Dataset Information

Experience of a telehealth and education program with maternal and perinatal outcomes in a low-resource region in Colombia.

ABSTRACT:

Introduction

Maternal morbidity and mortality rates associated with perinatal care remain a significant public health concern. Rural populations from low and middle-income countries have multiple barriers to access that contribute to a lack of adherence to prenatal care, and high rates of maternal mortality and morbidity. An intervention model based on telehealth and education was implemented between a tertiary high complex care hospital and a second-level hospital from a limited source region.

Objectives

We sought to identify an association in maternal and perinatal care quality indicators after implementing a model based on telehealth and education for patients with obstetric emergencies between two hospitals in a southwestern region of Colombia.

Methods

We conducted an ecological study between 2017 and 2019 to compare before and after obstetric emergency care through telemedicine from a secondary care center (Hospital Francisco de Paula Santander-HFPS) to the referral center (Fundación Valle del Lili-FVL). The intervention included verification visits to determine the installed capacity of care, a concerted improvement plan, and on-site educational training modules in obstetric and perinatal care.

Results

There were 102 and 148 patients treated before and after telemedicine implementation respectively. Clinical indicators after model implementation showed a reduction in perinatal mortality of 29%. In addition, a reduction in the need for transfusion of blood products due to postpartum hemorrhage was observed as well as the rate of eclampsia.

Conclusions

Implementing a model based on telehealth and education between secondary and tertiary care centers allowed the strengthening of the security of care in obstetric emergencies and had a positive effect on perinatal mortality.

SUBMITTER: Escobar MF

PROVIDER: S-EPMC9336139 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Publications

Experience of a telehealth and education program with maternal and perinatal outcomes in a low-resource region in Colombia.

Escobar María Fernanda MF Echavarria María Paula MP Vasquez Hilda H Nasner Daniela D Ramos Isabella I Hincapié María Antonia MA Pabon Stephanie S Kusanovic Juan Pedro JP Martínez-Ruíz Diana Marcela DM Carvajal Javier Andrés JA

BMC pregnancy and childbirth 20220729 1

<h4>Introduction</h4>Maternal morbidity and mortality rates associated with perinatal care remain a significant public health concern. Rural populations from low and middle-income countries have multiple barriers to access that contribute to a lack of adherence to prenatal care, and high rates of maternal mortality and morbidity. An intervention model based on telehealth and education was implemented between a tertiary high complex care hospital and a second-level hospital from a limited source ...[more]

PMID: 35906534

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Dataset Information

Experience of a telehealth and education program with maternal and perinatal outcomes in a low-resource region in Colombia.

Introduction

Objectives

Methods

Results

Conclusions

Publications

Experience of a telehealth and education program with maternal and perinatal outcomes in a low-resource region in Colombia.

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