# Home Cardiotocography in High-Risk Pregnancies: A Retrospective Study on Feasibility and Patient Well-Being

## TL;DR

This study shows that using a portable device for home cardiotocography is feasible and preferred by high-risk pregnant women over in-clinic visits.

## Contribution

The study demonstrates the feasibility and patient preference for home-based cardiotocography in high-risk pregnancies using a portable device.

## Key findings

- 95.7% of home cardiotocography examinations successfully captured all necessary diagnostic data.
- Patients reported high satisfaction and a clear preference for home-based testing over in-clinic visits.
- The study supports the potential of home cardiotocography to improve pregnancy experiences and healthcare accessibility.

## Abstract

Around 15% of pregnancies develop complications requiring detailed monitoring. With technological advancements, home cardiotocography has emerged as a potential alternative to the conventional approach, aiming to alleviate the stress and logistical challenges associated with in-clinic care. The objective of this study was to evaluate the capability of a portable device to collect data for accurate interpretation of the examination and to evaluate patient satisfaction, along with physical and emotional comfort during the monitoring process.

This retrospective study included 32 women with high-risk pregnancies, who independently performed 581 examinations utilizing the portable cardiotocography device Pregnabit Pro (Nestmedic, Poland). Moreover, participants were asked to provide feedback on their experiences through a comprehensive survey.

In total, 95.7% of examinations successfully captured all necessary diagnostic data. Patients reported a high satisfaction rate, recognizing the potential of the home-based approach to improve their overall pregnancy experience. A preference for home-based testing over in-clinic visits was consistently noted among patients.

This study shows evidence that home cardiotocography is a feasible and patient-preferred method for monitoring high-risk pregnancies. Our findings underline the importance of technological integration in prenatal care, advocating for a shift toward more patient-centered, accessible, and potentially cost-effective health care solutions.