Reflection and investigation on the current situation of remote fetal monitoring system in primary hospital

Abstract

Objective To study the feasibility and care mode of remote fetal monitoring at primary hospital. Methods A questionnaire survey was administered to 71 hospitals of different levels in Jiangsu province.Questionnaire content included human resources status of midwifery, the remote fetal monitoring system and its clinical application; anonymous questionnaire survey was conducted to 130 maternal women by random cluster sampling; investigation of remote fetal monitoring device type, operation mode, clinical usage and existing problems was done through the document retrieval of VIP and Wanfang data platform. Results In grade Ⅱhospital, obstetricians sufficient and insufficient were 10 cases (24.39%), 31 cases(75.6%), respectively, and in grade Ⅲ hospital were 8 cases (61.53%), 5 cases (38.46%), respectively, there was statistically significant difference between grade Ⅱ and grade Ⅲ hospital(χ2=4.572, P 0.05). Different cultural level, place of residence, occupation of maternal demand for the development of remote fetal monitoring were urgent and higher degree of acceptance, but the cognition was not comprehensive, college degree or above, technical personnel and urban pregnant women that their need for remote fetal monitoring were the most urgent.There were significant differences(all P<0.01). The use of remote fetal monitoring equipment was mostly at tertiary hospital nationwide.3G network way to transfer data had short time and small scope. Conclusion The existing monitoring system and service mode can not meet the requirements of the implementation of remote fetal monitoring, medical personnel professional quality and maternal comprehensive quality are the main influencing factors.The primary hospitals should actively promote the application of remote fetal monitoring, maternal health care services and health education should arouse the attention of the whole society. Key words: Fetus; Custodial care; Remote consultation