| Telemedicine fetal phonocardiography surveillance: an italian satisfactory experience. | |
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MedLine Citation:
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PMID: 20543326 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Maria Romano; Mario Cesarelli; Gianni D'Addio; M Cristina Mazzoleni; Paolo Bifulco; Nicola Ferrara; Franco Rengo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Studies in health technology and informatics Volume: 155 ISSN: 0926-9630 ISO Abbreviation: Stud Health Technol Inform Publication Date: 2010 |
Date Detail:
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Created Date: 2010-06-14 Completed Date: 2010-09-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9214582 Medline TA: Stud Health Technol Inform Country: Netherlands |
Other Details:
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Languages: eng Pagination: 176-81 Citation Subset: T |
Affiliation:
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Department of Biomedical Engineering, University Federico II, Naples, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cellular Phone Female Fetal Monitoring / instrumentation, methods* Humans Italy Phonocardiography / instrumentation, methods* Pregnancy Telemedicine / instrumentation, methods* |
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