Telemedicine and pregnancy: what’s appropriate

Audience: all

Telemedicine can be a helpful way for pregnant people to connect with healthcare providers for many routine check-ins and questions. It offers convenience and access, especially when travel or clinic visits are difficult. However, some pregnancy care needs require in-person visits for physical exams, ultrasounds, or urgent concerns. This guide explains when telemedicine may be suitable during pregnancy and when in-person care is important. It also covers how to prepare for a telemedicine visit, what to expect afterward, and warning signs that need prompt medical attention. Using telemedicine wisely can support safe and effective prenatal care, but it should complement—not replace—regular hands-on care from your healthcare team.

Red flags — go in person / ER

• Heavy vaginal bleeding or passing clots — seek emergency in-person care immediately.
• Severe abdominal pain or cramping that does not improve — contact your healthcare provider or emergency services.
• Sudden swelling of face, hands, or feet, especially with headache or vision changes — get urgent medical evaluation.

What telemedicine can do

• Routine prenatal check-ins and symptom discussions
• Reviewing test results and medication management
• Mental health support and counseling
• Patient education on pregnancy and birth planning

What telemedicine cannot do

• Physical exams including blood pressure and fetal measurements
• Ultrasound imaging and laboratory tests
• Emergency symptoms such as heavy bleeding or severe pain
• Vaccinations and certain procedures

What telemedicine can do for pregnancy care

Telemedicine often works well for routine prenatal visits where your provider reviews your health history, answers questions, and discusses symptoms. It can help with:

This approach can save time and reduce travel, making care more accessible.

When in-person visits are necessary

Certain parts of pregnancy care usually need hands-on exams or tests that cannot be done remotely. These include:

Your healthcare provider will guide you on when to schedule these visits to keep you and your baby safe.

Preparing for your telemedicine visit

To get the most from your telemedicine appointment:

Being prepared helps your provider give you the best care remotely.

After your telemedicine visit

After your appointment:

Telemedicine is one part of ongoing prenatal care, so stay engaged with your healthcare team.

How to prepare for your tele-visit

• Choose a quiet, private place with reliable internet or phone connection.
• Have your medical history and recent test results accessible.
• Prepare a list of questions or concerns to discuss.
• Ensure your device is charged and camera/microphone work if video is used.
• Arrange for a support person to join if needed.

After your tele-visit

• Follow any provider instructions for in-person follow-up or tests.
• Monitor your symptoms and report any new or worsening signs.
• Keep track of upcoming appointments and prenatal care schedule.
• Maintain communication with your healthcare team for ongoing support.

FAQs

Can I have all my pregnancy visits through telemedicine?

While telemedicine can handle many routine check-ins, some visits require physical exams, ultrasounds, or lab tests that need to be done in person. Your provider will advise which visits can be remote and which need to be in the clinic.

What should I do if I have urgent symptoms during pregnancy?

If you experience heavy bleeding, severe pain, sudden swelling, or other serious symptoms, seek emergency in-person care immediately. Telemedicine is not suitable for emergencies.

Is telemedicine safe for mental health support during pregnancy?

Yes, telemedicine is often effective for counseling and mental health support during pregnancy. It can provide convenient access to professionals for managing stress, anxiety, or depression.

How do I prepare for a telemedicine visit?

Find a private, quiet space with good internet or phone signal. Have your medical information and questions ready. Ensure your device is charged and working. Having a support person join can be helpful.

Will my provider be able to see my baby’s growth through telemedicine?

No, physical exams and ultrasound scans to monitor your baby’s growth need to be done in person. Telemedicine can support discussion of results and symptoms but cannot replace these tests.

Sources

1. Pregnancy Care — MedlinePlus | U.S. National Library of Medicine / National Institutes of Health.
2. Prenatal Care — Centers for Disease Control and Prevention (CDC).
3. Telehealth: What You Need to Know — Mayo Clinic.
4. Prenatal Care Guidelines — Merck Manuals: Consumer Version.

This guide provides general information about telemedicine and pregnancy care. It is not a substitute for personalized medical advice, diagnosis, or treatment from a qualified healthcare provider. If you have any urgent or severe symptoms, seek in-person medical care immediately.