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Worldwide, 5 to 8% of all pregnant women develops gestational hypertensive disorders (GHD). This means that yearly ca. 3000 of the 64000 pregnancies in Flanders are complicated with this disorder.
Although randomized controlled trials among pregnant women at risk for the development of GHD have shown that appropriate blood pressure measurements are an important aspect of the prenatal care, implementation of a standardized care process that enables these blood pressure measurements to be adequately monitored, has not yet been introduced in clinical practice.
A care program that could make the most of these blood pressure measurements, is complementing prenatal care programs with telemonitoring (TM). TM is a complete care process that included information exchange between caregivers in the hospital and the patient at home. Pilotstudies showed that TM contribute to better follow-up eventuating in GHD prevention when compared to conventional care (CC).
We will compare 3 groups, to women at risk for GHD will be randomly assigned:
- Telemonitoring group
- Patient self-measurement group
- Conventional care group
These groups will be compared for:
- The prenatal follow-up
- Delivery outcomes
- Costs for the health care services
- Contributors to added value of TM
This is a multicenter study: Ziekenhuis Oost Limburg (Genk), UZLeuven (Leuven), UZA (Antwerpen), Sint Jan & Sint Lucas (Brugge), UHasselt are participating. The following steps will be done:
- Set up and conduct a randomized controlled trial
- Inclusion of a patient self-monitoring group
- Detailed registration of the interventions
- Cost-analysis and willingness-to-pay analysis
- Be involved in the screenings program to detect the risk for GHD
- Help with the inclusion of the patients in the TM program
- Follow-up of the patients included in the TM program
- Site visits of which are involved in the project
- Help with statistical analysis (analyses with demographic data and preliminary analyses of the gestational outcomes): (paired/unpaired) t-test, chi square, etc
- Contact with obstetricians and other caregivers to guide women in high risk pregnancies
- Basic statistical knowledge (analyses with demographic data and preliminary analyses of the gestational outcomes): (paired/unpaired) t-test, chi square, etc
- Empathic and social ability to talk with women with a high risk pregnancy
The student must have a bachelor's degree.