Integrating Smart Ring Wearable Technology in Pregnancy Health Monitoring (I-SMART)

Wearable sensor and other smart technologies may play an important part in the early detection of adverse pregnancy-related health events along with motivating improvement in patient and provider interactions for effective pregnancy health management. The use of wearable sensors, more specifically, wearable smart rings can potentially be used to offer remote, unobtrusive personalized care, encourage preventive care and provide the necessary context for self-help based just-intime adaptive interventions (feedback loops utilizing digital phenotyping data to trigger in-app interventions). Studies on the use of wearable smart rings and health outcomes are scarce, and currently there is no available data of the use of wearable smart rings together with smart digital devices (i.e., smart phone) for tracking pregnancy health in women. This study aims to be the first to generate preliminary pilot data to support it's use in this specific group of women.

An observational period for up to 37 weeks, single-center, one-armed intervention study involving 70-100 healthy pregnant women from a multi-ethnic population (Chinese, Malay, Indian, others) aged between 21 and 45 years.

All participants included into the study will be provided an Oura Ring to wear for the rest of the pregnancy period.

Data will be collected through questionnaires and each time a participant opens up their mobile application, the uploaded data will be automatically transferred via Bluetooth connection to the study database in the smart ring cloud service. The questionnaires include socio-economic factors, maternal anxiety and depression, maternal sleep, and maternal physical activity. The participants data will be collected from the moment join the study up till delivery.

• Objective change in sleep quality across the entire pregnancy [Срок оценки: up to 37 weeks from recruitment]
• Self-reported change in sleep quality [Срок оценки: First trimester of pregnancy between 0-12 weeks gestational age]
• Self-reported change in sleep quality [Срок оценки: Second trimester of pregnancy between 13-27 weeks gestational age]
• Self-reported change in sleep quality [Срок оценки: Third trimester of pregnancy between 28-40 weeks gestational age]
• Objective change in physical activity across the entire pregnancy [Срок оценки: up to 37 weeks from recruitment]
• Self-reported change in physical activity [Срок оценки: First trimester of pregnancy between 0-12 weeks gestational age]
• Self-reported change in physical activity [Срок оценки: Second trimester of pregnancy between 13-27 weeks gestational age]
• Self-reported change in physical activity [Срок оценки: Third trimester of pregnancy between 28-40 weeks gestational age]
• Anxiety and depression symptoms [Срок оценки: First trimester of pregnancy between 0-12 weeks gestational age]
• Change in anxiety and depression symptoms across the first, second and third trimesters [Срок оценки: Second trimester of pregnancy between 13-27 weeks gestational age]
• Change in anxiety and depression symptoms across the first, second and third trimesters [Срок оценки: Third trimester of pregnancy between 28-40 weeks gestational age]