Principal Investigator: Erin Clark
Keywords: Prenatal Care , Pregnancy , Telemedicine , Low-risk , Obstetrics , Ob/Gyn Department: Maternal-Fetal Medicine
IRB Number: 00064042
Specialty: OB/Gyn, General
Sub Specialties: General Obstetrics
Recruitment Status: Completed

Contact Information

Alexandria Burringo
alex.burringo@hsc.utah.edu
(801) 587-0975

Simple Summary

What is prenatal care? Prenatal care is regular check-ups during pregnancy to make sure both mother and baby are healthy. Most women have 8-15 visits with their doctor during pregnancy. Prenatal care is usually ‘one-size fits all’ with every woman receiving the same type of prenatal care.What is personalized prenatal care?Personalized medicine is about making medical care specific to each person. Personalized prenatal care means that high-risk women with pregnancy complications need extra prenatal care. It also means that low-risk, healthy women with normal pregnancies need less prenatal care.Doctors at University of Utah Hospital are studying an exciting new kind of prenatal care for low-risk women. What is personalized prenatal care for low-risk women? Low-risk women who agree to be in the study will have the same number of prenatal visits. They will have a combination of face-to-face visits with their doctor and telemedicine visits. Telemedicine allows doctors and patients to visit over the computer. This means that women can do some of their prenatal visits from home or work. This type of prenatal care may be more convenient for patients. It may also keep moms and babies safe while saving time and money. It might also mean less pollution for our environment, since fewer women will be driving to appointments.

Inclusion Criteria

  1. 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.
  2. 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.
  3. 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.
  4. Intention to deliver at the University Hospital.

Exclusion Criteria

 

  1. Participant age at enrollment is younger than 20 or older than 39 years of age at the time of delivery.
  2. Not fluent in English
  3. Absence of prior term vaginal deliveries.
  4. Significant complications in any previous viable pregnancy include three or more previous miscarriages, preterm birth(<370 weeks), preeclampsia, placental abruption, stillbirth, cesarean delivery, etc.
  5. 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.
  6. Use of known risk factors such as smoking, alcohol, illegal drug use, or other known teratogenic exposures.
  7. Multifetal pregnancy or known fetal anomalies

Participant Reimbursement

Participants who are randomized into the telemedicine/remote monitoring group will receive the fetal monitor, scale and blood pressure cuff before the first remote monitoring visit. They will be able to keep these items even after the study is complete. Participants who are randomized to the usual care group will receive a $50 gift card after they have delivered. This will be provided to them once they have completed the survey requested of them after delivery.