How pregnant women with diabetes experience telemonitoring of the fetal heart rate - An interview study.

Autor: Jepsen I; Department of Midwifery, University College of Northern Denmark. Selma Lagerløfs Vej 2, 9220 Aalborg Øst, Denmark; Health and Applied Technology, University College of Northern Denmark. Selma Lagerløfs Vej 2, 9220 Aalborg Øst, Denmark. Electronic address: irj@ucn.dk., Nielsen JH; Department of Midwifery, University College of Northern Denmark. Selma Lagerløfs Vej 2, 9220 Aalborg Øst, Denmark; Health and Applied Technology, University College of Northern Denmark. Selma Lagerløfs Vej 2, 9220 Aalborg Øst, Denmark., Eriksen SA; Department of Midwifery, University College of Northern Denmark. Selma Lagerløfs Vej 2, 9220 Aalborg Øst, Denmark., Maimburg RD; Department of Midwifery, University College of Northern Denmark. Selma Lagerløfs Vej 2, 9220 Aalborg Øst, Denmark; Department of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 82, 8200, Aarhus N, Denmark.
Jazyk: angličtina
Zdroj: European journal of obstetrics, gynecology, and reproductive biology [Eur J Obstet Gynecol Reprod Biol] 2024 Jul; Vol. 298, pp. 123-127. Date of Electronic Publication: 2024 Apr 30.
DOI: 10.1016/j.ejogrb.2024.04.039
Abstrakt: Objectives: The use of telemonitoring in healthcare is generally increasing. Women with complicated pregnancies are using telemonitoring as an alternative to conventional management, encompassing hospitalization or frequent outpatient clinic visits. However, there is sparse evidence on how pregnant women experience monitoring of their unborn babies at home. Women might feel uncomfortable with this responsibility, and moreover they might miss face-to-face contact with healthcare personnel.
Study Design: The study setting was a Danish hospital with a tertiary obstetric unit attending approximately 3400 births annually. A qualitative study design with interview as method included 11 pregnant women with type 1 diabetes or Gestational Diabetes Mellitus. This design was used to investigate how pregnant women with complicated pregnancies experienced telemonitoring of the fetus. Reflexive thematic analysis was used to analyze the pregnant women's experiences of telemonitoring.
Results: Women with type 1 diabetes or Gestational Diabetes Mellitus found the advantages of telemonitoring to outweigh the disadvantages. They experienced telemonitoring as time-saving and that telemonitoring decreased the level of stress. Moreover, telemonitoring supports positive collaboration with healthcare professionals. The women also experienced a lack of coordination of consultations between different departments at the hospital and challenges with timing, feedback, and technical issues. Moreover, the women requested an opportunity to discuss family formation and emotions.
Conclusions: Pregnant women with type 1 diabetes or Gestational Diabetes Mellitus benefit from the use of telemonitoring. To further improve the implementation and use of telemonitoring clinical implications, consider how timing and coordination of care, technical equipment, and feedback mechanisms could be improved.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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