ArticleBMC pregnancy and childbirth2022
Experience of a telehealth and education program with maternal and perinatal outcomes in a low-resource region in Colombia.
Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Digital health interventions for hypertension in pregnant and perinatal women in low- and middle-income countries: a scoping review.BMC pregnancy and childbirth · 2026Article
- Advances and Challenges in Obstetric Intensive Care Medicine.Journal of clinical medicine · 2026Review
- A consensus-based evaluation framework for telehealth in resource-constrained settings: evidence from a community Delphi study in Colombia.Frontiers in digital health · 2026Article
- Digital Health Interventions in Emergency Obstetric and Newborn Care Services in Low- and Middle-Income Countries: Scoping Review.Journal of medical Internet research · 2025Article
- A scoping review of digital technologies in antenatal care: recent progress and applications of digital technologies.BMC pregnancy and childbirth · 2025Article
- Article
- Hospital padrino: a collaborative strategy model to tackle maternal mortality: a mixed methods study in a middle-income region.Lancet regional health. Americas · 2024Article
- Article
- Universal Screening for SARS-CoV-2 in Obstetric Care: Clinical Characteristics and Maternofetal Outcomes in a Latin American High-Complexity Unit.Journal of patient experience · 2023Article
- The use and role of telemedicine in maternal fetal medicine around the world: an up-to-date.Health and technology · 2023Review
- Predictors of Adherence to an Online Prenatal Education Course for Pregnant Women: A Retrospective Cohort Study.SAGE open nursingArticle
- The use of digital solutions for the reduction of maternal and perinatal mortality: A systematic review.Digital healthReview
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Authors and funding
10 authors.
Funding
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Abstract
introductionMaternal morbidity and mortality rates associated with perinatal care remain a significant public health concern. Rural populations from low and middle-income countries have multiple barriers to access that contribute to a lack of adherence to prenatal care, and high rates of maternal mortality and morbidity. An intervention model based on telehealth and education was implemented between a tertiary high complex care hospital and a second-level hospital from a limited source region.
objectivesWe sought to identify an association in maternal and perinatal care quality indicators after implementing a model based on telehealth and education for patients with obstetric emergencies between two hospitals in a southwestern region of Colombia.
methodsWe conducted an ecological study between 2017 and 2019 to compare before and after obstetric emergency care through telemedicine from a secondary care center (Hospital Francisco de Paula Santander-HFPS) to the referral center (Fundación Valle del Lili-FVL). The intervention included verification visits to determine the installed capacity of care, a concerted improvement plan, and on-site educational training modules in obstetric and perinatal care.
resultsThere were 102 and 148 patients treated before and after telemedicine implementation respectively. Clinical indicators after model implementation showed a reduction in perinatal mortality of 29%. In addition, a reduction in the need for transfusion of blood products due to postpartum hemorrhage was observed as well as the rate of eclampsia.
conclusionsImplementing a model based on telehealth and education between secondary and tertiary care centers allowed the strengthening of the security of care in obstetric emergencies and had a positive effect on perinatal mortality.
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