Exploring the impact of integrating telehealth in obstetric care: A scoping review.

Autor: Tormen M; Maternal and Child Department, Unit of Obstetrics and Gynecology, S. Anna University Hospital, Cona, Ferrara, Italy; Department of Medical Sciences, University of Ferrara, Via Fossato di Mortara 64/B, 44124 Ferrara, Italy. Electronic address: trmmra@unife.it., Toniolo B; Maternal and Child Department, Unit of Obstetrics and Gynecology, Pietro Cosma Hospital - Ulss 6 Euganea, Camposampiero, Padova, Italy., Pecci L; Maternal and Child Department, Unit of Obsterics and Gynecology San Daniele del Friuli, 'ASUFC', Udine, Italy., Soraci G; Maternal and Child Department, Unit of Obstetrics and Gynecology, S. Anna University Hospital, Cona, Ferrara, Italy., Taliento C; Maternal and Child Department, Unit of Obstetrics and Gynecology, S. Anna University Hospital, Cona, Ferrara, Italy; Department of Medical Sciences, University of Ferrara, Via Fossato di Mortara 64/B, 44124 Ferrara, Italy; Maternal and Child Department, Unit of Obstetrics and Gynecology, Pietro Cosma Hospital - Ulss 6 Euganea, Camposampiero, Padova, Italy; Maternal and Child Department, Unit of Obsterics and Gynecology San Daniele del Friuli, 'ASUFC', Udine, Italy; Department of Development and Regeneration - Woman and Child, KU Leuven, Leuven, Belgium., Greco P; Maternal and Child Department, Unit of Obstetrics and Gynecology, S. Anna University Hospital, Cona, Ferrara, Italy; Department of Medical Sciences, University of Ferrara, Via Fossato di Mortara 64/B, 44124 Ferrara, Italy., Salvioli S; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal and Child Sciences (DINOGMI), University of Genoa - Campus of Savona, Italy.
Jazyk: angličtina
Zdroj: European journal of obstetrics, gynecology, and reproductive biology [Eur J Obstet Gynecol Reprod Biol] 2024 Nov; Vol. 302, pp. 242-248. Date of Electronic Publication: 2024 Sep 23.
DOI: 10.1016/j.ejogrb.2024.09.031
Abstrakt: Background: The use of telemedicine has spread to all areas of medicine, including obstetrics, over the last few decades.
Objective: To identify and map the diversity and applicability of telemedicine in the obstetric literature, in the antenatal, intrapartum or postnatal period. To assess patient satisfaction and possible areas for future development.
Methods: This scoping review was conducted following the Joanna Briggs Institute (JBI) methodological guidelines for scoping reviews and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and its extension for scoping reviews (PRISMA-ScR). We searched the databases PubMed (Medline), CINAHL, CENTRAL (Cochrane Library), EMBASE Ovid and Scopus. We also searched Google Scholar, clinicaltrial.gov, the WHO International Clinical Trials Registry Platform (ICTRP-WHO) and the reference lists of the included studies. We included any primary study design that focused on a population of women in the antenatal, intrapartum or postnatal period. Studies selection and data extraction were performed blindly and independently by two authors. We summarised the results narratively and used graphs and tables to present key concepts thematically.
Results: We included 66 studies. We categorised the studies according to population, type of intervention, outcomes and user satisfaction. Most of the studies involved pathological (36%) and physiological (30%) pregnancy management, the type of intervention was mainly divided into televisits or video calls with professionals (43%) and the use of specific apps or devices (40%). The maternal outcomes studied were mainly quantitative, i.e., improvement in blood chemistry tests or vital parameters (65%) and treatment adherence (frequency of follow-up visits or keeping appointments, 27%). Patient satisfaction was positive in the majority of cases.
Conclusions: There is still little international agreement on the concept and possible applications of telemedicine in obstetrics, although it is increasingly being used in clinical practice. Studies have shown positive results in terms of improved care, particularly in terms of treatment adherence and as an alternative strategy in the management of pregnancy, postpartum and abortion care. Both patients and health professionals were satisfied with it, especially when offered as a complement or alternative to the traditional method of face-to-face visits. Future developments seem to be the time and cost-saving potential of telemedicine and its application to couples' infertility.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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