scholarly journals The incorporation of telehealth in high-risk pregnancy follow-up needs tailored optimized care scheduled in a strict care protocol

Author(s):  
L. Carbillon ◽  
A. Benbara ◽  
M. Fermaut
2019 ◽  
Vol 72 (suppl 3) ◽  
pp. 204-211
Author(s):  
Fabiana Fontana Medeiros ◽  
Izabel Dayana de Lemos Santos ◽  
Rosângela Aparecida Pimenta Ferrari ◽  
Deise Serafim ◽  
Sandra Mara Maciel ◽  
...  

ABSTRACT Objective: to analyze the prenatal follow-up of high-risk pregnancy in the public service. Method: an analytical cross-sectional study carried out in a public maternity hospital in the South of Brazil, during the hospitalization of 319 postpartum women using a semi-structured tool for transcription of the prenatal card records and interview. The data were analyzed using the Chi-Square test (p≤0.05). Results: the adequacy of prenatal care was high (74%); 22.6% intermediate; 3.4% inefficient. Prenatal care had high coverage (100%), early onset (81.5%) and six or more visits (92.4%), but (77.4%) did not receive information about gestational disease and examinations (69.3%). There was statistical significance between the quality of prenatal care and the place of prenatal care (p=0.005). Conclusion: the need to implement a specific protocol for high-risk gestation and continuous education to the teams was evidenced.


Rarely does a pregnancy happen without any complication. The majority of these problems are minor and due to normal anatomical and physiological changes occurring during pregnancy. However, some are more serious and require medical attention. Certain conditions that are specific to pregnancy and occur during pregnancy classify it as a high-risk pregnancy. A high-risk pregnancy is closely monitored with antenatal check-ups and possibly an additional care. In labour, certain obstetric complications require an immediate intervention. A high-quality antenatal care means that potentially serious conditions are usually successfully managed, both during pregnancy and in labour. Post-delivery problems, either to baby or to mother, may also need medical attention with careful follow-up and sometimes referral. Thus, providing good antenatal care, finding appropriate ways of preventing, and dealing with consequences of unwanted pregnancies and improving the way society looks after pregnant women are the three most important ways to reduce maternal mortality in high risk pregnancies.


GYNECOLOGY ◽  
2014 ◽  
Vol 16 (1) ◽  
pp. 86-92
Author(s):  
I.V. Bakhareva ◽  

Midwifery ◽  
2011 ◽  
Vol 27 (4) ◽  
pp. 452-457 ◽  
Author(s):  
Heather A. Simmons ◽  
Lisa S. Goldberg

Blood ◽  
2013 ◽  
Vol 121 (11) ◽  
pp. 2127-2134 ◽  
Author(s):  
Jianzhong An ◽  
Magarya S. Waitara ◽  
Michelle Bordas ◽  
Vidhyalakshmi Arumugam ◽  
Raymond G. Hoffmann ◽  
...  

Key Points Heparin may have beneficial effects on placental health beyond anticoagulation. Thrombin receptor activation on maternal platelets is implicated in placental developmental failure independent of thrombosis.


2000 ◽  
Vol 14 (5) ◽  
pp. 1133-1150 ◽  
Author(s):  
Lothar Heilmann ◽  
Dirk M. Schneider ◽  
Georg-Friedrich von Tempelhoff

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