RESUMEN
OBJECTIVE: This study aimed to describe the characteristics of a telemonitoring program that was rapidly implemented in our institution as a response to the coronavirus disease 2019 (COVID-19) pandemic, as well as the maternal and perinatal outcomes of women who attended this program. STUDY: DESIGN: Retrospective study of patients via phone-call telemonitoring during the peak period of the COVID-19 pandemic (May 2020-August 2020). Maternal and perinatal outcomes were collected and described. Health providers' satisfaction with the telemonitoring program was assessed via an email survey. RESULTS: Twenty-three (69.7%) health providers answered the survey. The mean age was 64.5 years, 91.3% were OB/GYN (obstetrician-gynecologist) doctors, and 95% agreed that telemonitoring is an adequate method to provide health care when in-person visits are difficult. The 78.7% of scheduled telemonitoring consultations were finally completed. We performed 2,181 telemonitoring consultations for 616 pregnant women and 544 telemonitoring consultations for puerperal women. Other medical specialties offering telemonitoring included gynecology, reproductive health, family planning, cardiology, endocrinology, and following up with patients with reactive serology to severe respiratory syndrome coronavirus 2 (SARS-CoV-2). The majority of the population attending our telemonitoring program were categorized as the lowest strata, i.e., III and IV, according to the Human Development Index, and approximately 42% were deemed as high-risk pregnant women. Additionally, we reported the perinatal outcomes of 424 (63%) pregnant women, the most relevant finding being that approximately 53% of them had cesarean sections. CONCLUSION: Telemonitoring is an adequate method of continuing the provision of prenatal care when in-person visits are difficult in situations such as the COVID-19 pandemic. Telemonitoring is feasible even in institutions with no or little experience in telemedicine. The perinatal outcomes in women with telemonitoring seem to be similar to that in the general population. KEY POINTS: · Telemonitoring for prenatal care is feasible even in low-income countries and in a critical scenario.. · OB/GYN doctors agreed with that telemonitoring is an adequate method to provide prenatal care.. · Maternal and perinatal outcomes are similar in women attending a telemonitoring program..
Asunto(s)
COVID-19 , Pandemias , Humanos , Femenino , Embarazo , Persona de Mediana Edad , Pandemias/prevención & control , SARS-CoV-2 , Estudios Retrospectivos , Perú/epidemiologíaRESUMEN
Introducción: Los implantes subdérmicos, forman parte de las tecnologías anticonceptivas ofrecidas por el sistema de salud en el Perú. Objetivo: Identificar las características socio-reproductivas de las usuarias del implante subdérmico. Diseño: Estudio descriptivo, retrospectivo, transversal. Lugar: Consultorio de Planificación Familiar del Instituto Nacional Materno Perinatal. Participantes: 669 usuarias del implante subdérmico de planificación familiar atendidas entre enero a diciembre del 2015. Intervenciones: La técnica de recolección de datos fue documental y el instrumento para la recolección fue una ficha de datos, se midieron: edad, estado civil, grado de instrucción y procedencia. Las variables reproductivas fueron: edad de inicio de relaciones sexuales, número de parejas sexuales, paridad, número de cesáreas, número de abortos, término de la última gestación, periodo intergenésico, riesgo reproductivo, método anticonceptivo anterior, motivo de retiro más frecuente, tiempo de uso del implante y nuevo método anticonceptivo que elige la usuaria, Para el análisis de datos se utilizó el software Microsoft Excel para Windows, agrupando las variables según su condición de ordinal o nominal. Resultados: La edad promedio fue 25,47±5,6 años, 78,92 por ciento entre 20 - 34 años, convivientes (72,74 por ciento), y usuarias del quintil IV: 54,68 por ciento. El 66,72 por ciento, inició actividad sexual entre 12 y 18 años. Las usuarias tienen entre 1 a 3 hijos (93,73 por ciento) y no tienen antecedentes de abortos (66,18 por ciento), ni partos pretérminos (98,35 por ciento); con un periodo intergenésico menor a 2 años (92,16 por ciento), y de alto riesgo (76,39 por ciento), no usaban algún método anticonceptivo previo al implante (74,01 por ciento) y el motivo frecuente de discontinuación fue por efectos secundarios (68 por ciento). Conclusiones: La usuaria del implante subdérmico tiene una edad promedio de 25 años, convivientes y provenían de distritos que...
Introduction: Subdermal implants are part of contraceptive technologies offered by the health system in Peru. Objective: Identify socio-reproductive of users of subdermal implant characteristics. Design: descriptive, retrospective, cross-sectional study. Location: Office of Family Planning National Maternal Perinatal Institute. Participants: 669 users attended the subdermal implant family planning from January to December 2015. Interventions: The data collection technique was documentary and instrument for collecting data was a token were measured: age, marital status, level of education and origin. Reproductive variables were: age at first intercourse, number of sexual partners, parity, number of caesarean sections, number of abortions, the end of the last pregnancy, intergenesic period, reproductive risk, previous contraceptive method, reason for withdrawal more frequent, time use of new contraceptive implant and the user chooses, for data analysis Microsoft Excel software for Windows was used, grouping the variables according to their condition ordinal or nominal. Results: The average age was 25.47 ± 5.6 years, 78.92 per cent between 20-34 years, cohabitants (72.74 per cent), and users of quintile IV: 54.68 per cent. The 66.72 per cent initiated sexual activity; between 12 and 18 years. Users are between one to three children (93.73 per cent) and no history of abortions (66.18 per cent), and preterm births (98.35 per cent); with less than 2 years (92.16 per cent) intergenesic period and high risk (76.39 per cent), did not use any contraceptive method prior to implantation (74.01 per cent) and frequent reason for discontinuation it was due to side effects (68 per cent). Conclusions: The user of subdermal implant has an average age of 25 years, cohabitants and carne from districts that belonged to the fourth quintile. As for reproductive characteristics are between one to three children, with no history of abortion or preterm delivery with less than two...