Department of OB/GYN and Women's Health, Division of Maternal Fetal Medicine, University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI, USA.
Occidental College, Los Angeles, CA, USA.
J Perinat Med. 2022 Nov 14;51(1):69-82. doi: 10.1515/jpm-2022-0394. Print 2023 Jan 27.
Access to maternal-fetal medicine (MFM) subspecialty services is a critical part of a healthcare system that optimizes pregnancy outcomes for women with complex medical and obstetrical disorders. Healthcare services in the State of Hawai'i consist of a complicated patchwork of independently run community health clinics and hospital systems which are difficult for many pregnant patients to navigate. Maternal telehealth services have been identified as a solution to increase access to subspecialty prenatal services for women in rural communities or neighboring islands, especially during the COVID-19 pandemic. Telehealth innovations have been rapidly developing in the areas of remote ultrasound, hypertension management, diabetes management, and fetal monitoring. This report describes how telehealth innovations are being introduced by MFM specialists to optimize care for a unique population of high-risk patients in a remote area of the world such as Hawai'i, as well as review currently available telemedicine technologies and future innovations.
获取母胎医学（MFM）亚专科服务是优化患有复杂医学和产科疾病的女性妊娠结局的医疗保健系统的重要组成部分。夏威夷州的医疗保健服务由独立运作的社区健康诊所和医院系统组成，这使得许多孕妇难以应对。远程医疗服务已被确定为增加农村社区或邻近岛屿妇女获得亚专科产前服务的一种解决方案，尤其是在 COVID-19 大流行期间。远程医疗创新在远程超声、高血压管理、糖尿病管理和胎儿监测等领域迅速发展。本报告描述了 MFM 专家如何引入远程医疗创新，以优化对世界偏远地区（如夏威夷）高危患者的护理，同时回顾现有的远程医疗技术和未来的创新。
