. Satisfactory amniotic fluid volume measurements were achieved in 100% of participants. The telemedicine encounter was significantly shorter (93.1 ± 33.1 min) than the in‐person visit (247.2 ± 104.7 min; P < 0.001). We observed high patient satisfaction.ConclusionRemote fetal well‐being assessment is feasible and time‐saving and results in high patient satisfaction. This novel paradigm of comprehensive remote maternal and fetal assessment is associated with important clinical, socioeconomic, and logistics advantages.

Publisher

Wiley

Subject

Obstetrics and Gynecology,General Medicine

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Telemedicine and Digital Health Solutions in Intrapartum and Postpartum Care;Current Obstetrics and Gynecology Reports;2024-05-22

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3