A Medical Student Postpartum Telehealth Initiative During the COVID-19 Pandemic

• Published in: Maternal and child health journal 2022-01, Vol.26 (1), p.65-69
• Main Authors: Wang, Eileen, Gellman, Caroline, Wood, Ethan, Garvey, Katherine L., Connolly, Courtney, Barazani, Sharon, Pruzan, Alison, Abraham, Cynthia
• Format: Article
• Language: English
• Subjects: Aftercare; Control; Coronaviruses; Counseling; COVID-19; Educational aspects; Epidemics; Female; From the Field; Gynecology; Hospitals; Humans; Infant, Newborn; Maternal and Child Health; Medical students; Medicine; Medicine & Public Health; Mental depression; Methods; Pandemics; Patient Discharge; Pediatrics; Population Economics; Postnatal care; Postpartum Period; Pregnancy; Public Health; Risk factors; SARS-CoV-2; Social aspects; Sociology; Students; Students, Medical; Surveys; Telemedicine; Training; United States
• ISSN: 1092-7875; 1573-6628
• DOI: 10.1007/s10995-021-03314-0

Purpose The coronavirus disease 2019 (COVID-19) pandemic has had an unprecedented impact on our health systems and delivery of care and on the disruption of medical education. It has forced hospitals to move to a telehealth model for prenatal and postpartum visits and expedite discharges for postpartum patients in order to reduce exposure. We describe our medical school and hospital system initiative to employ medical student volunteers for postpartum telehealth calls during the peak of the COVID-19 pandemic in New York City. Description Ten medical students conducted phone interviews with postpartum patients within 72 h of discharge at three hospitals in a large NYC health system, with faculty preceptors at each site who provided daily call assignments and oversight. Students called patients to screen for risk factors for postpartum complications, including preeclampsia and postpartum depression; provide additional contraception counseling; and address newborn care and health. One week and 2 week post-discharge calls were also made for COVID-19 positive patients for ongoing symptom monitoring and counseling. Assessment We found numerous opportunities for intervention in postpartum health via telehealth, including addressing pharmacy-related needs, patient counseling, improving pain management, and identifying patients in need of emergent re-evaluation. Conclusion As this pandemic continues to evolve, our model demonstrates the feasibility of telehealth and medical student involvement in postpartum care and its benefits to patients, medical student learning, and alleviation of burden on obstetric staff.