Remote and home-based fetal heart rate monitoring for fetal surveillance compared with conventional in-person monitoring: a systematic review and meta-analysis of randomized controlled trials
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The authors aimed to determine whether remote fetal heart rate monitoring (FHRM) yields neonatal and obstetric outcomes comparable to conventional in-person monitoring in randomized controlled trials. Their systematic review and meta-analysis of eight trials involving 1,813 pregnancies found that remote FHRM was associated with similar rates of low 5-minute Apgar scores and cesarean deliveries compared to traditional methods. However, the findings were tempered by concerns regarding bias in several studies and the need for further evaluation of additional neonatal outcomes and practical considerations for implementation.
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