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ns and encourage future research in this field. Our protocol was registered under the number CRD42019121990 in PROSPERO. Our protocol was registered under the number CRD42019121990 in PROSPERO. The complexity of fetal medicine (FM) referrals that can be managed within obstetric units is dependent on the availability of specialist ultrasound expertise. Telemedicine can effectively transfer real-time ultrasound images via video-conferencing. We report the successful introduction of a fetal ultrasound telemedicine service linking a spec