Service evaluation of diabetes management during pregnancy in a regional maternity hospital: potential scope for increased self-management and remote patient monitoring through mHealth solutions

Show simple item record

dc.contributor.author Alqudah, Abdelrahim
dc.contributor.author McMullan, Paul
dc.contributor.author Todd, Anna
dc.contributor.author O'Doherty, Conor
dc.contributor.author McVey, Anne
dc.contributor.author McConnell, Mae
dc.contributor.author O'Donoghue, John
dc.contributor.author Gallagher, Joe
dc.contributor.author Watson, Chris J.
dc.contributor.author McClements, Lana
dc.date.accessioned 2019-10-16T05:47:52Z
dc.date.available 2019-10-16T05:47:52Z
dc.date.issued 2019-09-13
dc.identifier.citation Alqudah, A., McMullan, P., Todd, A., O’Doherty, C., McVey, A., McConnell, M., O’Donoghue, J., Gallagher, J., Watson, C. J. and McClements, L. (2019) 'Service evaluation of diabetes management during pregnancy in a regional maternity hospital: potential scope for increased self-management and remote patient monitoring through mHealth solutions', BMC Health Services Research, 19(1), 662. (6pp.) DOI: 10.1186/s12913-019-4471-9 en
dc.identifier.volume 19 en
dc.identifier.issued 1 en
dc.identifier.startpage 1 en
dc.identifier.endpage 6 en
dc.identifier.uri http://hdl.handle.net/10468/8782
dc.identifier.doi 10.1186/s12913-019-4471-9 en
dc.description.abstract Background: Pre-gestational and gestational diabetes mellitus are common complications in pregnancy affecting one in six pregnancies. The maternity services are under significant strain managing the increasing number of complex pregnancies. This has an impact on patients’ experience of antenatal care. Therefore, there is a clear need to address pregnancy care. One possible solution is to use home-based digital technology to reduce clinic visits and improve clinical monitoring. Methods: The aim of this study was to evaluate the antenatal services provided to pregnant women with diabetes who were monitored at the joint metabolic and obstetric clinic at the Southern Health and Social Care Trust in Northern Ireland. Results: The questionnaires were completed by sixty-three women, most of whom had gestational diabetes mellitus. Most of the participants were between 25 and 35 years of age (69.8%), had one or more children (65.1%) and spent over 2 h attending the clinics (63.9%); 78% of women indicated that their travel time to and from the clinic appointment was over 15 min. Over 70% of women used smartphones for health-related purposes. However, only 8.8% used smartphones to manage their health or diabetes. Less than 25% of the women surveyed expressed concerns about using digital technology from home to monitor various aspects of their health in pregnancy. Conclusions: Overall, pregnant women who had or developed diabetes in pregnancy experience frequent hospital visits and long waiting times in the maternity clinics. Most of these pregnant women are willing to self-manage their condition from home and to be monitored remotely by the healthcare staff. en
dc.description.sponsorship SBRI Health & Care: Department of Health Northern Ireland competition for development contracts: Project ‘GEMS’ - Gestational, Type 1 and Type 2 Diabetes Empowering Mothers through Mobile Technologies en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BioMed Central Ltd. en
dc.relation.uri https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4471-9
dc.rights © The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. en
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ en
dc.subject Pregnancy en
dc.subject Diabetes en
dc.subject Gestational diabetes en
dc.subject Type 1 diabetes en
dc.subject Type 2 diabetes en
dc.subject Atenatal clinic en
dc.subject Home monitoring en
dc.subject Digital technology en
dc.title Service evaluation of diabetes management during pregnancy in a regional maternity hospital: potential scope for increased self-management and remote patient monitoring through mHealth solutions en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother John O Donoghue, ASSERT Centre, University College Cork, Cork, Ireland. +353-21-490-3000 Email:john.odonoghue@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle BMC Health Services Research en
dc.internal.IRISemailaddress john.odonoghue@ucc.ie en
dc.identifier.articleid 662 en
dc.identifier.eissn 1472-6963


Files in this item

This item appears in the following Collection(s)

Show simple item record

© The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Except where otherwise noted, this item's license is described as © The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
This website uses cookies. By using this website, you consent to the use of cookies in accordance with the UCC Privacy and Cookies Statement. For more information about cookies and how you can disable them, visit our Privacy and Cookies statement