{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:58:59Z","timestamp":1790895539338,"version":"4.1.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To implement use of obstetric (OB) hospitalist telemedicine services (TeleOB) to support clinicians facing OB emergencies in low-resource hospital settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>TeleOB was staffed by OB hospitalists working at a tertiary maternity center. The service was available via real-time high-definition audio\/video technology for providers at 17 outlying hospitals across a health system spanning two states. The initial 25 service activations are described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>TeleOB supported 17 deliveries, two postpartum emergency department (ED) consultations, and four antenatal ED consultations. In 10 of 17 (59%) deliveries, teleneonatology was jointly activated to support neonatal resuscitation. Sixteen (94%) deliveries occurred in multiparas, and five (29%) resulted from spontaneous preterm labor. Eighty percent (20\/25) of activations occurred in facilities without maternity services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A TeleOB service staffed by OB hospitalists successfully supports hospitals in an integrated health care system. TeleOB is feasible for support of hospitals with no delivery facilities or with limited maternity care resources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2023.0358","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T17:18:13Z","timestamp":1707844693000},"page":"1600-1605","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Virtual Obstetric Hospitalist Support for Obstetric Emergencies and Deliveries: The Mayo Clinic Experience"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3412-3653","authenticated-orcid":false,"given":"Regan N.","family":"Theiler","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Torbenson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8025-8452","authenticated-orcid":false,"given":"Jessica C.","family":"Schoen","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA."},{"name":"Department of Emergency Medicine, Mayo Clinic Health System, Albert Lea and Austin, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hollie","family":"Stegemann","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather A.","family":"Heaton","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katy B.","family":"Kozhimannil","sequence":"additional","affiliation":[{"name":"University of Minnesota School of Public Health, Division of Health Policy and Management, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Fang","sequence":"additional","affiliation":[{"name":"Division of Neonatal Medicine, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie","family":"Sadosty","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,6,21]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.0338"},{"key":"e_1_3_5_3_2","unstructured":"Dreher A. Hospital Obstetrics on Chopping Block as Facilities Pare Costs. 2023. Available from: https:\/\/www.axios.com\/2023\/01\/17\/hospital-obstetrics-chopping-block [Last accessed: November30 2023]."},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.1830"},{"key":"e_1_3_5_5_2","unstructured":"Gunja MZ Fitzgerald M Zephyrin L. Maternal mortality and maternity care in the United States compared to 10 other developed countries. 2020; 1\u201314"},{"key":"e_1_3_5_6_2","doi-asserted-by":"crossref","unstructured":"Hoyert LD. Maternal Mortality Rates in the United States 2020. 2022. 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