Telemonitoring for high-risk pregnant women in Pakistan

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study will test a mobile telemonitoring program for pregnant women at high risk of preeclampsia in Karachi. The Raabta app enables daily blood pressure measurements and data transmission to healthcare providers between antenatal visits. A mixed-methods approach will enroll about 50 participants to assess feasibility, including how well the technology works, potential barriers, and user experiences. The study builds on prior LMIC telemonitoring work but focuses on early risk detection outside routine community health worker visits. Data will be hosted by the Centre for Digital Therapeutics at UHN in Toronto, with local clinical sites overseeing implementation.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Pregnant women at high-risk for preeclampsia (HRPE) who are either in their first or second trimester of pregnancy. The definition of HRPE will follow that of the NICE guidelines that define pregnant women at HRPE as those who have one high-risk factor or more than one moderate risk factor for preeclampsia.
* Participants who can speak and read (at least at a rudimentary level with help from a caregiver) the Urdu language for ease of communication with the research team and to be able to use the telemonitoring system.
* Partners (almost always male husbands in the Pakistani culture) and/or other caregivers (e.g., mother and mother-in-law) of pregnant women \[for post-study interviews\]
* Clinicians and nurses involved in the implementation of the telemonitoring program \[for post-study interviews\]

Exclusion Criteria:

* Pregnant women at high-risk for preeclampsia who are admitted to hospital for the management of their preeclampsia condition

Where it's running

• Jinnah Postgraduate Medical Centre
  Karachi, Sindh, Pakistan Recruiting

Study contacts

• Principal investigator: Emily Seto, PhD — University of Toronto
• Study coordinator: Emily Seto, PhD
• Email: emily.seto@utoronto.ca
• Phone: 416-669-9295

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.