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dc.contributor.authorAasbø, Gunvor
dc.contributor.authorStaff, Anne Cathrine
dc.contributor.authorBlix, Ellen
dc.contributor.authorPay, Aase Serine Devold
dc.contributor.authorWaldum, Åsa
dc.contributor.authorRivedal, Sunniva
dc.contributor.authorSolbrække, Kari Nyheim
dc.identifier.citationActa Obstetricia et Gynecologica Scandinavica. 2023,en_US
dc.descriptionThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.en_US
dc.description.abstractIntroduction: A pregnancy can be evaluated as high-risk for the woman and/or the fetus based on medical history and on previous or ongoing pregnancy characteristics. Monitoring high-risk pregnancies is crucial for early detection of alarming features, enabling timely intervention to ensure optimal maternal and fetal health outcomes. Home-based telemonitoring (HBTM) is a marginally exploited opportunity in ante-natal care. The aim of this study was to illuminate healthcare providers' and users' expectations and views about HBTM of maternal and fetal health in high-risk preg-nancies before implementation. Material and methods: To address diverse perspectives regarding HBTM of high-risk pregnancies, four different groups of experienced healthcare providers or users were interviewed (n= 21). Focus group interviews were conducted separately with mid-wives, obstetricians, and women who had previously experienced stillbirth. Six indi-vidual interviews were conducted with hospitalized women with ongoing high-risk pregnancies, representing potential candidates for HBTM. None of the participants had any previous experience with HBTM of pregnancies. The study is embedded in a social constructivist research paradigm. Interviews were analyzed using a thematic approach. Results: The participants acknowledged the benefits and potentials of more active roles for both care recipients and providers in HBTM. Concerns were clearly ad-dressed and articulated in the following themes: eligibility and ability of women, avail-ability of midwives and obstetricians, empowerment and patient safety, and shared responsibility. All groups problematized issues crucial to maintaining a sense of safety for care recipients, and healthcare providers also addressed issues related to main-taining a sense of safety also for the care providers. Conditions for HBTM were un-derstood in terms of optimal personalized training, individual assessment of eligibility, and empowerment of an active patient role. These conditions were linked to the im-portance of competent and experienced midwives and obstetricians operating the monitoring, as well as the availability and continuity of care provision. Maintenance of safety in HBTM in high-risk pregnancies was crucial, particularly so in situations involving emerging acute health issues. Conclusions: HBTM requires new, proactive roles among midwives, obstetricians, and monitored women, introducing a fine-tuned balance between personalized and standardized care to provide safe, optimal monitoring of high-risk pregnancies.en_US
dc.publisherJohn Wiley & Sonsen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.subjectuser perspectivesen_US
dc.subjecthospital at homeen_US
dc.subjecthigh-risk pregnancyen_US
dc.subjectfocus group interviewsen_US
dc.subjectantenatal cardiotocography monitoringen_US
dc.titleExpectations related to home-based telemonitoring of high-risk pregnancies: A qualitative study addressing healthcare providers' and users' views in Norwayen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.rights.holder© 2023 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG).en_US
dc.source.journalActa Obstetricia et Gynecologica Scandinavicaen_US
dc.relation.projectNorges forskningsråd: 326650en_US

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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal