Hans van den Heuvel

of centers in the Netherlands offered either home-based monitoring or telemonitoring or both to pregnant women with complications. Home-based monitoring was offered in 26% (19/73) of the centers; telemonitoring, in 23% (17/73); and both in 11% (8/73). Both are provided for a wide range of complications, such as fetal growth restriction, pre-eclampsia, and preterm rupture of membranes. The respondents reported advantages of monitoring from home, such as reduced stress and increased rest for patients, and reduction of admission and possible reduction of costs. The stated barriers included lack of insurance reimbursement and possible technical issues. Last chapter of this part is the protocol of a randomized controlled trial to study the new strategy: Hospital care versus TELemonitoring in high risk pregnancy – the HOTEL trial ( Chapter 10 ). This multicentre randomized controlled trial aims to compare telemonitoring at the patient’s home versus hospital admission with regard to perinatal outcome, patient satisfaction, preference of care and cost-effectiveness. CHAPTER 11 180