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BEHANDLING-God og treffsikker diagnostikk, behandling og rehabilitering

Home monitoring of pregnancies at risk

Alternative title: Hjemmeovervåking av risikosvangerskap

Awarded: NOK 16.0 mill.

The main aims of the HOME study (Home monitoring of pregnancies at risk) are to assess if home monitoring with maternal blood pressure and fetal heart rate patterns of selected high-risk pregnancies is feasible, safe, cost-efficient, and simultaneously empowers the users. Norway ranks among top countries providing universal high quality pregnancy care, with excellent maternal and fetal outcomes. High-risk pregnancies often require long-term hospitalization or outpatient maternal and/or fetal monitoring, placing a burden on patients, hospital resources and society. The demand for intensified pregnancy surveillance and interventions is increasing, due to the increased prevalence of risk factors like obesity and advanced maternal age, as well as altered guidelines resulting in increasing labor induction rates, to the point that Norway today lacks midwives. Some small studies from other countries indicate that home monitoring of maternal blood pressure and fetal heart rate patterns is safe, but health economics studies are lacking, as is the integration of such home-generated e-health data into the existing hospital electronic health record (EHR) system. Our innovation lies not only in being the first to integrate home monitoring of high-risk pregnancies into the pregnancy HER system, but also in enabling future machine learning studies of fetal heart rate patterns and assessment of placenta-related biomarkers for individual risk profiling. Our project will also pave the way for an ambitious long-term goal of integrating such data into a national EHR system, accessible to the patient and health care providers. Our group of collaborators is well suited to responding to this societal need for bringing specialist pregnancy care to users outside the hospital and to meet the industry-related challenges of strictly regulated privacy demands for safe transfer, integration and storage of e-health data into the hospital data and medical journal systems.

Norway ranks among top countries providing universal high quality pregnancy care, with excellent maternal and fetal pregnancy outcomes. High-risk pregnancies often require long-term hospitalization or outpatient maternal and/or fetal monitoring, placing a burden on patients, hospital resources and society. The demand for intensified pregnancy surveillance and interventions is increasing, due to the increased prevalence of risk factors like obesity and advanced maternal age, as well as altered guidelines resulting in increasing labor induction rates, to the point that Norway today lacks midwives. Some small studies from other countries indicate that home monitoring of maternal blood pressure and fetal heart rate patterns is safe, but health economics studies are lacking, as is the integration of such home-generated eHealth data into the existing hospital electronic health record (EHR) system. The main aims of the HOME study (Home monitoring of pregnancies at risk) are to assess if home monitoring of selected high-risk pregnancies for maternal and fetal wellbeing is feasible, safe (in a clinical trial), cost-efficient, and simultaneously empowers the users. Our innovation lies not only in being the first to integrate home monitoring of high-risk pregnancies into the pregnancy EHR system, but also in enabling future machine learning studies of fetal heart rate patterns and assessment of placenta-related biomarkers for individual risk profiling. Our project will also pave the way for an ambitious long-term goal of integrating such data into a national EHR system, accessible to the patient and health care providers. Our group of collaborators is well suited to responding to this societal need for bringing specialist pregnancy care to users outside the hospital and to meet the industry-related challenges of strictly regulated privacy demands for safe transfer, integration and storage of eHealth data into the hospital data and medical journal systems.

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Funding scheme:

BEHANDLING-God og treffsikker diagnostikk, behandling og rehabilitering