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Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
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Perinatal Outcomes Among Patients Using OB Teleflex, A Hybrid Prenatal Telemedicine Program.

Devika Lekshmi1, Sophie Nader2, Jennifer Roberts-Barry1

  • 1Department of Obstetrics and Gynecology, Tufts Medical Center, Boston, MA.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|April 20, 2025
PubMed
Summary
This summary is machine-generated.

Hybrid prenatal telemedicine, like the OB Teleflex program, showed no difference in adverse birth outcomes compared to traditional prenatal care. This approach may reduce care barriers without negatively impacting maternal and perinatal results.

Keywords:
hybridpregnancy outcomesprenatal caretelemedicine

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Area of Science:

  • Obstetrics and Gynecology
  • Digital Health
  • Maternal-Fetal Medicine

Background:

  • Prenatal care is crucial for maternal and infant health.
  • Telemedicine offers a hybrid approach to prenatal care, potentially increasing accessibility.
  • The OB Teleflex program integrated virtual and in-person prenatal visits.

Purpose of the Study:

  • To evaluate obstetric outcomes in the OB Teleflex hybrid prenatal care program.
  • To compare outcomes of virtual-hybrid care with traditional in-person prenatal care.

Main Methods:

  • Retrospective cohort study of low-risk pregnancies from October 2021 to September 2022.
  • Compared outcomes between OB Teleflex participants (18%) and non-participants.
  • Used inverse-probability weighting to analyze a composite of adverse outcomes.

Main Results:

  • No significant difference in adverse maternal or perinatal outcomes between hybrid and standard prenatal care groups.
  • Adverse outcome composite included cesarean delivery, NICU admission, preterm birth, poor weight gain, and hypertensive disorders.
  • Participant demographics differed, but outcomes remained comparable after adjustment.

Conclusions:

  • Hybrid prenatal telemedicine demonstrated comparable safety to standard prenatal care regarding adverse birth outcomes.
  • Telemedicine programs may mitigate barriers to care without compromising patient safety.
  • Further research is warranted to explore potential outcome improvements with hybrid models.