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Related Experiment Video

Updated: Dec 2, 2025

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
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Telehealth: improving maternity services by modern technology.

Nusrat Fazal1,2, Anne Webb3, Jo Bangoura4

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Home telehealth monitoring using the

Keywords:
ambulatory carehealthcare quality improvementobstetrics and gynecologypatient satisfactiontelemedicine

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Area of Science:

  • Obstetrics and Gynecology
  • Digital Health
  • Maternal-Fetal Medicine

Background:

  • Hypertension in pregnancy, including pregnancy-induced hypertension (PIH), affects 10% of pregnancies.
  • PIH necessitates frequent blood pressure monitoring per NICE guidelines, straining healthcare resources.
  • Current monitoring protocols involve frequent face-to-face appointments, increasing patient and provider burden.

Purpose of the Study:

  • To evaluate the acceptability, feasibility, and safety of telehealth for home blood pressure monitoring in PIH patients.
  • To assess the impact of telehealth on patient experience and healthcare service workload.
  • To determine if telehealth can improve compliance with clinical guidelines for PIH management.

Main Methods:

  • A 3-phase implementation of 'Florence', a text-based telehealth platform, replaced routine face-to-face appointments.
  • Utilized a Plan-Do-Study-Act methodology for progressive refinement of the telehealth intervention.
  • Recruited 75 patients over 12 months, substituting approximately 800 in-person visits with remote monitoring.

Main Results:

  • Telehealth successfully replaced a significant number of face-to-face appointments.
  • Remote monitoring led to improved patient care and satisfaction.
  • Achieved enhanced compliance with NICE guidelines for blood pressure monitoring in PIH.

Conclusions:

  • Home-based telehealth monitoring is a viable solution for managing hypertension in pregnancy.
  • Telehealth can improve the quality of care in maternity services while reducing the burden on NHS resources.
  • This approach offers a patient-centered, efficient alternative to traditional monitoring methods.