|Principal Investigator: ErinClark|
|Keywords: Prenatal Care , Pregnancy , Telemedicine , Low-risk , Obstetrics , Ob/Gyn||Department: Maternal-Fetal Medicine|
|IRB Number: 00064042||Co Investigator:|
|Specialty: OB/Gyn, General|
|Sub Specialties: General Obstetrics|
The goals of this study are to: 1) assess the patient satisfaction, patient experiences and preferences, financial impact, clinical outcomes, and provider satisfaction of providing personalized prenatal care for low-risk pregnancies using telecommunication and remote patient care devices; and 2) measure the reliability of at-home, patient-recorded, computer-documented prenatal care measurements.
- A pregnant woman initiating prenatal care between 60 weeks and 160 weeks estimated gestational age (EGA) by reliable last menstrual period (LMP) or ultrasound. All participants must have confirmation of pregnancy viability (by Doppler or ultrasound) prior to study enrollment. All participants must, by 24 weeks gestation, have ultrasonographic confirmation of a single viable intrauterine pregnancy with no major anomalies.
- All participants must have had at least one prior term, uncomplicated vaginal delivery or cesarean delivery. This will be ascertained at time of enrollment by care provider.
- Must be willing and able to perform remote monitoring study requirements at home. This includes having a computer with internet access at home (preferred but not required); must have already registered or be willing to register for Epic MyChart; be willing and capable (after instruction) of using at-home monitoring devices including fetal health monitor, automatic blood pressure monitor, and weight scale; be willing and capable (after instruction) of entering information from at-home monitoring devices into Epic MyChart; be willing and capable (after instruction) of using a web-based video conferencing solution or telephone for communication with clinician.
- Intention to deliver at the University Hospital.
- Participant age at enrollment is younger than 20 or older than 39 years of age at the time of delivery.
- Not fluent in English
- Absence of prior term vaginal deliveries.
- Significant complications in any previous viable pregnancy include three or more previous miscarriages, preterm birth(<370 weeks), preeclampsia, placental abruption, stillbirth, cesarean delivery, etc.
- Any significant concurrent medical problems such as cardiovascular disease, diabetes, hypertension, prior venous thromboembolism, autoimmune disease (exception: women with well-controlled hypothyroidism may enroll), and any other medical problem of concerned as deemed by her prenatal care provider.
- Use of known risk factors such as smoking, alcohol, illegal drug use, or other known teratogenic exposures.
- Multifetal pregnancy or known fetal anomalies