Department of Obstetrics and Gynecology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Center for Intellectual Property and Innovation, Hokkaido University, Sapporo, Japan.
J Obstet Gynaecol Res. 2021 Jul;47(7):2380-2386. doi: 10.1111/jog.14806. Epub 2021 Apr 21.
Perinatal telemedicine efforts have commenced worldwide in response to the COVID-19 pandemic. As there have been no prior studies on the acceptance of telemedicine by pregnant women, we conducted this survey to investigate the same.
We conducted an anonymous questionnaire survey of pregnant women who underwent telemedicine check-ups from March 4 to June 30, 2020, using a mobile fetal heart rate monitor and video call system through the Hokkaido University Hospital.
Out of the 77 individuals who received prenatal telemedicine check-ups, 54 individuals (70%) had complications, and 64 individuals (83%) consented for the questionnaire survey. In the video call system, 18 individuals (28%) were found to be unwell and 17 individuals (27%) experienced difficulty using the mobile fetal heart rate monitoring device. Assuming scores for face-to-face consultations were five out of 10, the mean score for satisfaction was 4.2, but 19 (30%) women felt equal or greater satisfaction with face-to-face consultations. If not for the threat of COVID-19, only four individuals (6%) proactively expressed a desire for telemedicine, with a significantly less demand observed among primiparous women than multiparous women. The permissible additional financial burden enabling telemedicine was $10 or less for 80% of subjects.
In this small preliminary study, 30% of the pregnant women felt equal or greater satisfaction with telemedicine than face-to-face consultations. A stronger demand for telemedicine was exhibited by multiparous women than primiparous women. Thus, a system that would be advantages by limiting subjects and enabling low-cost examinations is required for making perinatal telemedicine more popular.
为应对 COVID-19 大流行，全球范围内已开展围产期远程医疗工作。由于此前尚无关于孕妇对远程医疗接受程度的研究，我们开展了此项调查，以对此进行研究。
我们对 2020 年 3 月 4 日至 6 月 30 日期间通过北海道大学医院使用移动胎儿心率监测器和视频通话系统接受远程医疗检查的孕妇进行了匿名问卷调查。
在 77 名接受产前远程医疗检查的孕妇中，54 名（70%）有并发症，64 名（83%）同意接受问卷调查。在视频通话系统中，有 18 名（28%）孕妇身体不适，17 名（27%）孕妇使用移动胎儿心率监测器有困难。假设面对面咨询的得分为 10 分中的 5 分，满意度的平均得分为 4.2，但 19 名（30%）孕妇对面对面咨询感到同等或更大的满意。如果不是因为 COVID-19 的威胁，只有 4 名（6%）孕妇主动表示希望进行远程医疗，初产妇的需求明显低于经产妇。80%的受试者允许额外支付 10 美元或以下的远程医疗费用。
在这项小型初步研究中，有 30%的孕妇对远程医疗的满意度与面对面咨询相同或更高。经产妇对远程医疗的需求大于初产妇。因此，需要一种通过限制对象和实现低成本检查来获益的围产期远程医疗系统，以使其更受欢迎。
