About: Telehealth for High-Risk Pregnancies in the Setting of the COVID-19 Pandemic

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About: Telehealth for High-Risk Pregnancies in the Setting of the COVID-19 Pandemic Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Telehealth for High-Risk Pregnancies in the Setting of the COVID-19 Pandemic
Creator	Miller, Russell Baptiste, Caitlin D'alton, Mary Fuchs, Karin Goffman, Dena Gyamfi-Bannerman, Cynthia Haythe, Jennifer Aubey, Janice Aziz, Aleha Emeruwa, Ukachi Friedman, Alexander Madden, Nigel Miller, Eliza Monk, Catherine Moroz, Leslie Ona, Samsiya Ring, Laurence Sheen, Jean-Ju Simpson, Lynn Spiegel, Erica Yates, Hope Zork, Noelia Lasala, Anita
Source	Medline; PMC
abstract	As New York City became an international epicenter of the novel coronavirus disease 2019 (COVID-19) pandemic, telehealth was rapidly integrated into prenatal care at Columbia University Irving Medical Center, an academic hospital system in Manhattan. Goals of implementation were to consolidate in-person prenatal screening, surveillance, and examinations into fewer in-person visits while maintaining patient access to ongoing antenatal care and subspecialty consultations via telehealth virtual visits. The rationale for this change was to minimize patient travel and thus risk for COVID-19 exposure. Because a large portion of obstetric patients had underlying medical or fetal conditions placing them at increased risk for adverse outcomes, prenatal care telehealth regimens were tailored for increased surveillance and/or counseling. Based on the incorporation of telehealth into prenatal care for high-risk patients, specific recommendations are made for the following conditions, clinical scenarios, and services: (1) hypertensive disorders of pregnancy including preeclampsia, gestational hypertension, and chronic hypertension; (2) pregestational and gestational diabetes mellitus; (3) maternal cardiovascular disease; (4) maternal neurologic conditions; (5) history of preterm birth and poor obstetrical history including prior stillbirth; (6) fetal conditions such as intrauterine growth restriction, congenital anomalies, and multiple gestations including monochorionic placentation; (7) genetic counseling; (8) mental health services; (9) obstetric anesthesia consultations; and (10) postpartum care. While telehealth virtual visits do not fully replace in-person encounters during prenatal care, they do offer a means of reducing potential patient and provider exposure to COVID-19 while providing consolidated in-person testing and services. Key Points: Telehealth for prenatal care is feasible. Telehealth may reduce coronavirus exposure during prenatal care. Telehealth should be tailored for high risk prenatal patients.
has issue date	2020-05-12(xsd:dateTime)
bibo:doi	10.1055/s-0040-1712121
bibo:pmid	32396948
has license	no-cc
sha1sum (hex)	6fd41aabbfda71893602380d1db1f723f04620b0
schema:url	https://doi.org/10.1055/s-0040-1712121
resource representing a document's title	Telehealth for High-Risk Pregnancies in the Setting of the COVID-19 Pandemic
has PubMed Central identifier	PMC7356069
has PubMed identifier	32396948
schema:publication	Am J Perinatol
resource representing a document's body	covid:6fd41aabbfda71893602380d1db1f723f04620b0#body_text
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