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image of The Impact of the Coronavirus Pandemic on Telemedicine Evolution in Obstetrical Care During COVID-19

Abstract

The COVID-19 pandemic has imposed drastic challenges to the health system and resulted in drastic measures to reduce the high morbidity and mortality rates observed among affected individuals. Pregnant women were faced with an unexpected suspension of anti-natal care with the recommendation of indoor confinement. Telemedicine (Tm), defined as the delivery of healthcare communication, stood up as a valuable tool to address those needs with its convenience of remote monitoring and ease of use. This review aimed to verify the transition of Tm in obstetrical care, define factors and barriers associated with its acceptance, its performance, and how it evolved during the COVID-19 era to guide its role in modern obstetrics. Four electronic repositories were searched: PubMed, Scopus, WOS, and Google Scholar using the keywords (pregnant, telemedicine, COVID-19, feto-maternal health, outcome, satisfaction, and health care); eligible studies were included in the analysis. Despite the challenges and difficulties faced by Tm during its early implementation in the pandemic, its effectiveness was demonstrated. Looking back to the lessons learned from the pandemic, Tm stood out as a reliable, safe, cost-effective tool for delivering anti-natal care during lockdown. Its role in alleviating anxiety and stress associated with the pandemic was notable. There are still gaps in our knowledge that need to be researched further, practically, the long-term outcome of Tm follow-up for both the mothers and their babies, and from a lower income countries' perspective as Tm services faced digital literacy in those areas. It has been anticipated that Tm will play a crucial role in modern obstetrics, as an integral part of the health service or as a complete part. Moreover, by adopting the 2 models, pregnant women will have the leverage of to aim for better delivery and outcomes in the presented health care.

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2024-12-13
2025-01-19

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References

  1. Ezeamii V.C. Okobi O.E. Sani W.H. Perera G.S. Zaynieva S. Okonkwo C.C. Ohaiba M.M. Enemali W.P.C. Obodo O.R. Obiefuna N.G. Revolutionizing healthcare: How telemedicine is improving patient outcomes and expanding access to care. Cureus 2024 16 7 e63881 10.7759/cureus.63881 39099901
    [Google Scholar]
  2. Goldberger K.A.R. Srinivas S.K. Obstetrical telehealth and virtual care practices during the COVID-19 pandemic. Clin. Obstet. Gynecol. 2022 65 1 148 160 10.1097/GRF.0000000000000671 35045037
    [Google Scholar]
  3. Stoltzfus M. Kaur A. Chawla A. Gupta V. Anamika F.N.U. Jain R. The role of telemedicine in healthcare: An overview and update. Egypt. J. Intern. Med. 2023 35 1 49 10.1186/s43162‑023‑00234‑z
    [Google Scholar]
  4. Khoshrounejad F. Hamednia M. Mehrjerd A. Pichaghsaz S. Jamalirad H. Sargolzaei M. Hoseini B. Aalaei S. Telehealth-based services during the COVID-19 pandemic: A systematic review of features and challenges. Front. Pub. Health 2021 9 711762 10.3389/fpubh.2021.711762 34350154
    [Google Scholar]
  5. Goyal L.D. Garg P. Verma M. Kaur N. Bakshi D. Arora J. Effect of restrictions imposed due to COVID-19 pandemic on the antenatal care and pregnancy outcomes: a prospective observational study from rural North India. BMJ Open 2022 12 4 e059701 10.1136/bmjopen‑2021‑059701 35387835
    [Google Scholar]
  6. Goyal M. Singh P. Singh K. Shekhar S. Agrawal N. Misra S. The effect of the COVID‐19 pandemic on maternal health due to delay in seeking health care: Experience from a tertiary center. Int. J. Gynaecol. Obstet. 2021 152 2 231 235 10.1002/ijgo.13457 33128794
    [Google Scholar]
  7. Diamanti A. Sarantaki A. Kalamata N. Vivilaki V. Varnakioti D. Lykeridou A. Pregnancy during the pandemic: The psychological impact of COVID-19 on pregnant women in Greece. Euro. J. Mid. 2023 7 January 1 6 10.18332/ejm/157463 36761448
    [Google Scholar]
  8. Rath A. Nayak P. Begum J. Mitra S. A survey of the psychosocial impact of the COVID-19 pandemic on pregnant women attending a tertiary care centre of Eastern India – a cross-sectional study. Przegl. Menopauz. 2023 22 4 196 201 10.5114/pm.2023.133593
    [Google Scholar]
  9. Shahhosseini Z. Nikbakht R. Hajipour L. Salarian N. Tabaghdehi M.H. The relationship between fear and anxiety of corona and childbirth experiences in women referring to health centers in mazandaran province: A longitudinal study. J. Mazandaran Univ. Med. Sci. 2023 33 228
    [Google Scholar]
  10. Smith K.A. Howard L.M. Vigod S.N. D’Agostino A. Cipriani A. Perinatal mental health and COVID-19: Navigating a way forward. Aust. N. Z. J. Psyc. 2023 57 7 937 943 10.1177/00048674221137819 36440619
    [Google Scholar]
  11. Kassa Z.Y. Scarf V. Turkmani S. Fox D. Impact of COVID-19 on maternal health service uptake and perinatal outcomes in sub-saharan africa: A systematic review. Int. J. Environ. Res. Pub. Health 2024 21 9 1188 10.3390/ijerph21091188 39338071
    [Google Scholar]
  12. Atkinson J. Hastie R. Walker S. Lindquist A. Tong S. Telehealth in antenatal care: recent insights and advances. BMC Med. 2023 21 1 332 10.1186/s12916‑023‑03042‑y 37649028
    [Google Scholar]
  13. Borges do Nascimento I.J. Abdulazeem H. Vasanthan L.T. Martinez E.Z. Zucoloto M.L. Østengaard L. Muscat A.N. Zapata T. Ortiz N.D. Barriers and facilitators to utilizing digital health technologies by healthcare professionals. NPJ Digit. Med. 2023 6 1 161 10.1038/s41746‑023‑00899‑4
    [Google Scholar]
  14. Huang X. Lin J. Fushman D.D. Evaluation of PICO as a knowledge representation for clinical questions. AMIA Ann. Symp. Proc. 2006 2006 359 363
    [Google Scholar]
  15. Duarte P. Pinho J.C. A mixed methods UTAUT2-based approach to assess mobile health adoption. J. Bus. Res. 2019 102 140 150 10.1016/j.jbusres.2019.05.022
    [Google Scholar]
  16. Kwateng O.K. Appiah C. Atiemo K.A.O. Adoption of health information systems: Health professionals perspective. Int. J. Healthc. Manag. 2021 14 2 517 533 10.1080/20479700.2019.1672004
    [Google Scholar]
  17. Middlemass J.B. Vos J. Siriwardena A.N. Perceptions on use of home telemonitoring in patients with long term conditions – concordance with the health information technology acceptance model: A qualitative collective case study. BMC Med. Inform. Decis. Mak. 2017 17 1 89 10.1186/s12911‑017‑0486‑5 28651588
    [Google Scholar]
  18. Ftouni R. AlJardali B. Hamdanieh M. Ftouni L. Salem N. Challenges of telemedicine during the COVID-19 pandemic: A systematic review. BMC Med. Inform. Decis. Mak. 2022 22 1 207 10.1186/s12911‑022‑01952‑0 35922817
    [Google Scholar]
  19. Quiñones I.L.E. Novero V.M. Acceptability of telemedicine among patients undergoing prenatal and postnatal care in the setting of the COVID-19 pandemic. Philipp. J. Obstet. Gynecol. 2022 46 1 12 19 10.4103/pjog.pjog_5_22
    [Google Scholar]
  20. Gillenwater J.A. Rep M.A. Troy A.B. Power M.L. Vigh R.S. Mackeen A.D. Patient perception of telemedicine in maternal-fetal medicine. Telemed. J. E Health 2024 30 1 198 203 37466478
    [Google Scholar]
  21. McCabe M. Gerson K.D. Hirshberg A. 892 Remote monitoring of pregnant and postpartum women with COVID-19. Am. J. Obstet. Gynecol. 2021 224 2 S553 S554 10.1016/j.ajog.2020.12.915
    [Google Scholar]
  22. Ringrose J.S. Polley G. McLean D. Thompson A. Morales F. Padwal R. An assessment of the accuracy of home blood pressure monitors when used in device owners. Am. J. Hypertens. 2017 30 7 683 689 10.1093/ajh/hpx041 28430848
    [Google Scholar]
  23. Salman D.A. Obeid R.Z. Jaafar Z.A.A. Secondary Postpartum Haemorrhage following vaginal delivery: A 3-year survey of causes and management. Ginekol. Pol. 2020 91 10 607 612 10.5603/GP.a2020.0095 33184829
    [Google Scholar]
  24. Abdulqader S.K. Nori W. Akram N.N. Kinani A.M. Radiological modalities for the assessment of fetal growth restriction: A comprehensive review. AL-Kindy Col. Med. J. 2024 20 1 4 13
    [Google Scholar]
  25. Jeganathan S. Prasannan L. Blitz M.J. Vohra N. Rochelson B. Meirowitz N. Adherence and acceptability of telehealth appointments for high-risk obstetrical patients during the coronavirus disease 2019 pandemic. Am. J. Obstet. Gynecol. MFM 2020 2 4 100233 10.1016/j.ajogmf.2020.100233 32984803
    [Google Scholar]
  26. Udegbe B.C. Clapp M.A. Bryant A.S. Disparities from bedside to “webside”: Barriers to achieving equity in telemedicine in obstetrics. AJOG Glob. Rep. 2023 3 1 100159 10.1016/j.xagr.2022.100159 36618830
    [Google Scholar]
  27. Moise I.K. Ivanova N. Wilson C. Wilson S. Halwindi H. Spika V.M. Lessons from digital technology-enabled health interventions implemented during the coronavirus pandemic to improve maternal and birth outcomes: A global scoping review. BMC Preg. Childb. 2023 23 1 195 10.1186/s12884‑023‑05454‑3 36941565
    [Google Scholar]
  28. Farrell R. Collart C. Craighead C. Pierce M. Chien E. Frankel R. Edmonds T.B. Perni U. Coleridge M. Ranzini A.C. Rose S. The successes and challenges of implementing telehealth for diverse patient populations requiring prenatal care during COVID-19: Qualitative study. JMIR Form. Res. 2022 6 3 e32791 10.2196/32791 35275833
    [Google Scholar]
  29. Bruno B. Mercer M.B. Hizlan S. Peskin J. Ford P.J. Farrell R.M. Rose S.L. Virtual prenatal visits associated with high measures of patient experience and satisfaction among average-risk patients: A prospective cohort study. BMC Preg. Childb. 2023 23 1 234 10.1186/s12884‑023‑05421‑y 37024808
    [Google Scholar]
  30. Stentzel U. Grabe H.J. Schmidt S. Tomczyk S. van den Berg N. Beyer A. Mental health-related telemedicine interventions for pregnant women and new mothers: A systematic literature review. BMC Psychiatry 2023 23 1 292 10.1186/s12888‑023‑04790‑0 37118689
    [Google Scholar]
  31. Baudier P. Kondrateva G. Ammi C. Chang V. Schiavone F. Digital transformation of healthcare during the COVID-19 pandemic: Patients’ teleconsultation acceptance and trusting beliefs. Technovation 2023 120 102547 10.1016/j.technovation.2022.102547
    [Google Scholar]
  32. Abarca G.V. Sanchez P.P. Camacho A.M. Virtual teams in times of pandemic: Factors that influence performance. Front. Psychol. 2021 12 624637 10.3389/fpsyg.2021.624637 33679543
    [Google Scholar]
  33. Madden N. Emeruwa U.N. Friedman A.M. Aubey J.J. Aziz A. Baptiste C.D. Coletta J.M. D’Alton M.E. Fuchs K.M. Goffman D. Bannerman G.C. Kondragunta S. Krenitsky N. Miller R.S. Chang N.C.L. Jean S.A.M. Shukla H.P. Simpson L.L. Spiegel E.S. Yates H.S. Zork N. Ona S. Telehealth uptake into prenatal care and provider attitudes during the COVID-19 pandemic in new york city: A quantitative and qualitative analysis. Am. J. Perinatol. 2020 37 10 1005 1014 10.1055/s‑0040‑1712939 32516816
    [Google Scholar]
  34. Israni D.K. Chawla N.S. Human‐machine interaction in leveraging the concept of telemedicine. Hum. Mach. Inter. Wiley 2023 211 245 10.1002/9781394200344.ch8
    [Google Scholar]
  35. Nazari E. Digital innovation for healthcare in COVID-19 pandemic. Digital Innovation Healthcare COVID-19 Pandemic: Stragic Solution Elsevier 2022 11 37 10.1016/B978‑0‑12‑821318‑6.00016‑5
    [Google Scholar]
  36. Perez M.V. Mahaffey K.W. Hedlin H. Rumsfeld J.S. Garcia A. Ferris T. Balasubramanian V. Russo A.M. Rajmane A. Cheung L. Hung G. Lee J. Kowey P. Talati N. Nag D. Gummidipundi S.E. Beatty A. Hills M.T. Desai S. Granger C.B. Desai M. Turakhia M.P. Large-scale assessment of a smartwatch to identify atrial fibrillation. N. Engl. J. Med. 2019 381 20 1909 1917 10.1056/NEJMoa1901183 31722151
    [Google Scholar]
  37. Markwei M. Goje O. Optimizing mother–baby wellness during the 2019 coronavirus disease pandemic: A case for telemedicine. Wom. Health 2021 17 17455065211013262 10.1177/17455065211013262 33926323
    [Google Scholar]
  38. Varnfield M. Redd C. Stoney R.M. Higgins L. Scolari N. Warwick R. Iedema J. Rundle J. Dutton W. An mhealth system to support women with gestational diabetes mellitus: Feasibility and acceptability study. Diabetes Technol. Ther. 2021 23 5 358 366 10.1089/dia.2020.0509 33210954
    [Google Scholar]
  39. Moulaei K. Bahaadinbeigy K. Ghaffaripour Z. Ghaemi M.M. The design and evaluation of a mobile based application to facilitate self-care for pregnant women with preeclampsia during covid-19 prevalence. J. Biomed. Phys. Eng. 2021 11 4 551 560 10.31661/jbpe.v0i0.2103‑1294
    [Google Scholar]
  40. Moulaei K Sheikhtaheri A Ghafaripour Z Bahaadinbeigy K. The development and usability assessment of an mhealth application to encourage self‐care in pregnant women against COVID‐19. J. healthcare eng. 2021 2021 1 9968451 10.1155/2021/9968451
    [Google Scholar]
  41. Shorey S. Tan T.C. Thilagamangai Mathews J. Yu C.Y. Lim S.H. Shi L. Ng E.D. Chan Y.H. Law E. Chee C. Chong Y.S. Development of a supportive parenting app to improve parent and infant outcomes in the perinatal period: Development study. J. Med. Internet Res. 2021 23 12 e27033 10.2196/27033 36260376
    [Google Scholar]
  42. Hashemzahi M. Khayat S. Khazaeian S. Effect of COVID-19 self-care training via telemedicine on perceived stress and corona disease anxiety in pregnant women: A quasi-experimental study. J. Midw. Repro. Health. 2022 10 1
    [Google Scholar]
  43. Marshall C Gutierrez S Hecht H Logan R Kerns J Smith D.N Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future care. AJOG glob. rep. 2023 3 1 100139 10.1016/j.xagr.2022.100139
    [Google Scholar]
  44. Khademhosseini L. Farid M. Naeeni R.M. Kamrani A.M. Telemedicine and pregnancy care from the perspective of iranian pregnant women: A study based on the technology acceptance model. J. Nur. Midw. Sci. 2024 11 1 10.5812/jnms‑144773
    [Google Scholar]
  45. Sabetrohani H. Koohpayehzadeh J. Sheikhtaheri A. Goli S. Keramat A. Perspectives of mothers and providers regarding virtual care approaches during pregnancy in high and low-income countries: A meta-synthesis on qualitative studies. Health Soc. Care Comm. 2023 2023 1 16 10.1155/2023/4131618
    [Google Scholar]
  46. Xie W. Dai P. Qin Y. Wu M. Yang B. Yu X. Effectiveness of telemedicine for pregnant women with gestational diabetes mellitus: an updated meta-analysis of 32 randomized controlled trials with trial sequential analysis. BMC Preg. Childb. 2020 20 1 198 10.1186/s12884‑020‑02892‑1 32252676
    [Google Scholar]
  47. Nori W. Hameed B.H. Thamir A.R. Fadhil A. COVID-19 in pregnancy: Implication on platelets and blood indices. Rev. Bras. Ginecol. Obstet. 2021 43 8 595 599 10.1055/s‑0041‑1733912 34547793
    [Google Scholar]
  48. Obeid R.Z. Salman D.A. Abdul Ameer Jaafar Z. Maternal mortality in an Iraqi tertiary hospital: Lessons from the years of the crisis. Int. J. Women’s Health Reprod. Sci. 2020 8 4 362 367 10.15296/ijwhr.2020.58
    [Google Scholar]
  49. Wali R. Integration of telehealth in routine perinatal care: A model of care for primary healthcare clinics in saudi arabia. Cureus 2023 15 10 e47295 10.7759/cureus.47295 38021871
    [Google Scholar]
  50. Akram N.N. Nori W. Qaissi A.K.W. Hadi A.B.A. Multi-systemic inflammatory syndrome in childhood (MIS-C): A review article. J. Pak. Med. Assoc. 2021 71 12 S70 S73 35130265
    [Google Scholar]
  51. Quinn L.M. Olajide O. Green M. Sayed H. Ansar H. Patient and professional experiences with virtual antenatal clinics during the covid-19 pandemic in a uk tertiary obstetric hospital: Questionnaire study. J. Med. Internet Res. 2021 23 8 e25549 10.2196/25549 34254940
    [Google Scholar]
  52. Haimi M. The tragic paradoxical effect of telemedicine on healthcare disparities- a time for redemption: A narrative review. BMC Med. Inform. Decis. Mak. 2023 23 1 95 10.1186/s12911‑023‑02194‑4 37193960
    [Google Scholar]
  53. Acoba E.F. Social support and mental health: The mediating role of perceived stress. Front. Psychol. 2024 15 1330720 10.3389/fpsyg.2024.1330720 38449744
    [Google Scholar]
  54. Arilha M. Carvalho A.P. Forster T.A. Rodrigues C.V.M. Briguglio B. Serruya S.J. Women’s mental health and COVID-19: Increased vulnerability and inequalities. Front. Glob. Women’s Health 2024 5 1414355 10.3389/fgwh.2024.1414355 39416672
    [Google Scholar]
  55. Dutta S. More A. Mahajan S. Nawale N. Choudhary N. Shrivastava D. Assessment of reproductive health knowledge among college students in northwestern india: A cross-sectional study. Cureus 2024 16 2 e54681 10.7759/cureus.54681 38524049
    [Google Scholar]
  56. Akram N.N. Abed M.Y. Indications and outcome of albumin infusion in a neonatal population: A cross sectional study. J. Med. Chem. Sci. 2022 5 1 129 136
    [Google Scholar]
  57. Chipako I. Singhal S. Hollingsworth B. Impact of sexual and reproductive health interventions among young people in sub-Saharan Africa: A scoping review. Front. Glob. Women’s Health 2024 5 1344135 10.3389/fgwh.2024.1344135 38699461
    [Google Scholar]
  58. Benevides R. Chau K. Ousseini A. Innocent I. Simmons R. Engaging students to improve sexual and reproductive health: A report of the university leadership for change initiative in niger. Afr. J. Reprod. Health 2019 23 1 55 64 31034172
    [Google Scholar]
  59. Shrivastava S.R. Shrivastava P.S. Feedback in medical education. Must. Med. J.l 2022 21 2 93 95 10.4103/mj.mj_10_22
    [Google Scholar]
  60. Nikbakht V.M. Gheibi M. Montazeri H. Khaksar Y.R. Moezzi R. Vadiee A. Identification and ranking of factors affecting the delay risk of high-rise construction projects using AHP and VIKOR methods. Infrastructures 2024 9 2 24 10.3390/infrastructures9020024
    [Google Scholar]
  61. Mani I. Nandakumar M.B. Balakrishnan A.B. Rahamathulla M.P. Pandi M. Pandemic preparedness for COVID-19: Research, healthcare, and pharmaceutical perspectives. Coronaviruses 2024 5 1 e271023222887 10.2174/0126667975267350231025073121
    [Google Scholar]
  62. Sharad N. Srivastava S. Kiro V.V. Varma S. Srivastav S. Ningombam A. Malhotra R. Mathur P. Enterococcal infections: A comparative analysis between the pandemic and the pre-pandemic period. Coronaviruses 2024 5 1 e061123223224 10.2174/0126667975266889231102063923
    [Google Scholar]
  63. Dea B.D. Andrade F. Junior S.M.F. Self-perceived evaluation of prenatal care: A hierarchical analysis by the users of primary health care services in brazil. Rev. Bras. Saúde Mater. Infant. 2021 21 2 599 613 10.1590/1806‑93042021000200014
    [Google Scholar]
  64. Samanta S. Bandyopadhyay A. Bhattacherjee S. Dasgupta P. COVID-19 vaccine acceptance among pregnant women attending antenatal clinic in a tertiary care hospital of india. Must. Med. J. 2023 22 1 92 97 10.4103/mj.mj_2_23
    [Google Scholar]
  65. Taylor T. Simpson A.N. D’Souza R. Avoiding the echo‐chamber: embracing qualitative research in obstetrics and gynecology to amplify patient voices. Acta Obstet. Gynecol. Scand. 2022 101 7 702 704 10.1111/aogs.14346 35510937
    [Google Scholar]
  66. Tanhan A. Strack R.W. Online photovoice to explore and advocate for Muslim biopsychosocial spiritual wellbeing and issues: Ecological systems theory and ally development. Curr. Psychol. 2020 39 6 2010 2025 10.1007/s12144‑020‑00692‑6
    [Google Scholar]
  67. Otanga H. Tanhan A. Musılı P.M. Arslan G. Buluş M. Exploring college students’ biopsychosocial spiritual wellbeing and problems during COVID-19 through a contextual and comprehensive framework. Int. J. Ment. Health Addict. 2022 20 1 619 638 10.1007/s11469‑021‑00687‑9 34744531
    [Google Scholar]
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The Impact of the Coronavirus Pandemic on Telemedicine Evolution in Obstetrical Care During COVID-19
Bentham Science Publishers ; https://doi.org/10.2174/0126667975363969241210093406
/content/journals/covid/10.2174/0126667975363969241210093406
/content/journals/covid/10.2174/0126667975363969241210093406
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  • Article Type:     Review Article
Keywords: feto-maternal health ; outcome ; healthcare ; telemedicine ; COIVID-19 ; Pregnant ; satisfaction
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