Pregnancy REmote MOnitoring: de toegevoegde waarde van telemonitoring in de prenatale opvolging van door gestationele hypertensieve aandoeningen gecompliceerde zwangerschappen

Abstract

Pregnancy REmote MOnitoring: added value of remote monitoring in the prenatal care for women at risk for gestational hypertensive disorders Worldwide, 5% to 8% of pregnancies are complicated with gestational hypertensive disorders (GHD), which are associated with a high maternal and neonatal morbidity and mortality. Observational data from the retrospective, non-randomized Pregnancy REmote MOnitoring (PREMOM I) study revealed potential benefits of remote monitoring (RM) in prenatal care of women at risk for GHD. When compared to conventional care, RM pregnancies showed a significant prolongation of pregnancy, a decrease in the total number of labour inductions and a clinically less severe form of GHD. A reduction in costs, due to less need for neonatal intensive care, was in balance with the cost for organisation and technology of RM. Based on this results, PREMOM II has been initiated: a prospective, randomized multicenter study, financed by the Research Foundation Flanders (FWO) to evaluate clinical, psychological and health economic performance of prenatal blood pressure RM.