Accuracy, Clinical Utility, and Usability of a Wireless Self-Guided Fetal Heart Rate Monitor

Porter, Paul; Muirhead, Fleur C; Brisbane, Joanna; Schneider, Brooke; Choveaux, Jennifer; Bear, Natasha; Carson, Jennie; Jones, Kym; Silva, Desiree; Neppe, Cliff

doi:10.1097/aog.0000000000004322

Cited by 18 publications

(27 citation statements)

References 14 publications

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“…Lastly, though evidence is clear that intermittent fetal heart rate monitoring during pregnancy has no predictive value on the pregnancy outcome(33), many countries still recommend it routinely. Finland sustains that listening to the fetal heart rate during normal pregnancy is likely to be important to the woman and her family, which is also the reason why Australia, Denmark, and the UK recommend it as an “optional” intervention.…”

Section: Resultsmentioning

confidence: 99%

Antenatal care policy in high-income countries with a universal health system: a scoping review

Gonçalves

Ferreira

Pestana-Santos

et al. 2021

Preprint

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The availability, effectiveness, and access to antenatal care are directly linked with good maternal and neonatal outcomes, making antenatal care an important determinant in health. But to be effective, care must always be appropriate, not excessive, not insufficient. Perinatal outcomes vary within and between countries, raising questions about practices, the use of best evidence in clinical decisions and the existence of clear and updated guidance. Through a scoping review methodology, this study aimed to map the available antenatal care policies for low-risk pregnant women in high-income countries with a universal health system founded on the Beveridge Model. Following searches on the main databases and grey literature, the authors identified and analysed ten antenatal care policies: Australia, Denmark, Finland, Iceland, Italy, Norway, Portugal, Spain, Sweden and the United Kingdom. Some policies were over 10 years old, some recommendations did not present a rationale or context, others were outdated, or were simply different approaches in the absence of strong evidence. Whilst some recommendations were ubiquitous, others differed either in the recommendation provided, the timing, or the frequency. Similarly, we found wide variation in the methods/strategy used to support the recommendations provided. These results confirms that best evidence is not always assimilated into policies and clinical guidance. Further research crossing these differences with perinatal outcomes and evaluation of cost could be valuable to optimise guidance on antenatal care. Similarly, some aspects of care need further rigorous studies to obtain evidence of higher quality to inform recommendations.

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Section: Resultsmentioning

confidence: 99%

Antenatal care policy in high-income countries with a universal health system: a scoping review

Gonçalves

Ferreira

Pestana-Santos

et al. 2021

Preprint

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“…Internet-based home health management systems were a quick and safe solution, maintaining quality of care with low user burden. The new generation of remote fetal heart rate monitoring (RFHRM) system consists of monitoring hardware, smart phone APP and physician system (information analysis center) [33]. The monitoring hardware is the attached CWFM1 microfetal heart monitor, which is designed with 9-chip medical Doppler ultrasound probe, with a wide beam signal range and 1MHz ultrasound frequency, equipped with Bluetooth, which can transmit digital signals to the smartphone APP.…”

Section: Discussionmentioning

confidence: 99%

Application of Remote Fetal Heart Rate Monitoring Based on Internet in Late Pregnancy During the COVID-19 Pandemic

Zhou,

Jin,

Jiang

et al. 2022

Preprint

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Objective：To evaluate the consistency of pregnancy outcomes and related clinical monitoring indicators in high and low risk group under two different monitoring methods during COVID-19 pandemic.Methods：760 cases of late pregnant women admitted to our hospital from March 2020 to February 2021 were selected for this study. They were randomly divided into control group (n = 380) and observation group (n = 380). Observation group the fetus was monitored remotely at home，while the control group went to the hospital for fetal heart monitoring.To evaluate the consistency of pregnancy outcomes and related clinical monitoring indicators in different groups under two different monitoring .Results:It was found that there was no statistically significant difference between the two groups in terms of pregnancy outcome (including mode of delivery, postpartum hemorrhage, etc.) and neonatal outcome (including preterm birth rate, neonatal weight, neonatal Apgar score, etc.) (p>0.05). It should also be noted that the difference in EPDS score results between the two groups was statistically significant (p<0.05) . Meanwhile, there was a statistically significant difference in the total cost of labor and delivery between two groups (p<0.05) and total time spent on labor and delivery between the two groups(p<0.05).Conclusions:Remote Fetal Heart Rate Monitoring Based on Internet is an innovative, acceptable, and effective reduced-frequency prenatal examination model. Compared to routine prenatal examination, Remote Fetal Heart Rate Monitoring Based on Internet resulted in higher patient satisfaction and lower prenatal stress. Besides, Remote Fetal Heart Rate Monitoring Based on Internet compared with the traditional fetal heart monitoring does not affect the pregnancy outcomes of pregnant women with different risk factors, maternal accept degree is high, and to reduce the medical resources pressure. It is an effective and feasible way for self-monitoring of pregnancies in late pregnancy during the pandemic of COVID-19 and is worthy of clinical application.

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“…Given that pregnancy worries specific to the COVID-19 pandemic may play a role in satisfaction, providers may consider discussing with patients the extent to which a virtual prenatal care arrangement is a safe and alternative option for in-person visits, and how fetal monitoring will be maintained through in-person visits or remote monitoring equipment (blood pressure monitors, fetal heart monitoring, tape measures) should such monitoring take place virtually. Recent study findings suggest the accuracy, feasibility, and acceptability of home-based wireless fetal heart (FHR) monitoring systems among low and high-risk pregnant women (Heuvel et al, 2020 ; Porter et al, 2021 ), with evidence indicating home-based FHR readings to be equivalent to those obtained in the clinic setting (Porter et al, 2021 ). Moreover, there is data to suggest that most pregnant women are satisfied with home-based FHR monitoring (Heuvel et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Patient Satisfaction with Virtual-Based Prenatal Care: Implications after the COVID-19 Pandemic

Liu

Goyal

Mittal

et al. 2021

Matern Child Health J

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Objective The objective of this study was to identify factors related to satisfaction with virtual visits during pregnancy in an effort to prioritize intervention targets for pregnant women during the COVID-19 pandemic. Methods The study relied on data obtained from pregnant women ( N = 416) who participated in the Perinatal Experiences and COVID-19 Effects (PEACE) Study from May 21 to November 22, 2020. Using a cross-sectional design, this study examined factors including COVID-19 related experiences and prenatal care changes in association with patient satisfaction of virtual prenatal care. Results Overall , women reported being very or extremely satisfied (27.9%) or moderately satisfied (43.5%) with their virtual prenatal experiences, however, 89.9% indicated a preference for in-person care under non-pandemic conditions. Those who completed the survey further into the pandemic were less satisfied with virtual prenatal care ( β = − 0.127, p < 0.01). After accounting for this and other sociodemographic characteristics, COVID-19 pregnancy worries ( β = − 0.226, p < 0.001) and the number of prenatal care changes due to the pandemic ( β = − 0.137, p < 0.01) were associated with lower satisfaction. Conclusion Our findings demonstrate general satisfaction with virtual visits among pregnant women in this study although in general women would prefer in-person care if it weren’t for a pandemic. Women worried about the impact of pandemic on their pregnancy, as well as those experiencing transitions in their prenatal care may need more information and reassurance. Additional studies are needed to understand the unmet needs through virtual care compared to in-person care.

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Accuracy, Clinical Utility, and Usability of a Wireless Self-Guided Fetal Heart Rate Monitor

Abstract: Evaluation of a wireless fetal heart rate monitor demonstrates high agreement with heart rate, as assessed by cardiotocography, and is feasible for use at home.

Cited by 18 publications

References 14 publications

Antenatal care policy in high-income countries with a universal health system: a scoping review

Antenatal care policy in high-income countries with a universal health system: a scoping review

Application of Remote Fetal Heart Rate Monitoring Based on Internet in Late Pregnancy During the COVID-19 Pandemic

Patient Satisfaction with Virtual-Based Prenatal Care: Implications after the COVID-19 Pandemic

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