To Analyse the Effectiveness of Remote Fetal Heart Rate Monitoring Based on Internet in Late Pregnancy During the COVID-19 Pandemic

Abstract AIM. To evaluate the consistency of pregnancy outcomes and related clinical monitoring indicators in high and low risk group under two different monitoring methods during COVID-19 pandemic.Methods. The study was conducted among 765 primipara after a gestational age 32 weeks in Anhui Medical University Affiliated Maternity and Child Healthcare Hospital (January 2020 —December 2020). The subjects were randomly divided into two groups by their wishes.The control group (n=384) received traditional fetal heart monitoring, and the experimental group (n=381) received remote fetal heart monitoring. To evaluate the consistency of pregnancy outcomes and related clinical monitoring indicators in different groups under two different monitoring methods.Results. It was found that there was no statistically significant difference between the two groups in terms of pregnancy outcome (including mode of delivery, postpartum hemorrhage, etc.) and neonatal outcome (including preterm birth rate, neonatal weight, neonatal Apgar score, etc.) (p>0.05). It should also be noted that the difference in the scores of HADS-A and HADS-D between the two groups was statistically significant (p<0.05) and the EPDS score results were statistically different. Meanwhile, there was a statistically significant difference in the total cost of labor and delivery between two groups (p<0.05) and total time spent on labor and delivery between the two groups (p<0.05).Conclusions. Remote Fetal Heart Rate Monitoring Based on Internet is an innovative, acceptable, and effective reduced-frequency prenatal examination model. Compared to routine prenatal examination, Remote Fetal Heart Rate Monitoring Based on Internet resulted in higher patient satisfaction and lower prenatal stress. Besides, Remote Fetal Heart Rate Monitoring Based on Internet compared with the traditional fetal heart monitoring does not affect the pregnancy outcomes of pregnant women with different high-risk factors, maternal accept degree is high, and to reduce the medical resources pressure. It is an effective and feasible way for self-monitoring of pregnancies in late pregnancy during the pandemic of COVID-19 and is worthy of clinical application.