Clinical efficacy and acceptability of remote fetal heart rate self-monitoring in Southern China

BackgroundCompared to traditional fetal heart rate monitoring (FHR) for the outpatients in clinic, remote FHR monitoring shows real-time assessment of fetal wellbeing at home. The clinical function of remote FHR monitoring in pregnant wome in outpatient is still unclear.ObjectiveTo explore the feasi...

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Bibliographic Details
Published in:BMC pregnancy and childbirth 2023-10, Vol.23 (1), p.1-715, Article 715
Main Authors: Gan, Yujie, Zhu, Caixia, Zhou, Yueqin, Wu, Jieying, Cai, Fenge, Wu, Qiang, Huang, Jingwan, Zhu, Yanna, Chen, Haitian
Format: Article
Language:English
Subjects:
Abortion
Amniotic fluid
Antenatal care
Birth weight
Cesarean section
Consent
COVID-19
Feces
Fetal monitoring
Gestational age
Gestational diabetes
Heart rate
Hospitals
Hypertension
Industrialized nations
Monitoring systems
Mortality
Obstetric outcomes
Obstetrics
Pandemics
Pregnancy
Pregnancy complications
Premature birth
Prenatal care
Questionnaires
Remote fetal heart rate self-monitoring
Statistical analysis
Stillbirth
Wireless
Womens health
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Summary:BackgroundCompared to traditional fetal heart rate monitoring (FHR) for the outpatients in clinic, remote FHR monitoring shows real-time assessment of fetal wellbeing at home. The clinical function of remote FHR monitoring in pregnant wome in outpatient is still unclear.ObjectiveTo explore the feasibility of remote FHR self-monitoring in singleton pregnant women from southern China.Study designThis prospective cohort study was conducted at one tertiary center in southern China. Pregnant women used a mobile cardiotocogram device to measure the FHR at least once a week until delivery in the remote group. For the control group, pregnant women underwent traditional FHR monitoring once a week in the outpatient clinic. The rate of cesarean section, risk of postpartum hemorrhage and adverse neonatal outcomes were compared between the two groups. All the pregnant women completed a questionnaire survey to evaluate their acquisition of remote FHR self-monitoring.ResultsApproximately 500 women were recruited in the remote FHR self-monitoring group (remote group), and 567 women were recruited in the traditional FHR monitoring group (control group). The women in the remote FHR monitoring group were more likely to be nulliparous (P 
ISSN:1471-2393
1471-2393
DOI:10.1186/s12884-023-05985-9