The utility of telemedicine in healthcare has been brought to the forefront by the COVID-19 pandemic. ‘SwasthGarbh’ (Healthy Pregnancy) is a multi-functional, interactive smartphone application for providing antenatal care and real-time medical support to all pregnant women (especially those in rural areas and/or do not have easy access to doctors). A randomized controlled trial ( n = 150) demonstrates its utility in improving the quality of antenatal care, reducing obstetric/medical complications and achieving a positive pregnancy experience. The test group (patients registered on the App) showed a significantly higher number of mean (± SD) antenatal visits (7.0 ± 1.5 vs. 5.7 ± 1.8; P < 0.001) as well as better compliance with the WHO visit protocol (87.2% vs. 69.8%, P < 0.001) and antenatal investigations (73.2% vs. 41.7%, P