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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Telemedicine for Routine Prenatal Care: Use and Satisfaction During the COVID-19 Pandemic.

Katrina K Wu1,2, Julia Phillippi3, Martina Mueller2

  • 1Bethel University, Saint Paul, Minnesota.

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|March 13, 2024
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Summary

Telemedicine in prenatal care offers moderate satisfaction, but concerns about care quality and relationship building persist. Offering choices for virtual or hybrid visits may improve utilization and address quality concerns.

Keywords:
COVID‐19health services accessibilitymidwiferypandemicspatient satisfactionprenatal caretelehealth usability questionnairetelemedicine

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Area of Science:

  • Obstetrics and Gynecology
  • Health Services Research
  • Digital Health

Background:

  • Telemedicine adoption in prenatal care surged during the COVID-19 pandemic without extensive research.
  • Optimizing user experience is key to increasing telemedicine utilization for improved care access.

Purpose of the Study:

  • To explore patient and provider experiences with telemedicine in routine prenatal care during the COVID-19 pandemic.
  • To identify factors influencing telemedicine utilization and satisfaction in prenatal care.

Main Methods:

  • A mixed-methods study involving online surveys and semi-structured interviews with patients and providers across the U.S.
  • Data collected from July to December 2021, analyzed using descriptive, inferential, and thematic coding.

Main Results:

  • 42% of patients and 72% of providers utilized telemedicine; lack of offering was the primary barrier for patients.
  • Concerns included uncertainty about care quality (BP, fetal heart rate assessment) and relationship building.
  • Users reported mild to moderate satisfaction, independent of physical exam components in virtual visits.

Conclusions:

  • Offering telemedicine choice (on-demand or hybrid) may boost prenatal care utilization.
  • Assessing blood pressure and fetal heart rate virtually could increase telemedicine interest among concerned patients and providers.