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High-Risk Pregnancy Monitoring
Chronic hypertension, GDM, and prior preeclampsia cohorts with home vitals and MFM telehealth.
Healthcare / Maternal Health App Development
Maternal Health App Development
We build HIPAA-compliant maternal health apps that support the full prenatal-to-postpartum journey — with connected BP and glucose monitoring, fetal kick counters, EPDS screening, and care-team workflows that catch preeclampsia and postpartum depression early.
38%
Reduction in preeclampsia-related admissions
EPDS + PHQ-9
Validated perinatal mental-health screening
FHIR-Native
Clean sync into OB/GYN charts in Epic or Cerner
Trusted by global innovators
Industry Overview
Maternal Health App Development: Engineered End-to-End
The US maternal health crisis is not a data problem — it's a care-continuity problem. We engineer apps that turn scattered home readings, mental-health check-ins, and visit data into one longitudinal record OB care teams can actually act on, with special attention to high-risk pregnancy, underserved populations, and the fragile postpartum window.
Industry Challenges
What Stops Most Teams From Solving This Today
Common friction points we hear from healthcare teams scoping this kind of platform.
Postpartum Drop-Off: Care often ends at the 6-week visit — exactly when depression, hypertension, and hemorrhage risks peak.
Fragmented Data: Home BP cuffs, CGMs, and kick-counters rarely make it into the OB's chart as discrete, trendable data.
Underserved Access: High-risk patients disproportionately lack reliable smartphones, broadband, or time for app-only experiences.
Clinician Overload: OBs already carry heavy panels; any new tool must cut work, not add another inbox to triage.
Our Approach
Our Engineering Approach
We engineer for the operational reality — not the demo.
Home Vitals, In the Chart
BP cuffs, CGMs, weight scales, and kick counters stream as FHIR Observations into Epic, Cerner, or Athena.
Perinatal Mental Health
EPDS and PHQ-9 screening through pregnancy and out to 12 months postpartum, with triage and referral workflows.
Accessible By Design
SMS, voice, and low-bandwidth patient journeys for populations underserved by app-first tools.
Capabilities
Capabilities
Production-grade features the platform ships with from day one.
Home BP & Glucose Monitoring
Omron, iHealth, and Dexcom integrations with preeclampsia and GDM risk models.
Fetal Kick Counter
Clinically-informed kick-count tracking with anomaly alerts to the care team.
Preeclampsia Risk Engine
ACOG-aligned rule set combining home BP, symptoms, and prior history for early escalation.
EPDS / PHQ-9 Screening
Scheduled perinatal mental-health check-ins with configurable clinician alerting.
Education & Care Plans
Gestational-week-aware education and care plans personalized per risk tier.
Telehealth Visits
HIPAA-compliant video visits with doula, lactation, and maternal-fetal medicine specialists.
Multi-Channel Outreach
SMS, voice-call, and in-app journeys for patients without reliable smartphones.
Care-Team Workspace
High-risk dashboards, triage queues, and one-click documentation for OB, MFM, and nurse navigators.
Postpartum Continuity
12-month postpartum follow-up journey covering mental, cardiometabolic, and pelvic-floor health.
How It Works
Reference Architecture
How data and decisions flow end-to-end.
Device & Multi-Channel Ingestion
BLE home devices, SMS, and voice channels into a shared ingestion gateway.
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Risk & Rules Engine
Pregnancy-stage, preeclampsia, and GDM rule packs run over live and historical data.
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FHIR Clinical Layer
Vitals, screenings, and care-plan items written as FHIR resources with provenance.
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3
EHR Sync
SMART on FHIR launch and bidirectional sync into Epic OB, Cerner, and Athena OB modules.
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Patient & Clinician Experiences
React Native patient app, clinician triage workspace, and SMS/voice journeys share one clinical spine.
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Engineering Stack
Technology Stack
A pragmatic stack chosen for reliability, speed, and ease of operation.
Standards
FHIR R4SMART on FHIRUSCDI v3US Core Pregnancy IG
Devices
Omron ConnectiHealthDexcomWithingsApple HealthKit
Channels
Twilio SMSTwilio VoiceWebRTCAPNs / FCM
Backend
Node.jsPythonGraphQLPostgreSQLTimescaleDB
Apps
React NativeNext.jsTailwind
Infra
AWS HIPAAAzure HIPAAKubernetesVault
Measured Impact
Measured Impact
Quantified outcomes from production deployments.
38%
Fewer preeclampsia-related admissions
2.4×
Higher postpartum 12-week completion
55%
Increase in EPDS screening rates
100%
HIPAA-compliant PHI handling
Medicaid Maternal Health Program
A state Medicaid managed-care organization wanted to lower preterm birth and severe-maternal-morbidity rates in rural counties. We built a bilingual maternal health app with SMS-first journeys for patients without reliable smartphones and a clinician workspace that fed directly into the Epic OB chart.
Within 18 months, the program enrolled 22,000 high-risk members, lifted EPDS screening from 31% to 86%, and reduced preeclampsia-related admissions by 38% across the cohort — outcomes that anchored a successful state rate negotiation.
Case Study
Use Cases
Where This Earns Its Keep
Common deployment patterns we see across customers.
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Medicaid & Value-Based Programs
Outcome-linked maternal health programs with reportable HEDIS and state measures.
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OB Practice Patient App
Branded patient app bundled with OB-practice chart integration and visit workflows.
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Postpartum Care Continuity
12-month postpartum coverage for mental, cardiometabolic, and pelvic-floor health.
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Doula & Lactation Networks
Multi-disciplinary care teams with scheduling, messaging, and note sharing.
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Employer Maternity Benefits
Self-funded employer maternity programs with eligibility-file intake and reporting.
Integrations
Integrates With Your Existing Stack
We connect to the systems your teams already know.
EHR
Epic OBCernerAthenahealth
Devices
OmronDexcomWithings
Comms
Twilio
CRM
Salesforce Health Cloud
Compliance-First Development Services Backed by Global Standards
We build secure, scalable products designed for privacy, interoperability, and regulatory readiness from day one across every sector we serve.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, and strict access controls.
General Data Protection Regulation
Implement lawful consent flows, data minimization, and secure processing for global data privacy.
Service Organization Control 2
Verified controls for security, availability, and confidentiality of enterprise data systems.
Health Information Trust Alliance
Healthcare-specific security controls and risk management practices trusted by global partners.
Fast Healthcare Interoperability Resources
Enabling standardized health data exchange through robust, modern API mappings.
Health Level Seven International
Supporting enterprise-grade interoperability for clinical messaging and record workflows.
Our Edge
Why Global Leaders Choose Us
We combine deep technical expertise with industry-specific knowledge to deliver solutions that aren't just functional, but transformational.
Enterprise-Grade Security
We implement rigorous security protocols and compliance standards (HIPAA, GDPR, SOC2) across all industrial solutions to protect sensitive data.
High-Performance Scaling
Our architectures are built to handle massive data loads and user bases, ensuring seamless performance whether you're serving ten or ten million.
Accelerated Time-to-Market
Leveraging our suite of internal tools and proven frameworks, we reduce development cycles and get your product to market 40% faster.
Embedded AI Integration
Beyond simple wrappers, we build deep-learning integrations and predictive analytics directly into the core of your industry-specific workflows.
Engagement Model
Engagement Model
Predictable, structured delivery from kickoff through long-term ownership.
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Discovery & Scoping
We map the existing systems, constraints, and stakeholders to scope a focused 8–12 week first delivery.
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Architecture & Pilot
A working slice on a representative environment — proving the data flow end-to-end before scaling.
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Production Engineering
Hardened services, observability, access controls, and audit logging go live behind your IAM.
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Operate & Iterate
We stay on as the embedded engineering team — closing tickets, tuning models, and shipping new value.
Voices of Success
We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.
"I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly."
Aaron Phelan
Founder, Benchmark
"Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together."
Kim Smith
Founder, My Lauren
"Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective."
John Pasmore
Founder, Latimer
More in Healthcare
More Healthcare Solutions
Explore other production-grade engineering platforms we deliver across healthcare.
Cross-Industry Reach
The Same Engineering Patterns, Across Other Industries
The technical patterns behind this platform translate naturally into adjacent verticals.
Frequently Asked Questions
Yes. We wire HEDIS prenatal and postpartum measures, state-specific maternity measures, and value-based-care reporting into the platform from day one.
Industries
A Unified Vision that Caters to Diverse Industry Demands
Build your next healthcare platform with us
We engineer production-grade healthcare platforms end-to-end. Talk to us about scoping a focused 8-week pilot.