High-risk pregnancies often require long-term hospitalization or outpatient maternal and/or fetal monitoring, placing a burden on patients, hospital resources and society. The demand for intensified pregnancy surveillance and interventions is increasing, due to the increased prevalence of risk factors like obesity and advanced maternal age, as well as altered guidelines resulting in increasing labor induction rates.The main aims of the HOME study (Home monitoring of pregnancies at risk) are to assess if home monitoring of selected high-risk pregnancies for maternal and fetal wellbeing is feasible, safe (in a clinical trial), cost-efficient, and simultaneously empowers the users.
Study Type
OBSERVATIONAL
Enrollment
224
Offer women with pregnancies at risk home surveillance instaed of more frequent hospital out-patient visits and/or hospitalisation: cardiotocographia (CTG), patient measurements of CRP, temperature, blood pressure, and clinical signs of infection or severe forms of preeclampsia.
Oslo University Hospital
Oslo, Norway
Feasibility of Home monitoring of high-risk pregnancies
Development of secure data transfer systems from home to electronic patient records at the hospital
Time frame: 2022-2035
User acceptability of home monitoring
Patient expectations (prior to intervention) and reported acceptability and quality of life
Time frame: 2022-2035
Clinical safety of home monitoring
Non-inferior compared to patients not undergoing home monitoring ("controls")
Time frame: 2022-2035
Health economics of home monitoring
Non-inferior compared to health economics in patients not undergoing home monitoring ("controls")
Time frame: 2022-2035
Placenta-associated biomarkers: improving CTG prediction of adverse outcomes?
Do placenta-associateed circulating biomarkers prior to delivery, used in an algoritm, improve CTG-assisted prediction of fetal asphyxia?
Time frame: 2023-2035
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