Background. Maternal health is an important part of basic public health services in Chinaâ??s medical reform. Effective management\nis an important guarantee of maternal health. Telemedicine has been widely used in maternal health management. Objective. This\nstudy explores the role of usual healthcare combined with telemedicine in the management of high-risk pregnancy. Methods. The\nstudy was a retrospective. Data were obtained from Hangzhou Maternity Hospital between October 2012 and September 2016,\nincluding 93465 pregnant women who were in usual high-risk pregnancy management (usual group) and 134884 pregnant\nwomen who were in telemedicine combined with usual high-risk pregnancy management (telemedicine group). The differences in\nhigh-risk scores and pregnancy outcomes between the usual and the telemedicine groups were compared. Results. The high-risk\nfactors were analyzed, and the results showed that the first fixed high-risk factor was scar uterus and the first dynamic high-risk\nfactor was hepatitis B. Comparing the data of two groups, the number of prenatal visits increased significantly in the telemedicine\ngroup (p value <0.05). Although the critical proportion of high-risk women was 2.13% in the usual group and 5.88% in the\ntelemedicine group, respectively (p value <0.01), maternal mortality decreased in the telemedicine group (p value <0.05).\nConclusion. The combination of telemedicine and usual healthcare can urge the pregnant women to carry out antenatal visits on\ntime, which is one of the important factors to improve the outcome of high-risk pregnancy.
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