Tele-follow-up in obstetrics: the problem state and prospects

DOI

https://dx.doi.org/10.18565/aig.2021.9.12-20

Taskina V.Yu., Demkina A.E., Vladzimirsky A.V., Morozov S.P., Shkoda A.S., Gazashvili T.M., Yakovleva I.V., Shuvalova M.P., Kholin A.M.
1) Research and Practical Clinical Center for Diagnosis and Telemedicine Technologies, Moscow Healthcare Department, Moscow, Russia; 2) L.A. Vorokhobov City Clinical Hospital No. 67, Moscow Healthcare Department, Moscow, Russia; 3) M.V. Lomonosov Moscow State University, Moscow, Russia; 4) Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation, Moscow, Russia

The key task of a follow-up in obstetric practice is to monitor maternal and fetal health parameters with early detection of deviations from their normative values throughout pregnancy and in the postpartum period. This makes it possible to make timely decisions regarding interventions aimed at preventing adverse outcomes for both the mother and her child. Taking into account the existing shortage of healthcare workers, the limited capabilities of the medical infrastructure, an uneven population density, and availability of health care in various regions of the Russian Federation, the task of ensuring monitoring during pregnancy becomes particularly relevant. The above problem can be effectively solved by using such a rapidly developing telemedicine technology, such as tele-follow-up (TFU). The data available in the literature indicate the safety, acceptability and effectiveness of TFU in obstetric practice, which provides early detection of the complications of pregnancy, an improved control over its course, and a lower risk for adverse maternal and fetal outcomes. TFU is designed to increase the availability and quality of health care, to improve the effectiveness of decision-making, and to reduce the economic costs of pregnancy management.
Conclusion: Further large-scale prospective studies based on the principles of evidence-based medicine will be able to confirm the validity of TFN introduction in obstetric practice as an effective telemedicine technology. Along with this, there is a need to solve the organizational and methodological issues related to the elaboration of algorithms for telemetric follow-up, to the reasonable formation of payment rates for telemedicine services, to the overcoming of the shortage of qualified personnel, by training specialized healthcare professionals to work under the conditions of using modern telemedicine technologies.

tele-follow-up

telemonitoring

telemetry

remote monitoring

pregnancy

hypertension

gestational diabetes

cardiotocography

Full text (in Russian)

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Received 01.04.2021

Accepted 07.02.2020

Varvara Yu. Taskina, PhD, Junior Researcher of the Telemedicine Research Projects Sector, Scientific and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Department of Health of the City of Moscow, v.taskina@npcmr.ru, https://orcid.org/0000-0003-4452-7667, 127051, Russia, Moscow, Petrovka str., 24-1.
Alexandra E. Demkina, PhD, Head of the Telemedicine Research Projects Sector, Scientific and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow City Health Department, a.demkina@npcmr.ru, https://orcid.org/0000-0001-8004-9725, 127051, Russia, Moscow, Petrovka str., 24-1.
Anton V. Vladzimirsky, Dr. Med. Sci., Deputy Director, Scientific and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Department
of Healthcare of the City of Moscow, https://orcid.org/0000-0002-2990-7736, 127051, Russia, Moscow, Petrovka str., 24-1.
Sergey P. Morozov, Dr. Med. Sci., Professor, Director, Scientific and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Department of Healthcare of the City of Moscow, https://orcid.org/0000-0001-6545-6170, 127051, Russia, Moscow, Petrovka str., 24-1.
Andrey S. Skoda, Dr. Med. Sci., Professor, Chief Physician, L.A. Vorokhobov City Clinical Hospital No. 67 Department of Health of the City of Moscow, a.shkoda@67gkb.ru, https://orcid.org/0000-0002-9783-1796, 123423, Russia, Moscow, Salam Adil str., 2/44.
Tamara M. Gazashvili, Head of the Center for Instrumental Diagnostics, L.A. Vorokhobov City Clinical Hospital No. 67 Department of Health of the City of Moscow, tamaradoc24@gmail.com, https://orcid.org/0000-0002-5875-9699, 123423, Russia, Moscow, Salam Adil str., 2/44.
Irina V. Yakovleva, PhD. (Social Sciences), Senior Lecturer at the Faculty of Public Administration, Lomonosov Moscow State University; staff member of the Telemedicine Department of the Department of Regional Cooperation and Integration, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation, yakovleva@spa.msu.ru, https://orcid.org/0000-0002-1332-6419, 117997, Russia, Moscow, Oparina str., 4.
Marina P. Shuvalova, PhD, Deputy Director, Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health
of the Russian Federation, m_shuvalova@oparina4.ru, https://orcid.org/0000-0002-6361-9383, 117997, Russia, Moscow, Oparina str., 4.
Alexey M. Kholin, Head of the Telemedicine Department of the Department of Regional Cooperation and Integration, Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation, a_kholin@oparina4.ru, https://orcid.org/0000-0002-4068-9805,
117997, Russia, Moscow, Oparina str., 4.
Corresponding author: Varvara Yu. Taskina, v.taskina@npcmr.ru

Authors' contributions: Demkina A.E., Taskina V.Yu., Vladzimirsky A.V., Morozov S.P. – concept and design of the investigation; Taskina V.Yu., KholinA.M. – selection of literary sources; Taskina V.Yu. – writing the text; Demkina A.E., Vladzimirsky A.V., Morozov S.P., Kholin A.M., Shuvalova M.P., Shkoda A.S., Gazashvili T.M. – editing the text; Yakovleva I.V. – selection of literary sources, editing.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: This article has been prepared by the collaborating writing team as part of the research (EGISU No.: AAAA-A20-120071090050-1) in accordance with the Moscow Healthcare Department Program “Scientific support of metropolitan healthcare” for 2020-2022.

For citation: Taskina V.Yu., Demkina A.E., Vladzimirsky A.V., Morozov S.P., Shkoda A.S., Gazashvili T.M., Yakovleva I.V., Shuvalova M.P., Kholin A.M. Tele-follow-up in obstetrics: the problem state and prospects.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 9: 12-20 (in Russian)
https://dx.doi.org/10.18565/aig.2021.9.12-20

Tele-follow-up in obstetrics: the problem state and prospects

Taskina V.Yu., Demkina A.E., Vladzimirsky A.V., Morozov S.P., Shkoda A.S., Gazashvili T.M., Yakovleva I.V., Shuvalova M.P., Kholin A.M.

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