Complications of second and third trimester pregnancies

Abbrescia, Kelly; Sheridan, Barry

doi:10.1016/s0733-8627(03)00043-9

Cited by 8 publications

(2 citation statements)

References 42 publications

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“…Severe malaria accounted for nearly 10% of all admissions in the Indian ICU. In women residing in areas where falciparum malaria is endemic, the normal change of the immune response to a predominant TH 2 type during pregnancy results in loss of acquired immunity against Plasmodium falciparum [21]; hence, malaria tends to be more severe in pregnant women and mortality may be as high as 25% [22]. Acute viral hepatitis, especially due to water-borne hepatitis A and E viruses, is common in India [23,24].…”

Section: Discussionmentioning

confidence: 99%

Critically ill obstetric patients in an American and an Indian public hospital: comparison of case-mix, organ dysfunction, intensive care requirements, and outcomes

et al. 2005

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Section: Discussionmentioning

confidence: 99%

Critically ill obstetric patients in an American and an Indian public hospital: comparison of case-mix, organ dysfunction, intensive care requirements, and outcomes

et al. 2005

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“…Existing screening protocols may not adequately address the needs of ethnic minority populations, necessitating a closer examination of how smart monitoring can bridge gaps in healthcare access and outcomes. This assessment is particularly crucial for healthy-identified pregnancies, where complications may still arise by 10% without prior detection [ 13 – 16 ]…”

Section: Introductionmentioning

confidence: 99%

Feasibility of continuous smart health monitoring in pregnant population: A mixed-method approach

Sharifi-Heris,

Fortier,

Rahmani

et al. 2024

PLOS Digit Health

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The utilization of smart monitoring technology offers potential for enhancing health outcomes, yet its feasibility and acceptance among Hispanic pregnant individuals remain uncertain. This is particularly crucial to investigate within the context of apparently healthy individuals identified as low risk, who still face a 10% likelihood of complications. Given their frequent underrepresentation in healthcare services and relative lack of attention, improving the feasibility of remote monitoring in this population could yield significant benefits. To address this gap, our study aimed to adapt and evaluate the practicality of a smart monitoring platform among healthy Hispanic pregnant women during the second and third trimesters of pregnancy, as well as one week following childbirth, a period when complications often arise. This longitudinal study followed n = 16 participants for an average of 17 weeks. Participants were instructed to wear the Oura ring for objective data collection, including activity, sleep, and heart rate, and to complete survey questions through REDcap to assess mental health and lifestyle factors. The study framework utilized the RE-AIM approach, with acceptability and adherence as key components of the feasibility evaluation. Our findings revealed that completion rates for biweekly and monthly surveys remained consistently high until after childbirth (approximately 80%), while daily question completion remained above 80% until 38th week of gestation, declining thereafter. The wearing rate of the Oura ring remained consistently above 80% until the 35th gestational week, decreasing to around 31% postpartum. Participants cited barriers to wearing the ring during the postpartum period, including difficulties managing the newborn, forgetfulness, and concerns about scratching the baby’s skin. The enrollment rate was 71.42%, with an attrition rate of 6.25%. Thematic analysis of one-on-one interviews identified three main themes: personal desire for health improvement, social acceptability and support, and conditions influencing device/platform efficiency. In conclusion, while adherence varied based on gestational week and survey frequency, the study demonstrated strong acceptability of the smart monitoring platform among the study population, indicated by the high enrollment rate. Qualitative insights underscored the significance of personal motivation, social support, and device/platform efficiency in enhancing patient engagement with digital health monitoring during pregnancy, offering valuable considerations for future healthcare interventions in this domain.

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