AI Article Synopsis
- - The early pandemic phase led to a swift integration of telemedicine into obstetric care at two different institutions, which previously had no telemedicine practices in place.
- - Telemedicine users experienced earlier initiation of prenatal care, increased visit frequency, and timely screenings compared to those who did not use telemedicine.
- - Despite the differences in implementation between the institutions, telemedicine proved effective in maintaining adequate prenatal care without significantly affecting delivery outcomes or stillbirth rates.
Article Abstract
The early acute phase of the coronavirus disease 2019 pandemic created rapid adaptation in health care delivery. Using electronic medical record data from two different institutions located in two different states, we examined how telemedicine was integrated into obstetric care. With no telemedicine use prior, both institutions rapidly incorporated telemedicine into prenatal care (PNC). There were significant patient-level and institutional-level differences in telemedicine use. Telemedicine users initiated PNC earlier and had more total visits, earlier timing of ultrasounds, and earlier diabetes screening during pregnancy compared with nonusers. There were no significant differences in delivery mode or stillbirth associated with telemedicine use at either institution. Rapid adoption of obstetric telemedicine maintained adequate prenatal care provision during the early pandemic, but implementation varied across institutions.
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| http://dx.doi.org/10.1089/tmj.2022.0291 | DOI Listing |
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