Key result
Implementation of a standard handheld Doppler significantly reduced the percentage of labor cases never monitored for fetal heart rate from 7.6% to 3.4% (P=0.0005) and increased the detection of abnormal fetal heart rates.
Why the study?
Intrapartum-related conditions contribute significantly to high neonatal mortality and stillbirths in India, but fetal heart rate monitoring is not practiced according to standard guidelines in public health facilities.
Does the implementation of a standardized handheld Doppler and training improve fetal heart rate monitoring frequency and perinatal outcomes during labor in public health facilities?
Population
22,579 deliveries across healthcare facilities in three states in India
Comparison
Standardized Doppler implementation and training vs baseline monitoring
Design
Implementation study comparing baseline and intervention periods
Authors
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May support earlier detection of fetal distress in labor; hypothesis-generating for perinatal outcomes in prospective trials.
Observational (n=29,889)
Yes
Does the implementation of a standardized handheld Doppler and training improve fetal heart rate monitoring frequency and perinatal outcomes during labor in public health facilities?
Absolute Event Rate: 3.4% vs 7.6%
p-value: p=0.0005
Implementation of a standardized handheld Doppler with training significantly improved the frequency of intrapartum fetal heart rate monitoring and detection of abnormal fetal heart rates in resource-limited public health facilities.
Bajpayee et al. (2022) conducted an observational in Intrapartum fetal heart rate monitoring during labor (n=29,889). Standard handheld Doppler (Moyo) and training vs. Baseline practices (standard care) was evaluated on Cases never monitored for fetal heart rate (p=0.0005). Implementation of a standard handheld Doppler significantly reduced the percentage of labor cases never monitored for fetal heart rate from 7.6% to 3.4% (P=0.0005) and increased the detection of abnormal fetal heart rates.
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