Using Remote Fetal Monitoring to Enhance Labor and Delivery

Using Remote Fetal Monitoring to Enhance Labor and Delivery

With millions of babies born each year, labor and delivery are common in the United States. However, given the potential complications, such as infections, postpartum hemorrhage and blood clots, and persistent maternal health disparities, the process is fraught with challenges. With the U.S. maternal mortality rates continuing to lag behind its peers, health systems are increasingly using virtual healthcare technology to make childbirth safer.One example of virtual healthcare enhancing labor and delivery is the University of Maryland Medical System's (UMMS) NEST initiative. NEST, which stands for Neonatal outcomes impacted by Escalation Safety Telemetry, is a remote fetal monitoring initiative that aims to boost maternal health outcomes and equity.

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The NEST initiative, launched in the summer of 2024, enables nurses to conduct continuous, real-time remote patient monitoring (RPM) of labor and delivery across UMMS hospitals. Led by a medical director, NEST includes a team of 16 nurses who have extensive experience at the bedside.The NEST team uses PeriGen's fetal monitoring platform, which gathers fetal heart rate data and uterine contraction patterns of every labor taking place in UMMS' seven hospitals. The AI-based PeriGen technology also organizes the data by acuity and flags potential issues. Once flagged, the nurses verify the information and contact the hospital's clinical teams.


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