Role of Usual Healthcare Combined with Telemedicine in the Management of High-Risk Pregnancy in Hangzhou, China.

Xu-Hong Zhu,Jing Tao,Zhi-Feng Zhang,Li-Yuan Jiang

doi:10.1155/2019/3815857

Xu-Hong Zhu, Jing Tao + Show 2 more

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https://doi.org/10.1155/2019/3815857

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Abstract

Background Maternal health is an important part of basic public health services in China's medical reform. Effective management is an important guarantee of maternal health. Telemedicine has been widely used in maternal health management. Objective This study explores the role of usual healthcare combined with telemedicine in the management of high-risk pregnancy. Methods The study was a retrospective. Data were obtained from Hangzhou Maternity Hospital between October 2012 and September 2016, including 93465 pregnant women who were in usual high-risk pregnancy management (usual group) and 134884 pregnant women who were in telemedicine combined with usual high-risk pregnancy management (telemedicine group). The differences in high-risk scores and pregnancy outcomes between the usual and the telemedicine groups were compared. Results The high-risk factors were analyzed, and the results showed that the first fixed high-risk factor was scar uterus and the first dynamic high-risk factor was hepatitis B. Comparing the data of two groups, the number of prenatal visits increased significantly in the telemedicine group (p value <0.05). Although the critical proportion of high-risk women was 2.13% in the usual group and 5.88% in the telemedicine group, respectively (p value <0.01), maternal mortality decreased in the telemedicine group (p value <0.05). Conclusion The combination of telemedicine and usual healthcare can urge the pregnant women to carry out antenatal visits on time, which is one of the important factors to improve the outcome of high-risk pregnancy.

Highlights

Maternal health is an important part of basic public health services in China’s medical reform
There were 134,884 high-risk pregnant women (Table 2). e data of two groups of high-risk pregnant women were analyzed. e results showed in the telemedicine group, maternal ratio of ≤18 years old and ≥40 years old was significantly increased compared with the usual group (p value 0.05, Table 2), but there was significant increase in the C level in the telemedicine group (p value
Top Five High-Risk Factors. e first high-risk factor in fixed risk factors was the scar uterus. e proportion of scar uterus was 27.88% in the usual group and 17.27% in the telemedicine group, respectively. ere is a great risk in the birth of scar uterus after pregnancy, and the nonmedical indications should be strictly controlled. e first high-risk factor in dynamic risk factors was hepatitis B virus carrier (Table 3). e proportion of hepatitis B virus carrier was 9.13% in the usual group and 8.92% in the telemedicine group, respectively

Summary

Introduction

Maternal health is an important part of basic public health services in China’s medical reform. Effective management is an important guarantee of maternal health. Telemedicine has been widely used in maternal health management. Is study explores the role of usual healthcare combined with telemedicine in the management of high-risk pregnancy. E differences in high-risk scores and pregnancy outcomes between the usual and the telemedicine groups were compared. The critical proportion of high-risk women was 2.13% in the usual group and 5.88% in the telemedicine group, respectively (p value

Methods

Results

Discussion

Conclusion