Qualitative evaluation of a rapid rollout of home blood pressure monitoring in pregnancy during Covid-19

Charlotte Paterson, Elaine Jack, Brian McKinstry, Sonia Whyte, Fiona C Denison, Helen Cheyne

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

In March 2020, the World Health Organisation named the severe acute respiratory syndrome coronavirus 2 (Sars-CoV-2), which causes corona virus disease 2019 (COVID -19), as a pandemic. Pregnant women were considered at increased risk of developing severe COVID-19 after viral infection. In response maternity services reduced face-to-face consultations with high-risk pregnant women by supplying blood pressure monitors for supported self-monitoring. This paper explores the experiences of patients and clinicians of the rapid roll-out of supported self-monitoring programme in Scotland during the first and second wave of the COVID-19 pandemic. We conducted semi-structured telephone interviews with high-risk women and healthcare professionals who were using supported self-monitoring of blood pressure (BP) In four case studies during the COVID-19 pandemic. 20 women, 15 midwives and 4 obstetricians took part in the interviews. Interviews with healthcare professionals showed that while implementation occurred at pace and at scale across the National Health Service (NHS) in Scotland, implementation differed locally, resulting in mixed experiences. Study Participants observed several barriers and facilitators to implementation. Women value the simplicity of use and convenience of the digital communications platforms while health professionals were more interested in their impact on reducing workload for both women and health professionals largely found self-monitoring acceptable, with only a few exceptions. These results show that rapid change can occur in the NHS at a national level when there is a shared motivation. While self-monitoring is acceptable to most women, decisions regarding self-monitoring should be made jointly and on an individual basis.
Original languageEnglish
Article numbere0278156
JournalPLoS ONE
Issue number3
Publication statusPublished - 23 Mar 2023

Keywords / Materials (for Non-textual outputs)

  • Blood Pressure
  • COVID-19/epidemiology
  • Female
  • Humans
  • Pandemics
  • Pregnancy
  • SARS-CoV-2
  • State Medicine


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