Department of Obstetrics and Gynecology, Hangzhou Women's Hospital (Hangzhou Maternity and Child Health Care Hospital), No. 369, Kun Peng Road, Hangzhou, Zhejiang 310003, China.
Department of Obstetrics and Gynecology, Nanjing Medical University, No. 101, Ron Mian Road, Nanjing, Jiangshu 211166, China.
J Healthc Eng. 2019 May 6;2019:3815857. doi: 10.1155/2019/3815857. eCollection 2019.
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.
This study explores the role of usual healthcare combined with telemedicine in the management of high-risk pregnancy.
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.
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 ( 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 ( value <0.01), maternal mortality decreased in the telemedicine group ( value <0.05).
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.
孕产妇健康是中国医疗改革基本公共卫生服务的重要组成部分。有效的管理是孕产妇健康的重要保障。远程医疗已广泛应用于孕产妇健康管理。
本研究探讨常规医疗保健与远程医疗相结合在高危妊娠管理中的作用。
本研究为回顾性研究。数据来源于杭州市妇产科医院 2012 年 10 月至 2016 年 9 月期间的 93465 名接受常规高危妊娠管理的孕妇（常规组）和 134884 名接受远程医疗联合常规高危妊娠管理的孕妇（远程医疗组）。比较常规组和远程医疗组高危评分和妊娠结局的差异。
对高危因素进行分析，结果显示，首位固定高危因素为瘢痕子宫，首位动态高危因素为乙型肝炎。比较两组数据，远程医疗组产前检查次数明显增加（ value <0.05）。虽然常规组高危孕妇的临界比例为 2.13%，远程医疗组为 5.88%（ value <0.01），但远程医疗组产妇死亡率降低（ value <0.05）。
远程医疗与常规医疗保健相结合，可以促使孕妇按时进行产前检查，这是改善高危妊娠结局的重要因素之一。
