The Value of Digital Solutions

At Babyscripts, we offer something we call virtual maternity care, leveraging technology to target the issues arising from a critical shortage of OB-GYNs; an outdated model for pregnancy care; social determinants of health; and a fractured healthcare system.

Our program has been a part of multiple studies that have been presented at conferences, such as ACOG and March of Dimes, and published in the Journal of Medical Internet Research (JMIR), and the white papers [See publications below] provide additional information on our compliance and engagement rates.

Babyscripts’ robust research portfolio has proven invaluable as healthcare experts assess the role of virtual solutions in the current landscape. The research that has been done with Babyscripts has been used as a reference in several recent studies examining the value of digital solutions for COVID-19 and beyond, including publications from KFF and ACOG.

Babyscripts continues to take a research and clinically-driven approach to development. If you are interested in becoming a research partner with us, please email us at info@getbabyscripts.com.

Gears

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 — some of the highest in the developed world — 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

RESEARCH PUBLICATIONS

greenjournal
Green Journal Obstetrics & Gynecology

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

May 2020

Introduction: Connected health, or telehealth, interventions have been targeted to help reduce health care disparities in rural populations for its ability to remotely connect patients and providers.

 

ajog
American Journal of Obstetrics & Gynecology (AJOG)

415: Remote self-monitoring of perinatal weight and perinatal outcomes in low-risk women

February 2020

Objective: Self-monitoring is an important construct for health behavior change and often used in weight management intervention. Our objective was to compare gestational weight gain (GWG), postpartum weight retention (PPWR) and other perinatal outcomes between women in a remote self-monitoring program and historical controls.

JMIR-logo-sm-1
Journal of Medical Internet Research 

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

May 2019

Objective: The primary objective of this study was to test the effectiveness of a mobile prenatal care app to facilitate a reduced in-person visit schedule for low-risk pregnancies while maintaining patient and provider satisfaction.

greenjournal
Green Journal Obstetrics & Gynecology

Early Detection and Intervention of Postpartum Preeclampsia With the Use of Mobile and Digital Tools [29E]

May 2019

Introduction: Hypertensive disorders in pregnancy are a leading cause of morbidity and mortality. This case series examines the ability of an integrated technology platform to augment surveillance with remote blood pressure (BP) readings in low-risk pregnant women and allow for real-time intervention by providers of care.

ajog
American Journal of Obstetrics & Gynecology (AJOG)

Does Remote Monitoring of Blood Glucose Levels During Pregnancy Expedite Time to Intervention? [25M]

May 2019

Introduction: Patients with diabetes mellitus monitor blood glucose levels throughout their pregnancy to determine if intervention is required. Traditional paper recording only allows readings to be reviewed during visits. The aim of this study is to determine if remote monitoring of blood glucose levels through a mobile application increases the availability of data and allow providers to expedite intervention.

greenjournal
American Journal of Obstetrics & Gynecology (AJOG)

Evaluation of Antepartum and Postpartum Remote Blood Pressure Monitoring in Low-Risk Pregnancy [9K]

May 2019

Introduction: Hypertensive disorders in pregnancy are a leading cause of morbidity and mortality. This study examines the feasibility of an integrated technology platform to augment surveillance with remote blood pressure (BP) readings in low-risk pregnant women.

greenjournal
Green Journal Obstetrics & Gynecology

Evaluating Technology-Enabled Care Coordination During Prenatal Care for an Underserved Population [14K]

May 2018

Introduction: Care coordination can be impactful in improving quality of care for patients and improving healthcare system efficiency. This natural history study evaluates the impact of a technology-enabled care coordination system, Babyscripts Care Navigator (Babyscripts), and the effect on prenatal care attendance as well as identifying modifiable socioeconomic risk factors in an underserved, urban obstetrical population.

greenjournal
Green Journal Obstetrics & Gynecology

Evaluating Patient Satisfaction and Experience for Technology-Enabled Prenatal Care for Low Risk Women [1L]

May 2018

Introduction: Telemedicine and connected health has the potential to remodel prenatal care by enabling more frequent contact and increased patient engagement. This study sought to measure patient satisfaction in low-risk pregnant women who used an integrated mobile platform to supplement prenatal care.

greenjournal
American Journal of Obstetrics & Gynecology (AJOG)

Evaluation of Antepartum and Postpartum Remote Monitoring of Gestational Weight Gain in Low-Risk Pregnancy [1A]

May 2018

Introduction: Gestational weight gain is an important marker of perinatal health. This study evaluates remote monitoring to track appropriate weight gain in low-risk pregnancies.

greenjournal
Green Journal Obstetrics & Gynecology

Blood Pressure Trends in Pregnancy: Is There a New Normal? [29D]

May 2017

Introduction: Few studies have explored blood pressure (BP) trends in pregnancy and the postpartum period. The accepted belief is that BP in pregnancy stays close to non-pregnant values (120/80mmHg). Studies also suggest variance between clinic and home based BP measurements. In this report, we describe the use of digital health technology to gather weekly BP values and better track BP trends in pregnancy.

JMIR-logo-sm-1
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

Objective: The objective of this study is to determine the feasibility of monitoring patients remotely in prenatal care using a mobile phone app and connected digital devices.

greenjournal
Green Journal Obstetrics & Gynecology

Remote Prenatal Care Monitoring With Digital Health Tools Can Reduce Visit Frequency While Improving Satisfaction [3]

May 2016

Introduction: A high frequency of in-clinic visits is standard for prenatal surveillance. Yet in studies, reduction in prenatal care visits is not correlated with adverse perinatal outcomes for low-risk pregnancies. However, it is associated with decreased patient satisfaction. This study sought to measure the effect of reducing the frequency of prenatal visits while applying mobile/digital health technology for improved patient satisfaction and equivalent outcomes in low-risk pregnancies.

greenjournal
American Journal of Obstetrics & Gynecology (AJOG)

Preventing Excessive Gestational Weight Gain By Using Connected Weight Scales Paired With Mobile Apps [22L]

May 2016

Introduction: Obstetricians commonly struggle to help women maintain weight gain goals during pregnancy. Mobile health applications on smartphones are widely utilized by patients, and have the potential to transform healthcare delivery through remote monitoring. We developed a mobile health platform that monitors weight through a connected scale and provides feedback through “triggers” if weight is trending out of Institute of Medicine (IOM) Gestational Weight Gain (GWG) guidelines.

 

greenjournal
Green Journal Obstetrics & Gynecology

A Resource and Cost Analysis on the Impact of Reduced Visits for Prenatal Care [29F]

May 2016

Introduction: Prenatal care is resource-intensive, marked by frequent provider visits. Several studies have demonstrated reduced prenatal visits show no difference of outcomes in low-risk pregnancies, yet are subject to decreased patient satisfaction. Our objective was to perform a resource analysis of reduced visits supplemented by the use of digital tools during prenatal care for improved satisfaction.

greenjournal
Green Journal Obstetrics & Gynecology

Remote Capture and Monitoring of Clinical Data During Pregnancy  [54]

May 2015

Introduction: Excessive weight gain and high blood pressure are strong risk factors for pregnancy outcome. Mobile applications are increasingly posited to facilitate a high-resolution, bidirectional exchange between physician and patient. We developed an integrated system of mobile applications that incorporates remote patient monitoring together with an algorithm for triage system alerts (“triggers”) on deviation from established American College of Obstetricians and Gynecologists clinical guidelines. This study aimed to determine the efficacy and accuracy of our integrated system in regard to home vital sign measurement, triggers, and clinical measurements used in prenatal care.