Personalized digital care in obstetrics: the impact of Heart4Mom® application in the detection and management of severe preeclampsia
Year: 2025
Type: article
Study design: Case Report
Abstract: Background. Preeclampsia, whether de novo or superimposed on chronic hypertension, is a major contributor to maternal and perinatal morbidity and mortality worldwide. It affects approximately 5% of pregnancies, being closely associated with fetal growth restriction (FGR), particularly in early-onset cases. Early identification of high-risk factors and timely intervention remain essential to improve outcomes. Case presentation. We report the case of a pregnant patient with a history of severe preeclampsia and FGR in a previous pregnancy, requiring preterm delivery at 27 weeks. In the current pregnancy, early-onset FGR was diagnosed at 26 weeks, despite adequate antihypertensive therapy. The patient was enrolled in a telemonitoring program (Heart4Mom®) from the first trimester, enabling continuous remote blood pressure surveillance. A hypertensive crisis (systolic BP ≥ 200 mmHg) was promptly detected through the app, prompting emergency referral. Subsequent fetal Doppler evaluation revealed reversed a-wave in the ductus venosus and reduced fetal movements, leading to urgent delivery. Management and outcomes. The case was managed in accordance with the Romanian Society of Obstetrics and Gynecology and the NICE guidelines. The integration of digital health tools facilitated real-time data collection, early diagnosis, multidisciplinary care, and postpartum psychological follow-up. This case is notable for demonstrating the successful clinical management of early-onset preeclampsia without maternal or fetal mortality – an outcome rarely reported in literature, especially in cases diagnosed prior to 26 weeks. Conclusions. This case highlights the critical role of telemonitoring platforms, such as Heart4Mom®, in managing high-risk pregnancies. Remote surveillance enables the early detection of clinical deterioration, timely therapeutic intervention, and personalized care planning. Future prospective studies are needed to validate these findings and to further integrate digital tools into standard obstetric protocols for hypertensive disorders.
Source: Ginecologia ro
Authors: Oana-Eliza Crețu, Alina-Alexandra Dîrlău, Adrian-Valeriu Neacşu, Adina Nenciu, Maria Videnie, Cristian Poalelungi, Iuliana Ceauşu
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4412809137