Improving Perinatal Care in the Rural Regions Worldwide by Wireless Enabled Antepartum Fetal Monitoring: A Demonstration Project
Background. Fetal and neonatal morbidity and mortality are significant problems in developing countries; remote maternal-fetal monitoring offers promise in addressing this challenge. The Gary and Mary West Health Institute and the Instituto Carlos...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | International Journal of Telemedicine and Applications |
| Online Access: | http://dx.doi.org/10.1155/2015/794180 |
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| author | Roberto Tapia-Conyer Shelley Lyford Rodrigo Saucedo Michael Casale Hector Gallardo Karen Becerra Jonathan Mack Ricardo Mujica Daniel Estrada Antonio Sanchez Ramon Sabido Carlos Meier Joseph Smith |
| author_facet | Roberto Tapia-Conyer Shelley Lyford Rodrigo Saucedo Michael Casale Hector Gallardo Karen Becerra Jonathan Mack Ricardo Mujica Daniel Estrada Antonio Sanchez Ramon Sabido Carlos Meier Joseph Smith |
| author_sort | Roberto Tapia-Conyer |
| collection | DOAJ |
| description | Background. Fetal and neonatal morbidity and mortality are significant problems
in developing countries; remote maternal-fetal monitoring offers promise in addressing this challenge.
The Gary and Mary West Health Institute and the
Instituto Carlos Slim de la Salud conducted a demonstration project of wirelessly
enabled antepartum maternal-fetal monitoring in the state of Yucatán, Mexico,
to assess whether there were any fundamental barriers preventing deployment and use.
Methods. Following informed consent, high-risk pregnant women at 27–29
weeks of gestation at the Chemax primary clinic participated in remote maternal-fetal monitoring.
Study participants were randomized to receive either prototype wireless monitoring or standard-of-care.
Feasibility was evaluated by assessing technical aspects of performance, adherence to monitoring
appointments, and response to recommendations. Results. Data were collected from
153 high-risk pregnant indigenous Mayan women receiving either remote monitoring (n=74) or usual standard-of-care (n=79). Remote monitoring resulted in markedly increased adherence (94.3% versus 45.1%).
Health outcomes were not statistically different in the two groups.
Conclusions. Remote maternal-fetal monitoring is
feasible in resource-constrained environments and can improve
maternal compliance for monitoring sessions. Improvement in maternal-fetal health outcomes
requires integration of such technology into sociocultural context and addressing
logistical challenges of access to appropriate emergency services. |
| format | Article |
| id | doaj-art-e974c829d08048c7802fd207598a3101 |
| institution | Kabale University |
| issn | 1687-6415 1687-6423 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Telemedicine and Applications |
| spelling | doaj-art-e974c829d08048c7802fd207598a31012025-02-03T05:44:30ZengWileyInternational Journal of Telemedicine and Applications1687-64151687-64232015-01-01201510.1155/2015/794180794180Improving Perinatal Care in the Rural Regions Worldwide by Wireless Enabled Antepartum Fetal Monitoring: A Demonstration ProjectRoberto Tapia-Conyer0Shelley Lyford1Rodrigo Saucedo2Michael Casale3Hector Gallardo4Karen Becerra5Jonathan Mack6Ricardo Mujica7Daniel Estrada8Antonio Sanchez9Ramon Sabido10Carlos Meier11Joseph Smith12Instituto Carlos Slim de la Salud, Insurgentes Sur 3500, 14060 Ciudad de México, DF, MexicoGary and Mary West Health Institute, 10350 N Torrey Pines Road, La Jolla, CA 92037, USAInstituto Carlos Slim de la Salud, Insurgentes Sur 3500, 14060 Ciudad de México, DF, MexicoGary and Mary West Health Institute, 10350 N Torrey Pines Road, La Jolla, CA 92037, USAInstituto Carlos Slim de la Salud, Insurgentes Sur 3500, 14060 Ciudad de México, DF, MexicoGary and Mary West Health Institute, 10350 N Torrey Pines Road, La Jolla, CA 92037, USAGary and Mary West Health Institute, 10350 N Torrey Pines Road, La Jolla, CA 92037, USAInstituto Carlos Slim de la Salud, Insurgentes Sur 3500, 14060 Ciudad de México, DF, MexicoGary and Mary West Health Institute, 10350 N Torrey Pines Road, La Jolla, CA 92037, USAServicios de Salud de Yucatán, Calle 72, No. 463 Entre 53 y 55, Centro, 97000 Merida, YUC, MexicoServicios de Salud de Yucatán, Calle 72, No. 463 Entre 53 y 55, Centro, 97000 Merida, YUC, MexicoGary and Mary West Health Institute, 10350 N Torrey Pines Road, La Jolla, CA 92037, USAGary and Mary West Health Institute, 10350 N Torrey Pines Road, La Jolla, CA 92037, USABackground. Fetal and neonatal morbidity and mortality are significant problems in developing countries; remote maternal-fetal monitoring offers promise in addressing this challenge. The Gary and Mary West Health Institute and the Instituto Carlos Slim de la Salud conducted a demonstration project of wirelessly enabled antepartum maternal-fetal monitoring in the state of Yucatán, Mexico, to assess whether there were any fundamental barriers preventing deployment and use. Methods. Following informed consent, high-risk pregnant women at 27–29 weeks of gestation at the Chemax primary clinic participated in remote maternal-fetal monitoring. Study participants were randomized to receive either prototype wireless monitoring or standard-of-care. Feasibility was evaluated by assessing technical aspects of performance, adherence to monitoring appointments, and response to recommendations. Results. Data were collected from 153 high-risk pregnant indigenous Mayan women receiving either remote monitoring (n=74) or usual standard-of-care (n=79). Remote monitoring resulted in markedly increased adherence (94.3% versus 45.1%). Health outcomes were not statistically different in the two groups. Conclusions. Remote maternal-fetal monitoring is feasible in resource-constrained environments and can improve maternal compliance for monitoring sessions. Improvement in maternal-fetal health outcomes requires integration of such technology into sociocultural context and addressing logistical challenges of access to appropriate emergency services.http://dx.doi.org/10.1155/2015/794180 |
| spellingShingle | Roberto Tapia-Conyer Shelley Lyford Rodrigo Saucedo Michael Casale Hector Gallardo Karen Becerra Jonathan Mack Ricardo Mujica Daniel Estrada Antonio Sanchez Ramon Sabido Carlos Meier Joseph Smith Improving Perinatal Care in the Rural Regions Worldwide by Wireless Enabled Antepartum Fetal Monitoring: A Demonstration Project International Journal of Telemedicine and Applications |
| title | Improving Perinatal Care in the Rural Regions Worldwide by Wireless Enabled Antepartum Fetal Monitoring: A Demonstration Project |
| title_full | Improving Perinatal Care in the Rural Regions Worldwide by Wireless Enabled Antepartum Fetal Monitoring: A Demonstration Project |
| title_fullStr | Improving Perinatal Care in the Rural Regions Worldwide by Wireless Enabled Antepartum Fetal Monitoring: A Demonstration Project |
| title_full_unstemmed | Improving Perinatal Care in the Rural Regions Worldwide by Wireless Enabled Antepartum Fetal Monitoring: A Demonstration Project |
| title_short | Improving Perinatal Care in the Rural Regions Worldwide by Wireless Enabled Antepartum Fetal Monitoring: A Demonstration Project |
| title_sort | improving perinatal care in the rural regions worldwide by wireless enabled antepartum fetal monitoring a demonstration project |
| url | http://dx.doi.org/10.1155/2015/794180 |
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