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Table 3 Secondary outcomes

From: Remote blood pressure monitoring in high risk pregnancy — study protocol for a randomised controlled trial (REMOTE CONTROL trial)

General

Rate of composite maternal complications (adapted from the International Collaboration to Harmonise Outcomes for Pre-eclampsia [40]:

 - Maternal mortality

 - Eclampsia

 - Stroke

 -Cortical blindness

 - Retinal detachment

 - Pulmonary oedema

 - Acute kidney injury

 - Liver capsule haematoma or rupture

 - Placental abruption

 - Postpartum haemorrhage

 - Raised liver enzymes

 - Haemolysis

 - Low platelets

 - Admission to the intensive care unit

 - Intubation/mechanical ventilation

Gestational age at delivery

Birthweight

APGAR scores at 1 min and 5 min

Neonatal seizures

Neonatal respiratory morbidity

Uncontrolled hypertension

Pregnancy prolongation

Rate of preeclampsia

Rate of induction of labour

Mode of delivery

Postnatal readmission rate

Second trimester mean systolic and diastolic BP

Third trimester mean systolic and diastolic BP

Postnatal mean systolic and diastolic BP

Mean systolic and diastolic BP obtained in clinic setting

Area under the BP curve

Proportion of readings within target (< 140/90 mmHg)

Episodes of severe hypertension > 160/100 mmHg

Time to medication institution (weeks’ gestation)

Number of medication dose escalations

Healthcare utilisation

Maternal blood or urine testing at the laboratory prior to birth admission

Foetal cardiotocography

Foetal ultrasound

Number of outpatient visits

 - General practitioner

 - Antenatal clinic visit

 - Obstetric medicine clinic visits

Number of medical, day, or maternity assessment unit visits

Acute care area for urgent/emergent visit other than in labour

 - Emergency department

 - Birthing unit presentations

Number of antenatal admission days prior to birth

Feasibility and acceptability

 Compliance with remote monitoring

(interventional arm only)

 Compliance with face to face consultations

 Number of phone calls from the investigator

(interventional arm only)

 Recruitment rate

 Persistence with remote monitoring

Quality of life and patient satisfaction

 EuroQol 5D survey

 State Trait Anxiety Inventory questionnaire

 Edinburgh Postnatal Depression Score questionnaire

 Investigator-designed remote monitoring feasibility surveys (interventional arm only)

 Qualitative interview with participants and clinicians (interventional arm only)