Theiler Regan N, Torbenson Vanessa, Schoen Jessica C, Stegemann Hollie, Heaton Heather A, Kozhimannil Katy B, Fang Jennifer L, Sadosty Annie
Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota, USA.
Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Telemed J E Health. 2024 Jun;30(6):1600-1605. doi: 10.1089/tmj.2023.0358. Epub 2024 Feb 13.
To implement use of obstetric (OB) hospitalist telemedicine services (TeleOB) to support clinicians facing OB emergencies in low-resource hospital settings. TeleOB was staffed by OB hospitalists working at a tertiary maternity center. The service was available via real-time high-definition audio/video technology for providers at 17 outlying hospitals across a health system spanning two states. The initial 25 service activations are described. TeleOB supported 17 deliveries, two postpartum emergency department (ED) consultations, and four antenatal ED consultations. In 10 of 17 (59%) deliveries, teleneonatology was jointly activated to support neonatal resuscitation. Sixteen (94%) deliveries occurred in multiparas, and five (29%) resulted from spontaneous preterm labor. Eighty percent (20/25) of activations occurred in facilities without maternity services. A TeleOB service staffed by OB hospitalists successfully supports hospitals in an integrated health care system. TeleOB is feasible for support of hospitals with no delivery facilities or with limited maternity care resources.
实施产科（OB）住院医师远程医疗服务（TeleOB），以支持资源匮乏医院环境中面临产科紧急情况的临床医生。TeleOB由在三级产科中心工作的产科住院医师提供服务。该服务通过实时高清音频/视频技术，为跨越两个州的医疗系统中17家偏远医院的提供者提供支持。描述了最初的25次服务激活情况。TeleOB支持了17例分娩、2次产后急诊科（ED）会诊和4次产前ED会诊。在17例分娩中的10例（59%）中，联合启动了远程新生儿科服务以支持新生儿复苏。16例（94%）分娩发生在经产妇中，5例（29%）由自发性早产导致。80%（20/25）的激活发生在没有产科服务的机构。由产科住院医师提供服务的TeleOB成功地为综合医疗系统中的医院提供了支持。TeleOB对于支持没有分娩设施或产科护理资源有限的医院是可行的。
