Nieto-Calvache, Albaro José;
Fox, Karin A;
Jauniaux, Eric;
Maya, Juliana;
Stefanovic, Vedran;
Weizsäcker, Katharina;
Van Beekhuizen, Heleen;
... International Society for PAS (IS‐PAS) LMIC Working Group; + view all
(2024)
Is telehealth useful in the management of placenta accreta spectrum in low-resource settings? Results of an exploratory survey.
International Journal of Gynecology & Obstetrics
10.1002/ijgo.15474.
(In press).
Preview |
Text
Jauniaux_Telehealt for PAS accepted version.pdf Download (318kB) | Preview |
Abstract
Objective: The optimal management of placenta accreta spectrum (PAS) requires the participation of multidisciplinary teams that are often not locally available in low-resource settings. Telehealth has been increasingly used to manage complex obstetric conditions. Few studies have explored the use of telehealth for PAS management, and we aimed evaluate the usage of telehealth in the management of PAS patients in low-resource settings. // Methods: Between March and April 2023, an observational, survey-based study was conducted, and obstetricians-gynecologists with expertise in PAS management in low- and middle-income countries were contacted to share their opinion on the potential use of telehealth for the diagnosis and management of patients at high-risk of PAS at birth. Participants were identified based on their authorship of at least one published clinical study on PAS in the last 5 years and contacted by email. This is a secondary analysis of the results of that survey. // Results: From 158 authors contacted we obtained 65 responses from participants in 27 middle-income countries. A third of the participants reported the use of telehealth during the management obstetric emergencies (38.5%, n = 25) and PAS (36.9%, n = 24). Over 70% of those surveyed indicated that they had used “informal” telemedicine (phone call, email, or text message) during PAS management. Fifty-nine participants (90.8%) reported that recommendations given remotely by expert colleagues were useful for management of patients with PAS in their setting. // Conclusion: Telehealth has been successfully used for the management of PAS in middle-income countries, and our survey indicates that it could support the development of specialist care in other low resource settings.
| Type: | Article |
|---|---|
| Title: | Is telehealth useful in the management of placenta accreta spectrum in low-resource settings? Results of an exploratory survey |
| Location: | United States |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1002/ijgo.15474 |
| Publisher version: | http://dx.doi.org/10.1002/ijgo.15474 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | e-health; low- and middle-income countries; m-health; placenta accreta spectrum; telehealth; telemedicine |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health > Reproductive Health |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10190069 |
Archive Staff Only
 |
View Item |
