远程医疗解决方案是弥合孕产妇和新生儿保健服务差距的机会之窗

Maha Abdel Wanis
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摘要

开展了一项叙述性审查,以审查在COVID-19大流行期间远程医疗解决方案的使用增加情况,并讨论使用远程医疗技术在降低孕产妇和新生儿死亡率方面的益处。自2019冠状病毒病爆发以来,远程医疗在过去几年中取得了重大进展。远程医疗可以挽救生命的领域之一是通过与能够处理紧急产科护理的更高级别设施或更熟练的服务提供者进行远程连接。在产科急诊中使用远程医疗可以大大降低偏远和服务不足地区以及服务提供者训练不足的设施的孕产妇和新生儿死亡率和发病率。在复杂分娩中应用远程医疗解决方案的优势在于克服了距离遥远、地理隔离、缺乏服务和缺乏熟练人员的问题。这很划算,更重要的是可以挽救生命。缺点主要与技术基础设施、互联网的可用性、硬件、对随叫随到的病例接受者的财政激励以及他们的承诺有关。提出了应对紧急和复杂分娩病例的远程医疗解决方案的主要功能,包括服务不足和专业服务提供点的保健专业人员之间的视频会议、心电图、心脏摄影、超声波传感器数据和患者数据记录。它需要附带一个移动应用程序,供专家使用,使他们能够应对和管理紧急情况。
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Telemedicine solutions, a window of opportunity to bridge the gap in maternal and neonatal health services
A narrative review was conducted to examine the increased use of telemedicine solutions during COVID-19 pandemic and to discuss the benefits of using telemedicine techniques in the reduction of maternal and neonatal mortalities. Telemedicine has evolved significantly in the past couple of years since the outbreak of COVID-19. One of the areas where telemedicine can save lives is though remote connection with a higher-level facility or more skilled service providers that can deal with emergency obstetric care. Telemedicine use in emergency obstetric care can significantly reduce maternal and neonatal mortalities and morbidities in remote and underserved areas, and in facilities that have poor trained service providers. The advantages of applying telemedicine solutions in complicated child births are to overcome long distances, geographic isolation, lack of services, and lack of skilled personnel. It’s cost-effective, and more important saves lives. Disadvantages are mainly related to technological infrastructure, availability of an Internet, hardware, financial incentives to on-call recipients of the cases, and their commitment. The main functionalities of the telemedicine solution to respond to emergency and complicated childbirth cases are proposed to include video conference between health professionals in underserved and specialized service delivery points, sensor’s data for electrocardiogram, cardiotocography, ultrasound, and patient data recording. It needs to come with a mobile application to be used by specialists to enable them respond to and manage the emergencies.
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