Abstract：
Introduction: Telehealth use in obstetrics has been demonstrated to improve efficiency, access to care, and pregnancy outcomes. Despite reported successful implementation of these programs, information regarding the program variations and its impact on health care costs and outcomes are scarce. Methods: This is a scoping review of pregnancy-related telehealth studies to understand the current landscape of pregnancy-related telehealth interventions as well as to subset those that are used in high-risk pregnancies. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework to guide this review. Results: A total of 70 articles were included in this scoping review. Of those, 53 (75.7%) studies included a pregnant population and 17 (24.3%) studies focused on a rural and/or urban population. Most studies (n = 56; 80%) included some form of synchronous interaction between provider and participant. Patient outcomes included maternal/infant health outcomes (n = 41; 44.1%), patient satisfaction (n = 9; 9.7%), and attendance/compliance (n = 5; 5.4%). Provider-level outcomes included knowledge change (n = 11; 11.8%) and self-efficacy (n = 3; 3.2%). Other outcomes included assessment of costs and patient/provider feasibility and acceptability of the intervention. Overall, there has been a growing trend in articles published on pregnancy-related telehealth studies since 2011, with 2018 having the most publications in a single year. Conclusion: This review suggests a steadily growing body of literature on pregnancy-related telehealth interventions; however, more research is needed to better understand outcomes of telehealth for pregnancy-related care, especially related to patient satisfaction, health disparities, and cost-benefit.
摘要：
简介：远程医疗在产科的使用已被证明可以提高效率，获得护理，和妊娠结局。尽管据报道成功实施了这些计划，有关项目变化及其对医疗保健成本和结果的影响的信息很少。方法：这是对与妊娠相关的远程健康研究的范围审查，以了解与妊娠相关的远程健康干预措施的当前情况，以及在高风险妊娠中使用的干预措施的子集。我们使用系统审查和荟萃分析框架的首选报告项目来指导本审查。结果：本范围审查共纳入70篇文章。其中,53项(75.7%)研究包括怀孕人口，17项(24.3%)研究集中在农村和/或城市人口。大多数研究（n=56;80％）包括提供者和参与者之间的某种形式的同步互动。患者结果包括母婴健康结果（n=41；44.1%），患者满意度(n=9；9.7%)，和出勤/合规（n=5；5.4%）。提供者水平的结果包括知识变化（n=11；11.8%）和自我效能（n=3；3.2%）。其他结果包括成本评估以及患者/提供者干预的可行性和可接受性。总的来说,自2011年以来,与妊娠相关的远程健康研究发表的文章呈上升趋势,2018年是单年发表最多的.结论：这篇综述表明，有关妊娠相关远程健康干预措施的文献稳步增长；然而，需要更多的研究来更好地了解远程医疗对妊娠相关护理的结果，尤其是与患者满意度有关，健康差异,和成本效益。
