Equal outcomes and fewer admissions with high patient satisfaction: Antenatal telemonitoring integrated in the electronic health record

We evaluated an antenatal telemonitoring program for pregnant women at increased risk of preeclampsia, fully integrated in the hospital electronic health record (EHR). In this retrospective case-control study, 20 women receiving telemonitoring were compared with 20 women receiving usual care. Primary outcomes were hypertension-related outpatient visits and hospital admissions; secondary outcomes included other contacts, diagnostics, and patient experience. Outpatient visits were similar, but hospital admissions were significantly lower in the telemonitoring group. Asynchronous patient messages increased, while other process outcomes were comparable. Patient satisfaction and willingness to reuse telemonitoring were high, supporting feasibility and acceptability of EHR-embedded telemonitoring.