Abstract: Objective To compare the effects of networked remote electronic fetal monitoring （EFM） and traditional EFM in the late stage of pregnancy on the outcome of pregnancy. Methods The study subjects were 298 pregnant women of late pregnancy admitted from January 2019 to January 2020. According to postoperative treatment method, they were divided into two groups： a traditional group who received conventional EFM examination （142 cases） and a network group who received networked remote EFM examination （156 cases）. Fetal management during late pregnancy, adverse psychological status score during pregnancy, final mode of delivery, and pregnancy outcome were compared between the two groups. Results The abnormal rates of fetal heart, fetal movement, and non-stress test （NST） results were significantly lower in the network group than those in the traditional group （P<0.05）. After the intervention, both groups of pregnant women showed significant improvement in anxiety and depression scores; the network group showed significantly lower anxiety and depression scores than the traditional group （P<0.05）. No differences were found in the distribution of normal, assisted, and caesarean deliveries between the two groups of pregnant women （P>0.05）. The incidence rates of adverse pregnancy outcomes such as premature birth, neonatal asphyxia, amniotic fluid contamination, and low body weight were significantly lower in the network group than those in the traditional group （P<0.05）. Conclusion The networked remote EFM system has the advantages of simple, safe, and efficient application, high acceptance by pregnant women, as well as high sensitivity, accuracy and timeliness, which is conducive to breaking the traditional time and space limitation, saving time and energy of both doctors and patients, reducing the pressure of diagnosis and treatment, and optimizing the allocation of medical resources to a greater extent. Therefore, it is recommended to prioritize networked remote EFM in order to avoid fetal hypoxia and improve the quality of pregnancy.

Key words: Late pregnancy, Network technology, Remote electronic fetal monitoring, Non-stress test, Pregnancy outcome