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

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dc.contributor.authorAlqudah, Abdelrahim
dc.contributor.authorMcMullan, Paul
dc.contributor.authorTodd, Anna
dc.contributor.authorO'Doherty, Conor
dc.contributor.authorMcVey, Anne
dc.contributor.authorMcConnell, Mae
dc.contributor.authorO'Donoghue, John
dc.contributor.authorGallagher, Joe
dc.contributor.authorWatson, Chris J.
dc.contributor.authorMcClements, Lana
dc.date.accessioned2019-10-16T05:47:52Z
dc.date.available2019-10-16T05:47:52Z
dc.date.issued2019-09-13
dc.description.abstractBackground: 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.sponsorshipSBRI Health & Care: Department of Health Northern Ireland competition for development contracts: Project ‘GEMS’ - Gestational, Type 1 and Type 2 Diabetes Empowering Mothers through Mobile Technologiesen
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid662en
dc.identifier.citationAlqudah, 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/s12913-019-4471-9en
dc.identifier.doi10.1186/s12913-019-4471-9en
dc.identifier.eissn1472-6963
dc.identifier.endpage6en
dc.identifier.issued1en
dc.identifier.journaltitleBMC Health Services Researchen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/8782
dc.identifier.volume19en
dc.language.isoenen
dc.publisherBioMed Central Ltd.en
dc.relation.urihttps://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.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectPregnancyen
dc.subjectDiabetesen
dc.subjectGestational diabetesen
dc.subjectType 1 diabetesen
dc.subjectType 2 diabetesen
dc.subjectAtenatal clinicen
dc.subjectHome monitoringen
dc.subjectDigital technologyen
dc.titleService evaluation of diabetes management during pregnancy in a regional maternity hospital: potential scope for increased self-management and remote patient monitoring through mHealth solutionsen
dc.typeArticle (peer-reviewed)en
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