Author:
Escobar María Fernanda,Gallego Juan Carlos,Echavarria María Paula,Fernandez Paula,Posada Leandro,Salazar Shirley,Gutierrez Isabella,Alarcon Juliana
Abstract
Abstract
Introduction
Contingency measures due to the COVID-19 pandemic limited access to routine prenatal care for pregnant women, increasing the risk of pregnancy complications due to poor prenatal follow-up, especially in those patients at high obstetric risk. This prompted the implementation and adaptation of telemedicine.
Objective
We aim to evaluate the maternal and perinatal outcomes of patients who received prenatal care in-person and by telemedicine.
Methods
We conducted a retrospective observational cohort study of pregnant women who received exclusive in-person and alternate (telemedicine and in-person) care from March to December 20,202, determining each group's maternal and neonatal outcomes.
Results
A total of 1078 patients were included, 156 in the mixed group and 922 in the in-person group. The patients in the mixed group had a higher number of prenatal controls (8 (6–9) vs 6 (4–8) p < 0.001), with an earlier gestational age at onset (7.1 (6–8.5) vs 9.3 (6.6–20.3), p < 0.001), however, they required a longer hospital stay (26 (16,67%) vs 86 (9,33%), p = 0.002) compared to those attended in-person; there were no significant differences in the development of obstetric emergencies, maternal death or neonatal complications.
Discussion
Incorporating telemedicine mixed with in-person care could be considered as an alternative for antenatal follow-up of pregnant women in low- and middle-income countries with barriers to timely and quality health care access.
Publisher
Springer Science and Business Media LLC
Reference38 articles.
1. Kruk ME, Gage AD, Arsenault C, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018;6(11):e1196–252. https://doi.org/10.1016/S2214-109X(18)30386-3. (Epub 2018 Sep 5. Erratum in: Lancet Glob Health. 2018 Sep 18; Erratum in: Lancet Glob Health. 2018 Nov;6(11):e1162. Erratum in: Lancet Glob Health. 2021 Aug;9(8):e1067. PMID: 30196093; PMCID: PMC7734391).
2. WHO, Unicef, UNFPA, And WBG, D. UNP, World Health Organization. Trends in maternal mortality. to 2017. UNICEF, UNFPA, World Bank Group and the United Nations Population Division: WHO; 2000. p. 2019.
3. Instituto Nacional de Salud. INFORME DE EVENTO MORTALIDAD MATERNA, COLOMBIA, AÑO 2017. Bogotá; 2018 Apr.
4. Instituto Nacional de Salud de Colombia. Boletín Epidemiológico Semanal Semana epidemiológica 52. 26 de diciembre del 2021 al 1 de enero de 2022. https://www.ins.gov.co/buscador-eventos/BoletinEpidemiologico/2021_Boletin_epidemiologico_semana_52.pdf
5. Chmielewska B, Barratt I, Townsend R, Kalafat E, van der Meulen J, et al. Effects of the COVID-19 pandemic on maternal and perinatal outcomes: a systematic review and meta-analysis. Lancet Glob Health. 2021;9(6):e759–72. https://doi.org/10.1016/S2214-109X(21)00079-6. (Epub 2021 Mar 31. Erratum in: Lancet Glob Health. 2021 Jun;9(6):e758. PMID: 33811827; PMCID: PMC8012052).
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