Reducing Infant Mortality Using Telemedicine and Implementation Science

Obstet Gynecol Clin North Am. 2020 Jun;47(2):341-352. doi: 10.1016/j.ogc.2020.02.010.

Abstract

Optimal perinatal regionalization is a proven evidence-based strategy to lower infant mortality. Telemedicine can engage community stakeholders, providers, and patients to facilitate optimal perinatal regionalization leading to lower infant mortality. Rural community caregivers and administrators can participate in forming optimal perinatal guidelines without leaving their community. The visual picture created by telemedicine facilitates better transport decisions; ensuring infants who are transferred to larger centers truly need it while supporting smaller nurseries by providing better consultation services and back transport of patients when appropriate. Telemedicine can also provide educational opportunities to community practices, leading to better evidence-based care.

Keywords: Implementation science; Infant; Infant mortality; Perinatal regionalization; Premature; Telemedicine.

Publication types

  • Review

MeSH terms

  • Evidence-Based Medicine
  • Female
  • Health Education
  • Humans
  • Implementation Science
  • Infant
  • Infant Mortality*
  • Infant, Newborn
  • Infant, Premature
  • Intensive Care Units, Neonatal
  • Obstetrics
  • Perinatal Care / methods*
  • Pregnancy
  • Referral and Consultation
  • Regional Health Planning / methods*
  • Rural Population
  • Telemedicine / methods*