Imperial College London
Portrait Picture

DrEdwardMullins

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Clinical Senior Lecturer in Obstetrics (Public, Global and D
 
 
 
//

Contact

 

edward.mullins Website CV

 
 
//

Location

 

St Mary's HospitalClarence WingSt Mary's Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Zielinska:2022:10.1097/MD.0000000000029566,
author = {Zielinska, A and Mullins, E and Lees, C},
doi = {10.1097/MD.0000000000029566},
journal = {Medicine},
title = {The feasibility of multi-modality remote monitoring of maternal physiology during pregnancy},
url = {http://dx.doi.org/10.1097/MD.0000000000029566},
volume = {101},
year = {2022}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives:  Gestational hypertension affects 10% of pregnancies, may occur without warning and has wide ranging effects on maternal, fetal and infant health. Antenatal care largely relies on in-person appointments, hence only <4% of the pregnancy period is subject to routine clinical monitoring. Home monitoring offers a unique opportunity to collect granular data and identify trends in maternal physiology that could predict pregnancy compromise.  Our objective was to investigate the feasibility of remote multi-domain monitoring of maternal cardiovascular health both in and after pregnancy.  Methods: Prospective feasibility study of continuous remote monitoring of multiple modalities indicative of cardiovascular health from the first trimester to six weeks post-partum.Results: Twenty-four pregnant women were asked to monitor body weight, heart rate, blood pressure, activity levels and sleep patterns daily. Study participants took on average 4.3 (SD= 2.20) home recordings of each modality per week across the three trimesters and 2.0 post-partum (SD= 2.41), out of a recommended maximum of 7. Participant retention was 58.3%. Wearing a smartwatch daily was reported as feasible (8.6/10, SD= 2.3) and data could be entered digitally with ease (7.7/10, SD= 2.4). Conclusion: Remote digital monitoring of cardiovascular health is feasible for research purposes and hence potentially so for routine clinical care throughout and after pregnancy. 58% of women completed the study. Multiple modalities indicative of cardiovascular health can be measured in parallel, giving a global view that is representative of the whole pregnancy period in a way that current antenatal care is not.
AU  - Zielinska,A
AU  - Mullins,E
AU  - Lees,C
DO  - 10.1097/MD.0000000000029566
PY  - 2022///
SN  - 0025-7974
TI  - The feasibility of multi-modality remote monitoring of maternal physiology during pregnancy
T2  - Medicine
UR  - http://dx.doi.org/10.1097/MD.0000000000029566
UR  - https://journals.lww.com/md-journal/Fulltext/2022/07010/The_feasibility_of_multimodality_remote_monitoring.73.aspx
UR  - http://hdl.handle.net/10044/1/97108
VL  - 101
ER  -
Download