ArticleArchives of gynecology and obstetrics2012
Evolving trends in maternal fetal medicine referrals in a rural state using telemedicine.
Article in Archives of gynecology and obstetrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Effectiveness of Telehealth Interventions for Women With Postpartum Depression: Systematic Review and Meta-analysis.JMIR mHealth and uHealth · 2021Pooled it
- Telehealth and maternal referral services: A systematic review and meta-analysis.Women's health (London, England)Pooled it
- Use of Maternal-Fetal Medicine Subspecialist Services by Commercially Insured Pregnant People.JAMA network open · 2025Article
- Disparities in Maternal Health Visits Between Rural and Urban Communities in the United States, 2016-2018.The Permanente journal · 2024Article
- Factors Associated with First-Time Telehealth Utilization for Marshallese Living in the United States.Telemedicine reports · 2021Article
- Towards a better understanding of risk selection in maternal and newborn care: A systematic scoping review.PloS one · 2020Article
- Location of childbirth for rural women: implications for maternal levels of care.American journal of obstetrics and gynecology · 2016Article
- Addressing health disparities in rural communities using telehealth.Pediatric research · 2016Review
- A Family Medicine Health Technology Strategy for Achieving the Triple Aim for US Health Care.Family medicine · 2015Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo determine maternal fetal medicine (MFM) referral trends in a Medicaid population over time. STUDY
designSixteen clinical guidelines and 23 clinical conditions were identified where co-management/consultation with MFM specialist is recommended. Linked Medicaid claims and birth certificate data for 2001-2006 were used to identify pregnancies with these conditions and whether they received co-management/consultation from a MFM specialist.
resultsBetween 2001 and 2006, there were 108,703 pregnancies with delivery of 110,890 neonates. Forty-five percent had one or more of the conditions identified for co-management/consultation. Overall pregnancies receiving MFM contact remained unchanged at 22.2% in 2001 and 22.1% in 2006. However, face to face contacts decreased from 14.6% (2001) to 8.7% (2006) while telemedicine consults increased from 7.6% (2001) to 13.3% (2006). Health departments were most likely and family practitioners least likely to refer to MFM (p<0.001). Pregnancy complications leading to MFM referrals include cardiac complications, renal disease, systemic disorders, PPROM, suspected fetal abnormalities, and cervical insufficiency.
conclusionReferral of high-risk pregnancies to MFMs varies with the level of expertise at the primary prenatal site. Increased contact between MFMs and local providers increased MFM referrals.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.