Computerized home telemetry of maternal blood pressure in hypertensive pregnancy

Dalton, Kevin J.; Manning, K.; Robarts, Philip J.; Dripps, J.H.; Currie, Janet R.

doi:10.1016/0020-7101(87)90085-7

Cited by 21 publications

(17 citation statements)

References 9 publications

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“…Indeed, in the antenatal period, home telemetry should allow the vast majority of hypertensive pregnancies to be managed just as safely at home as in hospital [37]. "…”

Section: Telemonitoring Of Pregnant Women With Hypertensionmentioning

confidence: 99%

Home blood pressure teletransmission for better diagnosis and treatment

1999

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The rate of control of high blood pressure is disappointing, and noncompliance is one factor that contributes to this. The reasons for poor compliance are complex and include factors related to the patient, the healthcare provider, and the medical system. In general, the lack of regular communication between the patient and the physician, as occurs in the traditional model of clinic-based care, predicts a low rate of blood pressure control. In addition, clinic-based blood pressure rates are notoriously unreliable. A solution to this dilemma is teletransmission of self- measured blood pressure readings, which offers the dual advantages of more reliable measurements, and the establishment of regular telephone communication between the patient and the healthcare provider. Preliminary evidence with this type of system suggests that blood pressure control can be improved substantially.

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“…Indeed, in the antenatal period, home telemetry should allow the vast majority of hypertensive pregnancies to be managed just as safely at home as in hospital [37]. "…”

Section: Telemonitoring Of Pregnant Women With Hypertensionmentioning

confidence: 99%

Home blood pressure teletransmission for better diagnosis and treatment

1999

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“…Several retrospective and prospective studies have recommended the use of home blood pressure monitoring (HBPM) in pregnancy because of its potential benefits including fewer hospital visits, better blood pressure control, and cost savings [12][13][14][15]. A scoping review conducted in 2019 found 16 unique TM interventions from 20 studies [12,14,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] for patients at high-risk for hypertensive disorders of pregnancy, but these studies have not translated to sustained programs [34]. The scoping review concluded that TM for hypertension during pregnancy was feasible, convenient, and cost-effective.…”

Section: Introductionmentioning

confidence: 99%

Exploring perspectives, preferences and needs of a telemonitoring program for women at high risk for preeclampsia in a tertiary health facility of Karachi: a qualitative study protocol

2020

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Background In Pakistan, deaths from preeclampsia/eclampsia (PE/E) represent one-third of maternal deaths reported at tertiary care hospitals. To reduce the morbidity and mortality associated with PE/E, an accessible strategy is to support pregnant women at high risk for preeclampsia (HRPE) by closely monitoring their blood pressures at home (i.e., telemonitoring) for the earliest signs of preeclampsia. This could lead to the earliest possible detection of high blood pressure, resulting in early intervention such as through medications, hospitalization, or delivery of the baby. The study aims to explore the perspectives, preferences and needs of telemonitoring (TM) for pregnant women at HRPE in Karachi, to inform future implementation strategies. Methods The study will employ an exploratory qualitative research design. The study will be conducted at the Jinnah Postgraduate Medical Centre (JPMC) hospital and Aga Khan University Hospital (AKUH) in Karachi, Sindh, Pakistan. Data will be collected through key-informant interviews (KIIs) and in-depth patient interviews (IDPIs). IDPIs will be conducted with the pregnant women at HRPE who are visiting the out-patient department/ antenatal clinics of JPMC hospital for antenatal check-ups and immunizations. KIIs will be conducted with the obstetricians, Maternal, neonatal and child health (MNCH) specialists and health care providers at JPMC, as well as TM experts from Karachi. Study data will be analyzed through conventional content analysis. Interviews are anticipated to begin in April 2020 and to be completed during the summer of 2020. Discussion This is the first study to explore the use of TM program for pregnant women at HRPE in a tertiary health facility in Karachi. The research will help explore perceived benefits associated with the use of a TM program alongside potential facilitators and barriers that may help inform the future implementation of a TM program for pregnant women at HRPE in Karachi.

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“…Such a blood pressure telemetry system has been developed in Cambridge, and it has enabled many pregnant hypertensive women to stay at home (Dalton et al 1987).…”

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confidence: 99%

Objective measurement of anxiety in hypertensive pregnant women managed in hospital and in the community

Cartwright

Dalton

Swindells

et al. 1992

BJOG

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Objective To determine whether pregnant hypertensives women are more anxious when monitored in hospital or at homes. Design Prospective randomized controlled trial. Setting Rosie Maternity Hospital and women's homes. Subjects Ninety‐nine pregnant hypertensive women: 50 had their blood pressure measured telemetrically from home, and 49 had it measured in hospital. Main outcome measures Number of episodes of monitoring, duration of monitoring, mean blood pressure during monitoring, gestational age at delivery, trait and state anxiety levels. Results There were no significant differences in anxiety levels, or in any other outcome measure, between the home and hospital groups. Conclusion When blood pressure is being monitored serially in pregnant hypertensive women, there is no measurable difference in their anxiety levels, whether they are in hospital or at home.

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Computerized home telemetry of maternal blood pressure in hypertensive pregnancy

Cited by 21 publications

References 9 publications

Home blood pressure teletransmission for better diagnosis and treatment

Home blood pressure teletransmission for better diagnosis and treatment

Exploring perspectives, preferences and needs of a telemonitoring program for women at high risk for preeclampsia in a tertiary health facility of Karachi: a qualitative study protocol

Objective measurement of anxiety in hypertensive pregnant women managed in hospital and in the community

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