7 Prenatal Telemedicine: A New System for Conventional and Computerized Telecardiotocography and Tele-Ultrasonography Andrea Di Lieto 1 , Marta Campanile 2 , Marianna De Falco 3 , Ilma Floriana Carbone 4, Giovanni Magenes 5 , Maria Gabriella Signorini 6 and Donatella Di Lieto 7 1 Full Professor of Obstetrics and Gynaecology - Director of Prenatal Unit - Responsible of Project of Telecardiotocography in Campania Region - Responsible of European Project Conventional and Computerized Telecardiotocography - Medical School University Federico II of Naples 2 Specialist in Obstetrics and Gynaecology - University High Professional Physician - Operation Center of Conventional and Computerized Telecardiotocography - Medical School University Federico II of Naples 3 Specialist in Obstetrics and Gynaecology- PhD in Reproduction, Growth and Human Development - Head Physician - University Hospital Federico II of Naples 4 MD. Resident in Obstetrics and Gynaecology - Research fellow at Medical School University Federico II of Naples 5 Full Professor - Director of Department of Informatics and Systems – Medical School University of Pavia 6 Associate Professor - Department of Bioengineering- Polytechnic of Milan 7 Lawyer - Specialist in Legal Professions - Law of New Technologies and Communications Italy 1. Introduction Telemedicine is the delivery of health care and the exchange of health-care information across distances using both information technology and telecommunications. More simply, Telemedicine is medicine at distance. It encompasses the whole range of medical activities including diagnosis, treatment and prevention of disease, continuing education of health- care providers and consumers and research. Telemedicine should always aim to support health workers providing care as close to the patients as possible. This means information resources should be provided to all levels starting at primary care and clinical Telemedicine should be used where possible to prevent referrals to district or tertiary hospitals and support care at the more local level. Used in this way, Telemedicine can strengthen care at the primary care and district level (Viegas, 1998; Barrett & Brecht, 1998). Prenatal