Document Detail


Telemedicine fetal phonocardiography surveillance: an italian satisfactory experience.
MedLine Citation:
PMID:  20543326     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this paper we describe an Italian experience of fetal home monitor, organized using a portable phonocardiography system (product by Pentavox, Hungary), and the method utilized to evaluate its effectiveness in providing quality services and patient satisfaction. Patient satisfaction is an important dimension in the evaluation of quality care delivery. We used phonocardiography technique in our experience of fetal home monitoring as it is non invasive and passive in nature, low-cost and easy to use. A lightweight portable phonocardiograph (Fetaphon-home) was assigned to six selected patients, without effective pregnancy risk to monitor fetal heartbeat, uterine contractions and fetal movements at home or wherever they need it. The selected patients were instructed by trained personnel in the use of the monitoring device. Patients were asked to perform the recording two times a week and to transmit 20-min signal to the reference centre. The home monitoring sessions were performed in addition to the routine surveillance at a gynecologist's office; thus, the home monitoring did not replace clinic visits. The women were requested to fill a satisfaction questionnaire in order to evaluate their quality of life and anxiety state. Preliminary results have shown that home fetal surveillance appreciably reduces the need of travel for patients and consequently their stress. Furthermore, our results suggest that, after a short training, pregnant women are able to record and transmit long traces without troubles. Use of telemedicine system was generally well accepted by pregnant women since it increased the possibility of fetal long-term home surveillance which in turn could increase the efficiency of the service offered to them.
Authors:
Maria Romano; Mario Cesarelli; Gianni D'Addio; M Cristina Mazzoleni; Paolo Bifulco; Nicola Ferrara; Franco Rengo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Studies in health technology and informatics     Volume:  155     ISSN:  0926-9630     ISO Abbreviation:  Stud Health Technol Inform     Publication Date:  2010  
Date Detail:
Created Date:  2010-06-14     Completed Date:  2010-09-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214582     Medline TA:  Stud Health Technol Inform     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  176-81     Citation Subset:  T    
Affiliation:
Department of Biomedical Engineering, University Federico II, Naples, Italy.
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MeSH Terms
Descriptor/Qualifier:
Cellular Phone
Female
Fetal Monitoring / instrumentation,  methods*
Humans
Italy
Phonocardiography / instrumentation,  methods*
Pregnancy
Telemedicine / instrumentation,  methods*

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