Feasibility and safety of urgently initiated maternal telemedicine in response to the spread of COVID-19: A 1-month report

The Journal of Obstetrics and Gynaecology Research
Kinuko NakagawaHidemichi Watari

Abstract

In Hokkaido, Japan, the number of people suffering from coronavirus disease 2019 (COVID-19) is rapidly increased, and by the end of February 2020, there were already 70 confirmed cases of the disease. We investigated the safety of urgently initiated maternal telemedicine in preventing the spread of the coronavirus infection. This retrospective, single-institution study examined maternal telemedicine at the department of obstetrics of the Hokkaido University Hospital from March 4 to April 2, 2020. The physicians remotely examined the pregnant women from their homes using a visual communication system which kept communication confidential, performed prenatal checkup and administered medical care according to their various blood pressures, weights and cardiotocograms. Forty-four pregnant women received a total of 67 telemedicine interventions. Thirty-two pregnant women (73%) had complications, and 22 were primiparas (50%). Telemedicine interventions were provided 19 times at less than 26 weeks of gestation, 43 times between 26 and 36 weeks of gestation and 5 times after 37 weeks of gestation. There was one case with an abnormality diagnosed during the remote prenatal checkups, and the patient was hospitalized on the same day. Howe...Continue Reading

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Citations

Apr 6, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Hameeda Almuslim, Sharifah AlDossary
Apr 22, 2021·The Journal of Obstetrics and Gynaecology Research·Kinuko NakagawaHidemichi Watari
Aug 19, 2021·Journal of Medical Internet Research·Alaa Abd-AlrazaqMowafa Househ
Sep 17, 2021·Applied Clinical Informatics·Jahanpour Alipour, Mohammad Hosein Hayavi-Haghighi
Nov 13, 2021·Journal of Midwifery & Women's Health·Katrina K WuMichelle Nichols

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