PINKPregnant Women with Mobile Phone

Remote Monitoring Compared With In-Office Surveillance of Blood Pressure in Patients With Pregnancy-Related Hypertension

Remote monitoring through Babyscripts eliminated disparity in capture between Black and White patients and raised the rate of ascertainment for both groups. 

 

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PINKBlood Pressure Cuff

Pregnancy-Related Hypertension: Adherence to a New Type of Monitoring

Babyscripts remote patient monitoring solution can increase postpartum blood pressure ascertainment within 10 days of discharge for patients with hypertensive disorders of pregnancy. 

 

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PINKWeight Scale

Remote Gestational Weight Monitoring Can Increase IOM Adherence

High engagement with the Babyscripts maternal health app increased adherence to the Institute of Medicine (IOM) gestational weight gain guidelines and increased postpartum weight loss.

 

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PINKWoman using Blood Pressure Cuff

Using m-Health Apps to Diagnose Hypertension in Pregnancy

How the Babyscripts remote patient monitoring solution facilitates earlier risk identification and intervention by detecting asymptomatic, elevated blood pressures in pregnancy.

 

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MCN, The American Journal of Maternal/Child Nursing

Postpartum Remote Blood Pressure Monitoring Using a Mobile App in Women with a Hypertensive Disorder of Pregnancy

March 2024

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GREEN JOURNAL OBSTETRICS & GYNECOLOGY

Remote Monitoring Compared With In-Office Surveillance of Blood Pressure

September 2023

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GREEN JOURNAL OBSTETRICS & GYNECOLOGY

MIND Study Midpoint Analysis: Compliance Rate of Antenatal Screening

May 2023

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GREEN JOURNAL OBSTETRICS & GYNECOLOGY

Pregnancy-Related Hypertension: Adherence to a New Type of Monitoring

May 2022

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WILEY ONLINE LIBRARY

Remote Gestational Weight Gain Monitoring in a Large Low-Risk US Population

August 2021

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PREGNANCY HYPERTENSION

Using m-Health Apps to Diagnose Hypertension in Pregnancy

October 2020

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GREEN JOURNAL OBSTETRICS & GYNECOLOGY

Connected Health-Enabled Remote Blooding Pressure Monitoring of Low-Risk Pregnancy in Rural Setting

April 2020

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AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY (AJOG)

Remote Self-Monitoring of Perinatal Weight and Perinatal Outcomes in Low-Risk Women

February 2020

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JOURNAL OF MEDICAL INTERNET RESEARCH

Effectiveness of a Mobile Prenatal Care App to Reduce In- Person Visits: A Prospective Trial

May 2019

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GREEN JOURNAL OBSTETRICS & GYNECOLOGY

Early Detection and Intervention of Postpartum Preeclampsia With the Use of Mobile and Digital Tools

May 2019

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AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY (AJOG)

Does Remote Monitoring of Blood Glucose Levels During Pregnancy Expedite Time to Intervention?

May 2019

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GREEN JOURNAL OBSTETRICS & GYNECOLOGY

Evaluation of Antepartum and Postpartum Remote Blood Pressure Monitoring in Low-Risk Pregnancy

May 2019

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GREEN JOURNAL OBSTETRICS & GYNECOLOGY

Evaluating Technology-Enabled Care Coordination During Prenatal Care for an Underserved Population

May 2018

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GREEN JOURNAL OBSTETRICS & GYNECOLOGY

Evaluation of Antepartum and Postpartum Remote Monitoring of Gestational Weight Gain in Low-Risk Pregnancy

May 2018

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GREEN JOURNAL OBSTETRICS & GYNECOLOGY

Blood Pressure Trends in Pregnancy: Is There a New Normal?

May 2017

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JOURNAL OF MEDICAL INTERNET RESEARCH

Testing the Feasibility of Remote Patient Monitoring in Prenatal Care Using a Mobile App and Connected Devices: A Prospective Observational Trial

November 2016

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GREEN JOURNAL OBSTETRICS & GYNECOLOGY

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

May 2016

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GREEN JOURNAL OBSTETRICS & GYNECOLOGY

Preventing Excessive Gestational Weight Gain By Using Connected Weight Scales Paired With Mobile Apps

May 2016

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GREEN JOURNAL OBSTETRICS & GYNECOLOGY

A Resource and Cost Analysis on the Impact of Reduced Visits for Prenatal Care

May 2016

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GREEN JOURNAL OBSTETRICS & GYNECOLOGY

Remote Capture and Monitoring of Clinical Data During Pregnancy

May 2015

WHITEGears

Challenging Conventional Wisdom 

The current structure of pregnancy care began with the issuance of the IOM study in 1985, which called for increased prenatal visits as a mechanism to reduce low birth weight. Yet 35 years later, though the number of visits has increased, the rate of low birth weight babies has not decreased. Furthermore, the rising rates of maternal mortality and morbidity in the US manifest the inadequacy of current structures of care to protect mothers, especially the minority and low-income women who comprise the majority of these statistics. 

A Changing Landscape

What's the key takeaway? In most developed countries, the reduced frequency of visits did not show a statistically significant difference in maternal and fetal outcomes.

However, a reduction in visits could potentially impact patient satisfaction and Provider-patient intimacy. Several programs have been created to augment a reduced visit schedule to maintain or increase patient satisfaction for low-risk pregnancies. These programs include group prenatal care (or Centering), which uses physician helpers in group prenatal care for low-risk patients, and OB Nest program implemented at the Mayo Clinic.

An additional review of alternative schedules can be found in a control study found here, as well as a study conducted by Kaiser

WHITEGears of Innovation