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

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dc.article.number604
dc.contributor.authorEscobar, María F.
dc.contributor.authorEchavarria, María P.
dc.contributor.authorVasquez, Hilda
dc.contributor.authorNasner, Daniela
dc.contributor.authorRamos, Isabella
dc.contributor.authorHincapié, María A.
dc.contributor.authorPabon, Stephanie
dc.contributor.authorKusanovic, Juan Pedro
dc.contributor.authorMartínez-Ruíz, Diana M.
dc.contributor.authorCarvajal, Javier A.
dc.date.accessioned2022-08-11T16:39:55Z
dc.date.available2022-08-11T16:39:55Z
dc.date.issued2022
dc.date.updated2022-07-31T00:03:11Z
dc.description.abstractIntroduction: Maternal morbidity and mortality rates associated with perinatal care remain a signifcant 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 verifcation 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 efect on perinatal mortality.
dc.format.extent9 páginas
dc.fuente.origenAutoarchivo
dc.identifier.citationBMC Pregnancy and Childbirth. 2022 Jul 29;22(1):604
dc.identifier.doi10.1186/s12884-022-04935-1
dc.identifier.urihttps://doi.org/10.1186/s12884-022-04935-1
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/64521
dc.identifier.wosidWOS:000833010600003
dc.information.autorucEscuela de medicina ; Kusanovic, Juan Pedro ; 0000-0003-0640-2070 ; 1008900
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final9
dc.pagina.inicio1
dc.revistaBMC Pregnancy and Childbirthes_ES
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.subjectHealthes_ES
dc.subjectMaternal morbidityes_ES
dc.subjectMaternal mortalityes_ES
dc.subjectEclampsiaes_ES
dc.subjectTransfusiones_ES
dc.subjectPerinatal deathes_ES
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleExperience of a telehealth and education program with maternal and perinatal outcomes in a low-resource region in Colombiaes_ES
dc.typeartículo
dc.volumen22
sipa.codpersvinculados1008900
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