“Obstetricians, particular person obstetric practices and health systems are making decisions about which prenatal care visits could be safely mixed and options for telehealth visits,” says Jamieson. “We don’t have evidence that the risks are greater for pregnant women compared to the final inhabitants. But pregnant women, similar to everybody else, are vulnerable to the illness. We have to do all we can to guard pregnant girls and their babies,” she provides.

In the postpartum interval, telemedicine has been used to allow earlier postpartum observe up visits and access to lactation consultants. Throughout pregnancy and postpartum, telemedicine can connect sufferers to mental well being care. However, this research also found that girls have been about twice as prone to display screen optimistic for marijuana use through a drug test than they state in self-reported measures.

Emotional Health

Broadening the attain of telemedicine to more underserved communities could help improve maternal and toddler health outcomes. Meanwhile, North Dakota’s Medicaid program specifically excludes protection of live video providers to be used in case administration for high-danger pregnancies. Only 19 state Medicaid packages reimburse for telemedicine providers delivered to the patient in their home, due to this fact limiting the reimbursement of tele-lactation services and at-home monitoring in pregnancy.

Traditionally, patients wait 6 weeks before their postpartum visit, although issues could arise before then. ACOG now recommends contact with the patient within 3 weeks of delivery, however as much as forty{93d0990eb3917c7dd0fcfc9d27a7b6573d6dcfd953d61eb3dd94c2cc14df4767} of women don’t attend any postpartum go to. Use of telemedicine in postpartum care might help handle this, through use of app-based assist, enhanced phone or text communication with suppliers, and at-residence blood stress monitoring. High threat pregnancies can also benefit from telemedicine, significantly by way of use of at-residence monitoring for high blood pressure and diabetes, which is then transmitted to their providers. Studies present patients value at-house monitoring, as it permits for active participation in their care and promotes self-efficacy.


Most states do not particularly point out pregnancy-associated care in their Medicaid reimbursement laws and insurance policies, meaning these technologies could also be out of reach for low-revenue girls. Many individuals require psychological health companies whereas pregnant or postpartum. This might embrace help for mood problems, including postpartum melancholy and nervousness, postpartum psychosis, trauma, and substance use problems.

Home births would possibly assist moms-to-be avoid the risks of hospital exposure to COVID-19 — but they will expose midwives to folks and environments that put them at higher danger. The coronavirus is forcing the identical forms of changes to their practices as hospitals, docs and nurses, including much less one-on-one care. If a midwife will get uncovered to the coronavirus, she’s prone to be out of fee for weeks — and her purchasers could be left scrambling at a time when “it must be all hands on deck,” Gordon said. In the previous couple of weeks, home-delivery midwives like Amber Berry, who delivers babies in the Houston space, have seen a surge in interest among ladies scared of catching COVID-19. “I just obtained a name from a lady who’s 39 weeks pregnant, due in five days.” The girl had all her medical information and was keen to commit, so Berry agreed to take her on as a last-minute consumer.

In addition, restricted internet access among low-earnings and rural populations and high startup investments for well being methods pose challenges to telemedicine’s implementation. Federal and state efforts to help use of telemedicine companies for maternity care exist, but expansion of those providers will probably depend upon selections regarding insurance coverage coverage and reimbursement.

  • For some girls, an absence of symptoms can appear to be a cause for concern, too.
  • Progesterone apparently softens the muscle tissue within the uterus prepared for labour nevertheless it additionally softens the stomach muscle tissue inflicting nausea and illness.
  • Projectional radiography, X-ray computed tomography and nuclear medicine imaging end in a point of ionizing radiation publicity, but generally the absorbed doses are not related to harm to the infant.
  • Their health care provider ought to monitor them for any warning indicators.
  • ACOG now recommends contact with the affected person within three weeks of supply, however as much as forty{93d0990eb3917c7dd0fcfc9d27a7b6573d6dcfd953d61eb3dd94c2cc14df4767} of girls do not attend any postpartum go to.


Some medical centers have started to supply telemedicine psychological health companies alongside pregnancy care. The Medical University of South Carolina (MUSC) presents behavioral well being telemedicine visits for pregnant/postpartum patients living outdoors the Charleston area, and accepts most insurance plans. The University of Arkansas Medical Sciences will expand their Women’s Mental Health Program in the upcoming yr, to include telemedicine services for pregnant sufferers. Yale University acquired a large federal grant to study the usage of telemedicine for substance use issues in pregnancy.

But when different apprehensive mothers-to-be got here calling, the midwife passed. “They had been looking for a backup plan in case the hospital was full” — not the type of scenario many in the start neighborhood find appealing. In VanBlaricom’s hospitals, “the indications for C-part would remain the identical whether or not you have been COVID-19-positive,” she mentioned. Those in their third trimester, trying to ship during an epidemic, are close to frantic. Pregnant girls who’re self-isolating are suggested to not attend maternity models or A&E until in want of urgent pregnancy or medical care.

For patients with diabetes, at-residence monitoring of blood sugar may allow for fewer visits to diabetes specialists, and improved well being-related high quality of life. A evaluate of seven research discovered the use of telemedicine for blood sugar monitoring was as efficient as standard care in achieving glucose control in pregnancy. Multiple studies of girls with gestational diabetes confirmed comparable pregnancy outcomes between telemedicine and traditional care. A range of obstetrical companies have been carried out utilizing telemedicine by a handful of medical centers. In the prenatal period, these embody utilizing videoconference to switch in-individual visits, implementing at-house monitoring, and enabling consultation with distant specialists, including maternal fetal drugs docs.