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A New Multiplatform Model for Outpatient Prenatal and Postpartum Care in a Cohort of COVID-19-Affected Obstetric Patients
Spain was one of the epicenters of the first wave of the COVID-19 pandemic. We describe in this article the design and results of a new telephone-and-telematic multiplatform model of systematic prenatal and postpartum follow-up for COVID-19-affected women implemented in a tertiary reference hospital...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8152008/ https://www.ncbi.nlm.nih.gov/pubmed/34066255 http://dx.doi.org/10.3390/ijerph18105144 |
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author | Gutiérrez, Mar Muñoz-Chápuli Durán-Vila, Ana Ruiz-Labarta, Javier Payá-Martínez, Pilar Pintado Recarte, Pilar Bujan, Julia Ortega, Miguel A. De León-Luis, Juan |
author_facet | Gutiérrez, Mar Muñoz-Chápuli Durán-Vila, Ana Ruiz-Labarta, Javier Payá-Martínez, Pilar Pintado Recarte, Pilar Bujan, Julia Ortega, Miguel A. De León-Luis, Juan |
author_sort | Gutiérrez, Mar Muñoz-Chápuli |
collection | PubMed |
description | Spain was one of the epicenters of the first wave of the COVID-19 pandemic. We describe in this article the design and results of a new telephone-and-telematic multiplatform model of systematic prenatal and postpartum follow-up for COVID-19-affected women implemented in a tertiary reference hospital in Madrid. We included patients with RT-PCR-confirmed COVID-19 during pregnancy or delivery from 10 March 2020 to 15 December 2020. We had a total of 211 obstetric patients: 148 (70.1%) were tested at the onset of suspicious clinical manifestations and 62 (29.4%) were tested in the context of routine screening. Of all the patients, 60 women (28.4%) were asymptomatic and 97 (46%) presented mild symptoms. Fifty-one women (24.2%) were admitted to our hospital for specific treatment because of moderate or severe symptoms. We had no missed cases and a good adherence. The mean number of calls per patient was 2.3. We performed 55 in-person visits. We analyzed the complexity of our program over time, showing a two-wave-like pattern. One patient was identified as needing hospitalization and we did not record major morbidity. Telemedicine programs are a strong and reproducible tool to reach to pregnant population affected by COVID-19, to assess its symptoms and severity, and to record for pregnancy-related symptoms both in an outpatient regime and after discharge from hospital. |
format | Online Article Text |
id | pubmed-8152008 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-81520082021-05-27 A New Multiplatform Model for Outpatient Prenatal and Postpartum Care in a Cohort of COVID-19-Affected Obstetric Patients Gutiérrez, Mar Muñoz-Chápuli Durán-Vila, Ana Ruiz-Labarta, Javier Payá-Martínez, Pilar Pintado Recarte, Pilar Bujan, Julia Ortega, Miguel A. De León-Luis, Juan Int J Environ Res Public Health Article Spain was one of the epicenters of the first wave of the COVID-19 pandemic. We describe in this article the design and results of a new telephone-and-telematic multiplatform model of systematic prenatal and postpartum follow-up for COVID-19-affected women implemented in a tertiary reference hospital in Madrid. We included patients with RT-PCR-confirmed COVID-19 during pregnancy or delivery from 10 March 2020 to 15 December 2020. We had a total of 211 obstetric patients: 148 (70.1%) were tested at the onset of suspicious clinical manifestations and 62 (29.4%) were tested in the context of routine screening. Of all the patients, 60 women (28.4%) were asymptomatic and 97 (46%) presented mild symptoms. Fifty-one women (24.2%) were admitted to our hospital for specific treatment because of moderate or severe symptoms. We had no missed cases and a good adherence. The mean number of calls per patient was 2.3. We performed 55 in-person visits. We analyzed the complexity of our program over time, showing a two-wave-like pattern. One patient was identified as needing hospitalization and we did not record major morbidity. Telemedicine programs are a strong and reproducible tool to reach to pregnant population affected by COVID-19, to assess its symptoms and severity, and to record for pregnancy-related symptoms both in an outpatient regime and after discharge from hospital. MDPI 2021-05-12 /pmc/articles/PMC8152008/ /pubmed/34066255 http://dx.doi.org/10.3390/ijerph18105144 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Gutiérrez, Mar Muñoz-Chápuli Durán-Vila, Ana Ruiz-Labarta, Javier Payá-Martínez, Pilar Pintado Recarte, Pilar Bujan, Julia Ortega, Miguel A. De León-Luis, Juan A New Multiplatform Model for Outpatient Prenatal and Postpartum Care in a Cohort of COVID-19-Affected Obstetric Patients |
title | A New Multiplatform Model for Outpatient Prenatal and Postpartum Care in a Cohort of COVID-19-Affected Obstetric Patients |
title_full | A New Multiplatform Model for Outpatient Prenatal and Postpartum Care in a Cohort of COVID-19-Affected Obstetric Patients |
title_fullStr | A New Multiplatform Model for Outpatient Prenatal and Postpartum Care in a Cohort of COVID-19-Affected Obstetric Patients |
title_full_unstemmed | A New Multiplatform Model for Outpatient Prenatal and Postpartum Care in a Cohort of COVID-19-Affected Obstetric Patients |
title_short | A New Multiplatform Model for Outpatient Prenatal and Postpartum Care in a Cohort of COVID-19-Affected Obstetric Patients |
title_sort | new multiplatform model for outpatient prenatal and postpartum care in a cohort of covid-19-affected obstetric patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8152008/ https://www.ncbi.nlm.nih.gov/pubmed/34066255 http://dx.doi.org/10.3390/ijerph18105144 |
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