None listed
Conditions
Interventions
Randomisation will take place between traditional hospital admittance or telemonitoring for daily monitoring of maternal and fetal parameters. In telemonitoring pregnant women will make use of a wirel
Sponsors
UMC Utrecht
Eligibility
Inclusion criteria
Inclusion criteria: Necessity for hospital admittance for maternal or fetal surveillance because of one of the six following indications: intrauterine growth retardation, preeclampsia, preterm premature rupture of membranes, recurrent reduced fetal movements, fetal anomalies requiring daily monitoring (e.g. gastroschisis) or fetal demise in obstetric history
Exclusion criteria
Exclusion criteria: • Maternal age 160/110 mmHg • Antepartum haemorrhage or signs of placental abruption • CTG registration with abnormalities indicating fetal distress or hypoxia • Multiple pregnancies • Place of residence 30 minutes driving away from a hospital • Insufficient knowledge of Dutch or English language or impossibility to understand the training or instructions of the devices
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| patient safety; composite of perinatal outcome is defined as perinatal mortality, a 5-minute Apgar score below 7 and/or an arterial pH below 7,05, maternal morbidity (such as eclampsia, HELLP syndrome, tromboembolic events), NICU admission of the newborn and emergency caesarean section | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient satisfaction, quality of life and cost effectiveness will be assessed using validated questionnaires and one self developed survey to look for preferences for the new strategy will be developed | — |
Contacts
Public ContactJ.F.M. (Hans) van den Heuvel
UMC utrecht , department of Obstetrics
Outcome results
None listed