Characteristics of the Reported Teleconsultations, 14 Districts of Nepal, July 2020–June 2021 (N=429)
| Categories | No. (%) |
|---|---|
| Affiliation of experts providing consultation | |
| Within the district | 243 (53.7) |
| Outside the district | 186 (43.3) |
| Type of cases consulted | |
| Antenatal | 120 (28.0) |
| Delivery | 242 (56.4) |
| Postnatal | 10 (2.3) |
| Newborn | 55 (12.8) |
| Gynecology | 2 (0.4) |
| Time of consultation | |
| Day (8 am to 8 pm) | 263 (61.0) |
| Night (8 pm to 8 am) | 166 (39.0) |
| Reasons for consultation | |
| Prolonged labor | 126 (29.0) |
| Eclampsia | 31 (7.2) |
| Postdated pregnancy | 20 (4.6) |
| Retained placenta | 17 (3.9) |
| Fetal malpresentation during delivery (breech/transverse) | 14 (3.2) |
| Per vaginal leaking | 14 (3.2) |
| Postpartum hemorrhage | 13 (3.0) |
| Antepartum hemorrhage | 12 (2.8) |
| Irregular/absent fetal heart sound | 9 (2.1) |
| Rh incompatibility | 9 (2.1) |
| Abortion | 8 (1.8) |
| COVID-19 positive | 3 (0.7) |
| Other | 153 (35.0) |
| Outcome of the cases | |
| Managed inside PHC facilities | 90 (21.0) |
| Referred and managed | 311 (72.5) |
| Neonatal death | 24 (5.6) |
| Stillbirth | 3 (0.7) |
| Intrauterine fetal death | 1 (0.2) |
| Means of transportation used to reach referral center | |
| Ambulance | 128 (29.8) |
| Hired vehicle | 127 (29.6) |
| Public vehicle | 36 (8.4) |
| Helicopter | 20 (4.7) |
| Stretcher and truck | 2 (1.4) |