Evidence map›Paper›PMID 36922841›Full record

Observational studyBMC health services research2023

Maternal and perinatal outcomes in mixed antenatal care modality implementing telemedicine in the southwestern region of Colombia during the COVID-19 pandemic.

María Fernanda Escobar, Juan Carlos Gallego, María Paula Echavarria, Paula Fernandez, Leandro Posada, Shirley Salazar, Isabella Gutierrez, Juliana Alarcon

Open access · goldFull text readObservational Study
In one paragraph

Observational study in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

María Fernanda EscobarHigh Complexity Obstetric Unit, Department of Obstetrics and Gynecology, Fundación Valle del Lili, Cra 98 Nro.18-49, 7600.2, Cali, Colombia. maria.escobar.vi@fvl.org.co.
Juan Carlos GallegoHigh Complexity Obstetric Unit, Department of Obstetrics and Gynecology, Fundación Valle del Lili, Cra 98 Nro.18-49, 7600.2, Cali, Colombia.
María Paula EchavarriaHigh Complexity Obstetric Unit, Department of Obstetrics and Gynecology, Fundación Valle del Lili, Cra 98 Nro.18-49, 7600.2, Cali, Colombia.
Paula FernandezDepartment of Obstetrics and Gynecology, School of Medicine, Universidad Icesi, Cali, Colombia.
Leandro PosadaDepartment of Obstetrics and Gynecology, School of Medicine, Universidad Icesi, Cali, Colombia.
Shirley SalazarDepartment of Obstetrics and Gynecology, School of Medicine, Universidad Icesi, Cali, Colombia.
Isabella GutierrezDepartment of Obstetrics and Gynecology, School of Medicine, Universidad Icesi, Cali, Colombia.
Juliana AlarconCentro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia.
Icesi University · COFundación Valle del Lili · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionContingency measures due to the COVID-19 pandemic limited access to routine prenatal care for pregnant women, increasing the risk of pregnancy complications due to poor prenatal follow-up, especially in those patients at high obstetric risk. This prompted the implementation and adaptation of telemedicine.

objectiveWe aim to evaluate the maternal and perinatal outcomes of patients who received prenatal care in-person and by telemedicine.

methodsWe conducted a retrospective observational cohort study of pregnant women who received exclusive in-person and alternate (telemedicine and in-person) care from March to December 20,202, determining each group's maternal and neonatal outcomes.

resultsA total of 1078 patients were included, 156 in the mixed group and 922 in the in-person group. The patients in the mixed group had a higher number of prenatal controls (8 (6-9) vs 6 (4-8) p < 0.001), with an earlier gestational age at onset (7.1 (6-8.5) vs 9.3 (6.6-20.3), p < 0.001), however, they required a longer hospital stay (26 (16,67%) vs 86 (9,33%), p = 0.002) compared to those attended in-person; there were no significant differences in the development of obstetric emergencies, maternal death or neonatal complications. DISCUSSION: Incorporating telemedicine mixed with in-person care could be considered as an alternative for antenatal follow-up of pregnant women in low- and middle-income countries with barriers to timely and quality health care access.

Indexed as

COVID-19TelemedicineColombiaFemaleHumansInfant, NewbornPandemicsPregnancyPrenatal CareRetrospective StudiesAntenatal careeHealthMaternal–Fetal medicineTelemedicine

Identifiers

PMID36922841
PMCPMC10017345
OpenAlexW4327675695

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read42
Read underepoch 390

Registered trials

None linked

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.