Connected Health-Enabled Remote Blooding Pressure Monitoring of Low-Risk Pregnancy in Rural Setting [07L] : Obstetrics & Gynecology

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Saturday, April 25, 2020: 3: 20 PM–4: 20 PM: OBSTETRICS

Connected Health-Enabled Remote Blooding Pressure Monitoring of Low-Risk Pregnancy in Rural Setting [07L]

DeNicola, Nathaniel G. MD, MSHP; Sheth, Sheetal MD; Marko, Kathryn MD; Woodland, Mark B. MD, MS

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Obstetrics & Gynecology 135():p 126S, May 2020. | DOI: 10.1097/01.AOG.0000664580.60544.f4



Connected health, or telehealth, interventions have been targeted to help reduce health care disparities in rural populations for its ability to remotely connect patients and providers.


In a study population at a Pennsylvania health system with both rural and urban ZIP codes, low-risk pregnant women were enrolled in an integrated technology platform, Babyscripts (BRx), with a mobile application and connected devices to remotely transmit blood pressure (BP) readings. A retrospective analysis was performed on de-identified data from patients with similar demographics from rural and urban ZIP codes to compare outcomes: average BP readings per individual, frequency of trigger BP readings (>140/90), and average interval between BP readings.


Of 795 low-risk pregnant women enrolled in remote BP monitoring, 46 resided in rural ZIP codes (5.79%). Among the 46 patients in rural ZIP codes the average number of BP readings per patient was 17.8 compared to 17.6 in the urban setting (total BP readings: 823 and 13,211 respectively). The frequency of trigger BP readings >140/90 was 2.07% in our rural population compared to 2.24% in urban population. The average interval between readings was 7.99 days rural compared to 7.94 urban.


Connected health interventions for low-risk pregnant women in a rural population resulted in healthcare engagement and remote BP monitoring comparable to that observed in the urban setting. Future controlled studies can examine the role of connected health as a driver for reducing health disparities for remote and rural communities.

© 2020 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.

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