{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:58:49Z","timestamp":1792166329251,"version":"4.4.0"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T00:00:00Z","timestamp":1700438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005416","name":"Norges Forskningsr\u00e5d","doi-asserted-by":"publisher","award":["326650"],"award-info":[{"award-number":["326650"]}],"id":[{"id":"10.13039\/501100005416","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>A pregnancy can be evaluated as high\u2010risk for the woman and\/or the fetus based on medical history and on previous or ongoing pregnancy characteristics. Monitoring high\u2010risk pregnancies is crucial for early detection of alarming features, enabling timely intervention to ensure optimal maternal and fetal health outcomes. Home\u2010based telemonitoring (HBTM) is a marginally exploited opportunity in antenatal care. The aim of this study was to illuminate healthcare providers' and users' expectations and views about HBTM of maternal and fetal health in high\u2010risk pregnancies before implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>To address diverse perspectives regarding HBTM of high\u2010risk pregnancies, four different groups of experienced healthcare providers or users were interviewed (<jats:italic>n<\/jats:italic>\u2009=\u200921). Focus group interviews were conducted separately with midwives, obstetricians, and women who had previously experienced stillbirth. Six individual interviews were conducted with hospitalized women with ongoing high\u2010risk pregnancies, representing potential candidates for HBTM. None of the participants had any previous experience with HBTM of pregnancies. The study is embedded in a social constructivist research paradigm. Interviews were analyzed using a thematic approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The participants acknowledged the benefits and potentials of more active roles for both care recipients and providers in HBTM. Concerns were clearly addressed and articulated in the following themes: eligibility and ability of women, availability of midwives and obstetricians, empowerment and patient safety, and shared responsibility. All groups problematized issues crucial to maintaining a sense of safety for care recipients, and healthcare providers also addressed issues related to maintaining a sense of safety also for the care providers. Conditions for HBTM were understood in terms of optimal personalized training, individual assessment of eligibility, and empowerment of an active patient role. These conditions were linked to the importance of competent and experienced midwives and obstetricians operating the monitoring, as well as the availability and continuity of care provision. Maintenance of safety in HBTM in high\u2010risk pregnancies was crucial, particularly so in\u00a0situations involving emerging acute health issues.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>HBTM requires new, proactive roles among midwives, obstetricians, and monitored women, introducing a fine\u2010tuned balance between personalized and standardized care to provide safe, optimal monitoring of high\u2010risk pregnancies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14726","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T21:45:49Z","timestamp":1700603149000},"page":"276-285","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Expectations related to home\u2010based telemonitoring of high\u2010risk pregnancies: A qualitative study addressing healthcare providers' and users' views in Norway"],"prefix":"10.1111","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8981-5374","authenticated-orcid":false,"given":"Gunvor","family":"Aasb\u00f8","sequence":"first","affiliation":[{"name":"Department of Interdisciplinary Health Research University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9247-5721","authenticated-orcid":false,"given":"Anne Cathrine","family":"Staff","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynecology Oslo University Hospital  Oslo Norway"},{"name":"Institute of Clinical Medicine, Faculty of Medicine University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7971-4580","authenticated-orcid":false,"given":"Ellen","family":"Blix","sequence":"additional","affiliation":[{"name":"Department of Nursing and Health Promotion Oslo Metropolitan University  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6361-5983","authenticated-orcid":false,"given":"Aase S. D.","family":"Pay","sequence":"additional","affiliation":[{"name":"Department of Nursing and Health Promotion Oslo Metropolitan University  Oslo Norway"},{"name":"Department of Gynecology and Obstetrics B\u00e6rum Hospital, Vestre Viken Hospital Trust  Gjettum Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1599-7854","authenticated-orcid":false,"given":"\u00c5sa","family":"Waldum","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynecology Oslo University Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunniva","family":"Rivedal","sequence":"additional","affiliation":[{"name":"Center for Diaconia and Professional Practice VID Specialized University  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2684-5397","authenticated-orcid":false,"given":"Kari N.","family":"Solbr\u00e6kke","sequence":"additional","affiliation":[{"name":"Department of Interdisciplinary Health Research University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,20]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Norwegian Ministry of Health and Care.Den store forskjellen\u2014om kvinners helse og betydningen av kj\u00f8nn for helse. Norske offentlige utredninger (NOU 2023:5) [The great difference\u2014about women's health and the significance of gender on health. Official Norwegian reports.] (in Norwegian).2023:5."},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7.1.e1"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.2196\/18966"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2589-7500(22)00231-X"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14294"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2019.104004"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-018-4918-y"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.2196\/41508"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-2779-4"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9262"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-037874"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.18332\/ejm\/126625"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.2196\/11458"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.5091"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2683"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.03.016"},{"key":"e_1_2_13_18_1","volume-title":"The Sociology of Health and Illness","author":"Nettleton S","year":"2021"},{"key":"e_1_2_13_19_1","volume-title":"The Problem of Medical Knowledge: Examining the Social Construction of Medicine","author":"Treacher A","year":"1982"},{"key":"e_1_2_13_20_1","volume-title":"Thematic Analysis: A Practical Guide","author":"Clarke V","year":"2022"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2012.01.014"},{"key":"e_1_2_13_22_1","volume-title":"Bilagsrapport til slutrapportering fra Klinisk Integreret Hjemmemonitorering","author":"Lee ASM","year":"2015"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.2196\/10887"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.4712"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-4999-8"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14726","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T02:29:38Z","timestamp":1744424978000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14726"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,20]]},"references-count":24,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1111\/aogs.14726"],"URL":"https:\/\/doi.org\/10.1111\/aogs.14726","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,20]]},"assertion":[{"value":"2023-07-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}