Use of wearable sensors for pregnancy health and environmental monitoring: Descriptive findings from the perspective of patients and providers
Open accessAbstract
Background: Wearable sensors and other smart technology may be especially beneficial in providing remote monitoring of sub-clinical changes in pregnancy health status. Yet, limited research has examined perceptions among pregnant patients and providers in incorporating smart technology into their daily routine and clinical practice. Objective: The purpose of this study was to examine the perceptions of pregnant women and their providers at a rural health clinic on the use of wearable technology to monitor health and environmental exposures during pregnancy. Methods: An anonymous 21-item e-survey was administered to family medicine or obstetrics and gynecology ( n=28) providers at a rural health clinic; while a 21-item paper survey was administered to pregnant women ( n=103) attending the clinic for prenatal care. Results: Smartphone and digital technology use was high among patients and providers. Patients would consider wearing a mobile sensor during pregnancy, reported no privacy concerns, and felt comfortable sharing information from these devices with their physician. About seven out of 10 women expressed willingness to change their behavior during pregnancy in response to receiving personalized recommendations from a smartphone. While most providers did not currently use smart technologies in their medical practice, about half felt it will be used more often in the future to diagnose and remotely monitor patients. Patients ranked fetal heart rate and blood pressure as their top preference for health monitoring compared to physicians who ranked blood pressure and blood glucose. Patients and providers demonstrated similar preferences for environmental monitoring, but patients as a whole expressed more interests in tracking environmental measures compared to their providers. Conclusions: Patients and providers responded positively to the use of wearable sensor technology in prenatal care. More research is needed to understand what factors might motivate provider use and implementation of wearable technology to improve the delivery of prenatal care.
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Numerous studies have highlighted the benefits of remote patient monitoring between clinic visits in detecting health deterioration earlier and enabling prompt intervention, particularly for individuals with chronic conditions.
“Numerous studies have highlighted the benefits of remote patient monitoring between clinic visits in detecting health deterioration earlier and enabling prompt intervention, particularly for individuals with chronic conditions [44–50].”
From Caregiver experiences of an integrative patient-centered digital health application for pediatric type 1 diabetes care: Findings from a pilot clinical trial (2025) · cites this paper as [49]
The Introduction says wearable technologies have potential for earlier detection of pregnancy complications, and the Discussion says remote monitoring may permit timely identification of adverse pregnancy events. The Discussion also reports that providers perceived chronic-disease monitoring as a benefit. These passages do not establish that remote monitoring enables prompt intervention or that numerous studies have demonstrated those benefits for people with chronic conditions. (LLM, conf=0.86)
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Impact of Digitalization in Maternal Healthcare
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Prediction of Pregnancy Complications Using Machine Learning and Deep Learning Algorithms
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Internet of Medical Things: A Revolution in Healthcare Towards Assistive Living
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- Authors
- Runkle, J., Sugg, M., Boase, D., Galvin, S. L., & C. Coulson, C.
- Affiliations
- North Carolina State University (US)
- Department of Geography and Planning, Appalachian State University, USA
- Appalachian State University (US)
- Mountain Area Health Education Center (US)
- Department of Obstetrics and Gynecology, Mountain Area Health Education Center, USA
- Corresponding author
- Runkle, Jennifer
- Venue
- DIGITAL HEALTH
- Publisher
- SAGE Publications
- Published
- 2019-01
- Volume
- 5
- Pages
- 2055207619828220-2055207619828220
- ISSN
- 2055-2076 (ISSN-L)
- PMC
- PMC6376550
- OpenAlex
- W2914541952
- Cited by
- 98
- References
- 31
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 17 · 2023: 15 · 2022: 18 · 2021: 22 · 2020: 5 · 2019: 3
- FWCI
- 16.36
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Digital Health (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- wearable sensors, pregnancy, prenatal care, remote patient monitoring, environmental exposure monitoring, patient perspectives, provider perceptions, smart technology adoption, privacy concerns, personalized health recommendations, rural health facilities, fetal heart rate, blood pressure, blood glucose
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