Abnormally Invasive Placenta Clinic, Fundación Valle del Lili, Cali, Colombia.
Department of Clinical Postgraduate Program, Universidad ICESI, Cali, Colombia.
J Matern Fetal Neonatal Med. 2022 Mar;35(6):1081-1087. doi: 10.1080/14767058.2020.1742692. Epub 2020 Mar 22.
The availability of interdisciplinary groups trained in morbidly adherent placenta (MAP) is limited. Telemedicine can be a useful strategy to bring patients affected by MAP to institutions specialized in its management. We sought to assess how useful an informal teleconsultation is for MAP cases among users who contacted a reference center for this pathology in a low middle-income country.
Likert-type surveys were conducted among specialist physicians who carried out teleconsultation with a MAP experienced institution, for assessing how useful the remote assistance was.
In 15-month period, 21 teleconsultations associated with MAP were recorded. Teleconsultation was considered "very useful" by 100% of obstetricians. Among the physicians, 90.5% said they would "definitely use the service again" if they had a new case of MAP and 85.7% said that they would "always recommend" the service to other groups of specialists.
Teleconsultation in MAP cases is perceived by service users as a useful tool in the management of affected patients. In a context with few specialized centers in the management of this condition, telemedicine must be taken into account when designing comprehensive care strategies for this rare and highly morbid disease.
训练有素的多部位黏附胎盘（MAP）跨学科团队的资源有限。远程医疗可以作为一种有用的策略，将患有 MAP 的患者带到专门管理该病的机构。我们旨在评估在中低收入国家，联系一个 MAP 参考中心的用户对 MAP 病例进行非正式远程咨询的效果。
对与 MAP 经验丰富的机构进行远程咨询的专科医生进行了李克特量表调查，以评估远程协助的有用性。
在 15 个月的时间里，共记录了 21 例与 MAP 相关的远程咨询。100%的妇产科医生认为远程咨询“非常有用”。在这些医生中，90.5%表示如果有新的 MAP 病例，他们“肯定会再次使用该服务”，85.7%表示他们“总是会向”其他专科医生推荐该服务。
在 MAP 病例中，用户认为远程咨询是管理患者的有用工具。在这种情况下，专门管理该疾病的中心很少，在为这种罕见且高度病态的疾病设计全面护理策略时，必须考虑远程医疗。
