Hans van den Heuvel
8 RESULTS Of 42 women approached, 22 women consented to participate. Reasons not to participate in the online study were: no response to the invitation, busy family life at six weeks postpartum, lack of Facebook account or not willing to join Facebook. We conducted four focus groups: two with participants with hospital admission in pregnancy (HA, total n=11) and two with participants with telemonitoring experience in pregnancy (TM, total n=11). Participant characteristics are shown in Table 1. Average length of hospital stay during admission was 17,9 days (range 7-60), average length of telemonitoring was 15,8 days (range 7-49). Hospital Admission group 1) Experience with obstetric care Recalling their admission, half of the admitted group (6/11)was pleasedwith the explanation they received from the residents on ward about management and prognosis during admission. Contrarily, the others (5/11) missed coherent and straightforward management prior to their delivery, because the turnover of involved residents and obstetricians was perceived as very high during admission. [HA10] “The general approach of management was clear to me, although it changed multiple times during admission.” [HA20] “… in my experience the different residents on ward constantly came up with conflicting information despite the explanation from our own ‘case manager’ [consultant obstetrician]. However, because I was admitted, it felt like contact with our case manager ceased over time, resulting in unnecessary stress and uncertainty.” Opinions about nurses, midwives and physicians during admission were predominantly positive. The personal approach of the nurses was highly praised, stating that questions about medical or personal issues were always possible. However, 4/11 participants addressed their concerns about the many changes of shift, causing distrust when seeing new faces every day. [HA07] “I was admitted during a week-end and even then we could talk to a physician and a midwife, which was very pleasant for my partner and me. The nurses were always available for a little chat.” [HA12] “I had the feeling that there were many changes in residents and physicians (…) That’s why I felt the need to be watchful regarding my own management during admission.” Hospitalization often comes with restrictions in personal time and mobility, sometimes imposed by physicians, being physically bound to bed by monitors or catheters. Three USER EXPERIENCES OF HOME-BASED TELEMONITORING IN PREGNANCY 131
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