A Randomised Controlled Study To Evaluate The Feasiblity Of Home Based Non Stress Test Monitoring With Hospital Based Non Stress Test Monitoring In High Risk Pregnancy In North Karnataka , India

High-risk pregnancies pose a significant challenge to maternal and fetal health, particularly in resource-limited settings such as rural India. Conditions like gestational hypertension, preeclampsia, diabetes, and fetal growth restriction require continuous monitoring to prevent adverse outcomes . Regular fetal surveillance, including the non-stress test (NST), plays a crucial role in assessing fetal well-being and detecting early signs of distress. However, access to timely and reliable NST monitoring remains a critical barrier in rural regions, where healthcare infrastructure and trained personnel are often scarce.The advent of home-based NST machines presents a promising alternative for improving fetal monitoring in high-risk pregnancies. These devices allow pregnant women to conduct fetal heart rate assessments in their own homes, potentially reducing the burden on healthcare facilities while enhancing maternal autonomy and access to care . Studies suggest that integrating home NST technology could lead to earlier detection of fetal distress, timely medical interventions, and improved pregnancy outcomes . However, challenges such as device affordability, technical feasibility, user-friendliness, and cultural acceptance remain key considerations for successful implementation .Understanding the feasibility, challenges, and perceptions of using home NST machines in rural India is crucial for assessing their potential impact on maternal and neonatal health. This qualitative study aims to explore the experiences of pregnant women, healthcare providers regarding the use of home NST technology. By examining both the opportunities and obstacles associated with its adoption, this study seeks to inform future policies and interventions that could enhance fetal monitoring and improve maternal care in resource-limited settings.