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How Tele-ICU is helpful in Obstetrics emergencies?

How Tele-ICU is helpful in Obstetrics emergencies?

Any pregnant woman can suffer potentially fatal problems with little or no warning. The majority of deaths in maternity care occur during the intrapartum period, and “most problems cannot be anticipated or prevented, and early diagnosis and proper management need substantial expertise to prevent death and avoid introducing harm.” There is strong evidence that skilled emergency care in response to obstetric complications (haemorrhage, sepsis, hypertensive disorders of pregnancy, prolonged or obstructed labor and uterine rupture) is critical in the reduction of maternal mortality.

Maternal health is an important global health priority. Every year nearly around 4,00,000 women die in childbirth and many more suffer significant morbidity. There is a significant quality gap in the provision of critical maternal health services. The quality gap indicates the difference between simple access and receiving the best quality care available within current system constraints. Indeed, for millions of poor villagers, pregnancy and childbirth have long been associated with unexpected tragic end of the mother or child or both. The vast country accounted for highest maternal death burden in the global maternal mortality figures, and faced significant barriers to changing the situation.

Maternal mortality is considered a key health indicator and the direct causes of maternal deaths are well known and largely preventable and treatable.

Maternal Mortality Ratio (MMR) of India for the period 2016-18, as per the latest report of the national Sample Registration system (SRS) data is 113/100,000 live births, declining by 17 points, from 130/ 100,000 live births in 2014-16.

The Government of India has been focusing on initiatives to improve maternal health indicators. The country could come very close to, or even reach, the Millennium Development Goal 5 indicator, which calls for declines of 75% maternal mortality rate, only when critical care expertise will be available in the rural regions of the country.

However, it is necessary to speed up the pace of development further by well-established Tele-ICU system in order to accomplish the Millennium Development Goal 5. Tele-ICU is well established and rapidly evolving technology in modern medicine. By this technology, intensivist present at the command centre able to identify the alerts and able to provide the first line of treatment to the critically ill patients. The aggressive management, coordination and early recognition of critical issues helps to deal with the emergencies in lesser time period hence reduces Maternal Mortality Rate.

Poor teamwork can result in delayed response to medical emergencies and has been implicated in adverse outcomes. Undertaking vital clinical intervention in a timely way is strongly linked to effective teamwork. Tele-ICU accounts for various positive outcomes which includes Lesser Length of Stay, Reduction in Mortality and Morbidity rates.