Hans van den Heuvel

Figure 1: Six domains of pregnancy and childbirth care with use of eHealth In chapter 2 , we describe the results of the literature research as the present knowledge on eHealth use in perinatal care including users’ characteristics and the remaining 5 domains (Figure 1). PART 1: TELEMONITORING OF PREGNANT WOMEN AT RISK OF PREECLAMPSIA In Part 1 of this thesis, we describe the role of home telemonitoring of blood pressure for women at risk of preeclampsia. Telemonitoring could be an important solution to deal with the challenges resulting from frequent antenatal visits and admissions. In order to improve care for pregnant women with underlying risk factors of hypertension, we developed a digital tool to enhance prenatal care. This telemonitoring platform allows for the exchange of repeated blood pressure measurements in combination with preeclampsia symptom reporting. Values that exceed the predefined thresholds result in alerts on the monitoring dashboard for health careproviders, who can contact theparticipant for furthermanagement. International guidelines recommend self-monitoring of blood pressure in women with gestational hypertension. 17 Research has shown that pregnant women are able to record blood pressure accurately at home and are willing to take repeated self-measurements. CHAPTER 1 12