孕期无创电子监护设备,您看不看好?

创作:尹洁晨 审核:Epi汪 02月01日
纳入509名前期没有远程医疗经验的孕妇;
77.9%希望使用无创电子设备测量胎儿的心音,62.6%希望自己使用该设备;
7.7%强烈认为该设备的使用会减少去急诊室的次数,若其与医生咨询相结合,13.5%表示会非常积极使用,只有5.9%认为该设备的使用可以替代医生咨询;
受高等教育的女性更倾向于进行孕期自我监控,且女性对该设备预期使用频率差别很大;
胎儿自我监测设备可能成为医生和产科护理的一种有价值的补充。
延伸阅读

Women's Attitudes Toward Self-Monitoring of Their Pregnancy Using Noninvasive Electronic Devices: Cross-Sectional Multicenter Study

女性对怀孕期间使用无创电子设备自我监控的态度调查:横断面多中心研究

01-07, Article, 10.2196/11458more

Abstract:
BACKGROUND: Pregnancy can be distressing, particularly if expectant mothers are worried about the well-being of their fetus. Consequently, the desire for reassurance and frequent fetal monitoring is often pronounced. Smart wearable devices and telemedicine are promising tools that could assist women in self-monitoring their pregnancy at home, hence disburdening emergency departments (EDs). They present the possibility to clarify the need for urgent care remotely and offer tighter pregnancy monitoring. However, patients' acceptance of such new technologies for fetal monitoring has not yet been explored extensively.
OBJECTIVE: This survey aimed to elucidate the attitudes of women toward self-monitoring of their pregnancy using noninvasive electronic devices. The technical details of the proposed devices were not specified.
METHODS: A cross-sectional multicenter study was conducted at the departments of obstetrics of the University Hospitals of Heidelberg and Leipzig, Germany. All patients seen in the obstetrics clinic who were above 18 years were offered participation. We designed a survey questionnaire including validated instruments covering population characteristics, issues in current and past pregnancies, as well as attitudes toward self-monitoring of pregnancy with smart devices.
RESULTS: A total of 509 pregnant women with no previous experience in telemedicine participated. Only a small minority of 5.9% (29/493) regarded self-monitoring with wearable devices as an alternative to consulting their physicians. Along these lines, only 7.7% (38/496) strongly believed they would visit the ED less often if such devices were readily available. However, if the procedure were combined with a Web-based telemetric physician consult, 13.5% (66/487) would be highly motivated to use the devices. Furthermore, significantly more women regarded it as an alternative prior to seeing a doctor when they perceived a decline in fetal movements (P<.001). Interestingly, women with university degrees had a higher propensity to engage in pregnancy self-monitoring compared with women without one (37% vs 23%; P=.001). Of the participants, 77.9% (381/489) would like smart wearable devices to measure fetal heart sounds, and 62.6% (306/489) wished to use the devices on their own. Feedback from a doctor or midwife was also very important in their choice of such devices (61.8%, 301/487 wished feedback). The intended frequency of use differed vastly among women, ranging from 13.8% (65/471) who would like to use such a device several times per day to 31.6% (149/471) who favored once per week at most.
CONCLUSIONS: Our results point to a skeptical attitude toward pregnancy self-monitoring among pregnant women. Nevertheless, many women are open to using devices for pregnancy monitoring in parallel to consulting their physician. The intention to use such devices several times daily or weekly, expressed by more than half of the participants, highlights the potential of such technologies.

First Authors:
Katharina Schramm,Niklas Grassl

Correspondence Authors:
Sarah Schott

All Authors:
Katharina Schramm,Niklas Grassl,Juliane Nees,Janine Hoffmann,Holger Stepan,Thomas Bruckner,Markus W Haun,Imad Maatouk,Markus Haist,Timm C Schott,Christof Sohn,Sarah Schott