The integration of telemedicine into prenatal care has the potential to transform maternal and neonatal health outcomes, especially in urban settings where access to digital infrastructure is relatively higher. This study evaluates the effectiveness of telemedicine-enabled prenatal consultations on pregnancy-related outcomes in urban India. A comparative cross-sectional study was conducted with two cohorts: one receiving standard in-person prenatal care and the other receiving hybrid care that included teleconsultations. Results indicated significant improvements in appointment adherence, maternal knowledge about pregnancy, early detection of complications, and reduced instances of low birth weight in the telemedicine group. The study concludes that integrating telemedicine into prenatal care pathways can enhance maternal and neonatal outcomes while promoting healthcare accessibility and efficiency in urban Indian contexts.