Remote Prenatal Care Monitoring With Digital Health Tools Can Reduce Visit Frequency While Improving Satisfaction [3]

Marko, Kathryn; Ganju, Nihar; Brown, James M.; Benham, Joshua; Gaba, Nancy D.

doi:10.1097/01.aog.0000483620.40988.df

Cited by 14 publications

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“…As seen in other studies, telehealth satisfaction scores were similar when compared with in-person visits. 13,15,16 In agreement with previous statements made by ACOG, 4,14 telehealth should continue as a tool to provide prenatal care, especially at times of social distancing and in attempts of limiting provider-patient face-to-face encounters at least until more data are available regarding the difference in pregnancy outcomes between those who were managed in person and those primarily managed via telehealth during the months of COVID-19.…”

Section: Discussionmentioning

confidence: 57%

Addressing Disparities in Prenatal Care via Telehealth During COVID-19: Prenatal Satisfaction Survey in East Harlem

et al. 2020

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Objective In the setting of an inner city, safety net hospital, patient satisfaction with prenatal care conducted via telehealth was compared with in-person visits at the height of the novel coronavirus disease 2019 (COVID-19) pandemic. Study Design Through this cross-sectional study, patients were identified who received at least one televisit and one in-person visit during the COVID-19 pandemic. The Short Assessment of Patient Satisfaction (SAPS) survey was used to measure patient satisfaction. Surveys pertaining to in-person and televisits were conducted at the end of a telephone encounter, and overall satisfaction scores were documented. Patients were excluded if they received in-person or virtual care only and not both. The SAPS score correlated with the degree of patient satisfaction. Results A total of 140 patients were identified who received both virtual and in-person prenatal care from March 1, 2020 to May 1, 2020. One hundred and four patients (74%) agreed to be surveyed: 77 (74%) self-identified as Hispanic and 56 (54%) stated that their primary language was Spanish. The overall median satisfaction score for televisits and in-person visits was 20 (interquartile range [IQR]: 20, 25) and 24 (IQR: 22, 26) (p = 0.008, Z score = 2.651). In patients who self-identified as Hispanic or identified their primary language as Spanish, there was no statistically significant difference in their satisfaction scores. Conclusion While there were lower scores in patient satisfaction for televisits in every category, there were no clinically significant differences since all medians were in the “satisfied” range. By lowering patient exposure to severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), especially for those at risk for reduced access to care and higher COVID-19 cases by zip code, telehealth allowed for appropriate continuation of satisfactory prenatal care with no impact on patient perceived satisfaction of care. Key Points

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Section: Discussionmentioning

confidence: 57%

Addressing Disparities in Prenatal Care via Telehealth During COVID-19: Prenatal Satisfaction Survey in East Harlem

et al. 2020

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“…Included studies were performed between 2002 and 2017 on a range of populations, including women with a healthy pregnancy, 31 , 38 women with suspected hypertension, 29 , 30 and those with known gestational hypertension or preeclampsia. 31 , 32 , 34 Considerable variation was seen in both monitoring schedules and the gestation period when the readings were taken.…”

Section: Resultsmentioning

confidence: 99%

“…IPD from the 8 included studies (n=758), 29 – 35 , 38 contained BP readings throughout pregnancy (Figure 2 ). The overall mean differences between home and clinic readings appeared small throughout pregnancy (Table 3 ), with mean of differences between 1.5 to 2.2 mm Hg systolic (Figure 2 ) and 0.7 to 1.5 mm Hg diastolic BP (Figure S3).…”

Section: Resultsmentioning

confidence: 99%

“…IPD were available for both self-monitored and clinic BP readings from 8 studies (758 patients). 29 – 35 , 38 Comparison of self-monitored and clinic readings revealed no clinically relevant difference throughout pregnancy, with significant heterogeneity between studies that may be accounted for by the varying populations. Interestingly, although overall differences between self-monitored and clinic pressure were small, the prevalence of WCH increased reaching 13% toward the end of pregnancy (33–42 weeks gestation).…”

Section: Discussionmentioning

confidence: 96%

“… 33 , 37 , 43 , 57 Some data suggest that women with WCH are at low risk of complications, but others that WCH reflects increased variability and hence risk. 38 Further work is required to understand the true prognosis of WCH in pregnancy.…”

Section: Discussionmentioning

confidence: 99%

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How Do Home and Clinic Blood Pressure Readings Compare in Pregnancy?

Tucker¹,

Bankhead²,

Hodgkinson

et al. 2018

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Remote gestational weight gain monitoring in a large low‐risk US population

Litman

Kavathekar

Amdur

et al. 2021

Obesity Science & Practice

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Background: Over the past decade there have been rapid advancements in telemedicine and mobile health technology (mHealth) and rapid increases in adoption of these technologies among OB-GYN providers. Mobile technology is routinely used in the general adult population to simplify monitoring of food intake and weight.Studies have demonstrated that weight loss achieved via remote monitoring, through use of wi-fi scales and web applications, is similar to weight loss achieved with in-person support. These technologies also increase flexibility for subjects and providers. However, there has been limited large-scale research to evaluate the use of these technologies to improve adherence to weight-gain recommendations during pregnancy.Objectives: To evaluate gestational weight gain tracking in a large low-risk obstetrical population using remote patient monitoring and a mobile phone app. Methods: Self-reported age, height, estimated due date, and weight data were extracted from low-risk, singleton pregnancies entered from 50,769 participants who were enrolled in the BabyScripts TM phone app between 1 January 2016 and 1 March 2020. After data cleaning, 15,468 participants were included the final analysis. Linear regression and Spearman's correlation were used to examine the relationships between total weight gain, rate of weight gain, body mass index (BMI), postpartum weight loss, and app engagement. Results:The average weight gain in the first, second, and third trimester were 0.09 � 1.8 kg, 4.2 � 3.3 kg, and 3.9 � 3.9 kg, respectively. The average rate of weight gain per week for the second and third trimesters were 0.5 � 0.4 kg/wk and 0.6 � 0.8 kg/wk, respectively. Participants with higher initial BMI had slower rate of weight gain than those with lower initial BMI (r = −0.24, r = −0.05, for second and third trimester, respectively). Overall, 21.4% of participants met the Institutes of Medicine (IOM) recommendation for total weight gain during pregnancy. Patients who were highly engaged with the mobile app had increased adherence to the IOM guidelines (29.8% vs. 9.4%, p < 0.001). A larger proportion of highly engagedThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Remote Prenatal Care Monitoring With Digital Health Tools Can Reduce Visit Frequency While Improving Satisfaction [3]

Cited by 14 publications

References 0 publications

Addressing Disparities in Prenatal Care via Telehealth During COVID-19: Prenatal Satisfaction Survey in East Harlem

Addressing Disparities in Prenatal Care via Telehealth During COVID-19: Prenatal Satisfaction Survey in East Harlem

How Do Home and Clinic Blood Pressure Readings Compare in Pregnancy?

Remote gestational weight gain monitoring in a large low‐risk US population

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