Acceptance of a new non-invasive fetal monitoring system and attitude for telemedicine approaches in obstetrics: a case–control study

Katharina Schramm, Florian Lapert, Juliane Nees, Carlijn Lempersz, S. Guid Oei, Markus W. Haun, Imad Maatouk, Thomas Bruckner, Christof Sohn, Sarah Schott

Research output: Contribution to journalArticleAcademicpeer-review

6 Citations (Scopus)

Abstract

Purpose: Reduction of maternal morbidity and mortality is a major worldwide objective anchored in the millennium goals of the United Nations. To improve fetal and maternal care, a constant attempt to discover groundbreaking technologies is ongoing. One approach is the enhancement of non-invasive fetal ECG devices. Most importantly, acceptance of new technologies by pregnant women is a prerequisite for successful implementation. Methods: This questionnaire-based study conducted at the University Hospital Heidelberg, Germany between May and June 2017 evaluates pregnant women’s attitudes towards a new device for fetal ECG monitoring and its potential home usage. The study population was questioned after exposure to the Parides/Atlantis prototype (Nemo Healthcare, Veldhoven, The Netherlands), whereas the maternal and gestational age-matched control group was left to envision telemedical topics. Results: The prototype and its potential usage in a clinical and telemedical setting was highly accepted, and its comfort and appearance satisfied participants. Its use caused significantly improved telemedical understanding as envision increased (p = 0.0015). Implementation and integration of telemedical devices into antenatal care was significantly preferred by the study group (p = 0.0011), though participants desire more specific features for their personal use. Optional home-based self-monitoring to reduce scheduled doctoral visits (p = 0.0004) as well as self-assessment prior to self-initiated, unscheduled consultation (p < 0.0001) could be affected positively by such a device. Furthermore, it could reduce face-to-face interaction with the care provider (p = 0.0163). Conclusions: The positive feedback on remote self-monitoring might open options for a more “patient as partners” oriented prenatal care in the future. Safety and reliability remain a major issue. More comprehensive studies with new technologies are needed to diligently ensure quality of care. Finally, results for new technologies must be communicated to pregnant women for their acceptance and usage of new devices.

Original languageEnglish
Pages (from-to)1085–1093
Number of pages9
JournalArchives of Gynecology and Obstetrics
Volume298
Issue number6
DOIs
Publication statusPublished - 1 Dec 2018

Keywords

  • Fetal ECG
  • Maternal–fetal medicine
  • Patients as partners
  • Patients’ attitude
  • Telemedicine
  • Patient Acceptance of Health Care/psychology
  • Fetal Monitoring/methods
  • Humans
  • Case-Control Studies
  • Telemedicine/methods
  • Pregnancy
  • Young Adult
  • Pilot Projects
  • Adolescent
  • Adult
  • Female
  • Surveys and Questionnaires
  • Obstetrics/methods

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