Hans van den Heuvel

9 Recommendations for research and practice By this survey we provide information about the current practice and trends in the Netherlands regarding home- and telemonitoring in perinatal care. More detailed information on barriers and facilitators from both patients and health care providers may help further development of innovative strategies in perinatal care. However, evidence on medical outcomes and patient safety of telemonitoring is still lacking and is required before implementation of this innovation in the target group. We must expand our knowledge of these forms of care in order to move forward with digital health innovations. Consensus on the implementation and research agenda can pave the road to widespread use of digital health services. Trial results, combined with stakeholders’ views of digital health, are needed for the development of reimbursement systems of innovative methods for remote monitoring in pregnancy. Conclusion In 2018 in the Netherlands, 26% of the hospitals offered home-monitoring and 23% offered telemonitoring to their patients with pregnancy complications. With these increasingly popular forms of home-based care, an increasing number of pregnant women in need of daily monitoring is staying at home, as an alternative to hospital admission. Additionally, respondents of the survey addressed multiple possible advantages and disadvantages of home- and telemonitoring in pregnancy. These results can contribute to future evaluation of digital innovations in pregnancy care, as further research on safety, experience and cost- effectiveness is warranted before widespread implementation. CURRENT PRACTICE OF HOME-BASED TELEMONITORING IN THE NETHERLANDS 155