Role of telemedicine in obstetrics and gynecology: an experience at tertiary care center.

Expert review of medical devices Pub Date : 2023-07-01 Epub Date: 2023-11-24 DOI:10.1080/17434440.2023.2264768
Aruna Singh, Amit Agarwal, Geetika Thakur, Sonu Goel, Meenu Singh
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Abstract

Background: The telemedicine/telehealth is well established and rapidly evolving innovation in modern practice of medicine. It is used in nearly every aspect of obstetrics and gynecology. Telehealth intervention may reduce the need for in-person visits amongst high-risk obstetric patients. It is an effective innovation for chronic gynecological conditions.

Research design and methods: This was a prospective, observational study where the online platform 'e-Sanjeevani' was used. It was a health care worker to doctor (specialist) consultation regarding the patient. After an interaction, provisional diagnosis and management plan was made, and an electronic prescription for the same was generated and printed at the patient's end.

Results: A total of 3219 patients were attended in 10 months. The majority of the cases had a gynecological problem (71.5%), with menstrual irregularity being the commonest. Among pregnant patients, consultations for early pregnancy complications were made in 29% of the cases. 5.8% were referred because of some surgical intervention.

Conclusion: Non-emergency patients who can be managed medically can be prevented from unnecessary visits to the hospital and managed through teleconsultation, which decreases the burden of patient load at the tertiary center.

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远程医疗在妇产科的作用:三级护理中心的经验。
背景:远程医疗/远程医疗是现代医学实践中建立良好并迅速发展的创新。它几乎应用于妇产科的各个方面。远程医疗干预可以减少高危产科患者的亲自就诊需求。它是治疗慢性妇科疾病的有效创新。研究设计和方法:这是一项前瞻性的观察性研究,使用了在线平台“e-Sanjeevani”。这是一位医护人员对医生(专家)就病人进行的咨询。在互动之后,制定了临时诊断和管理计划,并在患者端生成并打印了电子处方。结果:共有3219名患者在10个 月。大多数病例有妇科问题(71.5%),月经不规律是最常见的。在妊娠患者中,29%的病例进行了妊娠早期并发症的咨询。5.8%的患者因某种手术干预而转诊。结论:可以通过医疗管理的非急诊患者可以避免不必要的就诊,并通过远程会诊进行管理,从而减轻了三级中心的患者负担。
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