Department of Radiology, University of Washington, UW Mailbox 357115, 1959 NE Pacific Street, Seattle, WA 98195, USA.
Department of Radiology, University of Washington, UW Mailbox 357115, 1959 NE Pacific Street, Seattle, WA 98195, USA.
Semin Perinatol. 2019 Aug;43(5):267-272. doi: 10.1053/j.semperi.2019.03.016. Epub 2019 Mar 16.
The explosion of mobile health and portable obstetric ultrasound interventions in low- and middle-income countries (LMIC) reflects the optimism that technology can help reduce persistently high rates of maternal and neonatal mortality and morbidity in these settings. While these technology-driven interventions have had success in improving aspects of antenatal and perinatal care, they have not clearly demonstrated reductions in mortality. The expanding synergy between mobile health (mHealth) and ultrasound technology shows promise to enhance care, but it will likely take combining these technological advances with system-wide approaches that also address referral patterns and infrastructure barriers to improve outcomes.
移动医疗和便携式产科超声干预在中低收入国家（LMIC）的爆炸式增长反映了这样一种乐观情绪，即技术可以帮助降低这些环境中持续高的母婴死亡率和发病率。虽然这些技术驱动的干预措施在改善产前和围产期护理方面取得了成功，但它们并没有明确证明死亡率有所降低。移动医疗（mHealth）和超声技术之间不断扩大的协同作用有望增强护理水平，但很可能需要将这些技术进步与系统范围的方法相结合，这些方法还需要解决转诊模式和基础设施障碍，以改善结果。
