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May 10, 2019BMC Pregnancy and ChildbirthOpen Access

Moyo fetal monitor perceived to ease labor monitoring and reduce stress despite maternal HR misidentification.

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Why the study?

Fetal monitoring in low-resource settings is often inadequate, and there is limited knowledge regarding how skilled birth attendants perceive using new monitoring technology during routine labor care.

How do skilled birth attendants perceive the use of the Moyo electronic strap-on fetal heart rate monitor in a low-resource setting?

Population

28 medical doctors and nurse/midwives in Dar es Salaam, Tanzania

Design

Qualitative study with focus group discussions and semi-structured in-depth interviews

Key result

The Moyo electronic strap-on fetal heart rate monitor was perceived by skilled birth attendants to make labor monitoring easier and reduce stress, despite challenges with adherence to routines and misidentification of maternal heart rate.

Authors

SLSara Rivenes LafontanHKHussein KidantoHEHege Ersdal

Discussion

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Member takes

Overview

May support Moyo monitor integration in low-resource labor wards; leaves open need for training protocols and outcome trials.

Structured PICO

How do skilled birth attendants perceive the use of the Moyo electronic strap-on fetal heart rate monitor in a low-resource setting?

P
Population
28 skilled birth attendants (mean age 37, 85.7% female) working in maternity wards in Dar es Salaam, Tanzania, who had used the Moyo electronic fetal heart rate monitor.
E
Exposure
Moyo (electronic strap-on fetal heart rate monitor)
O
Outcome
Attitudes and perceptions of skilled birth attendants using the devicepatient reported

The Moyo electronic fetal heart rate monitor is perceived by birth attendants in Tanzania as a useful tool to improve labor monitoring and reduce stress, though proper training on its limitations is needed.

Limitations

  • Selection bias, as those who agreed to participate might have been more positive towards the device than those who rejected it.
  • Risk of social desirability bias, where participants may have expressed more positive views for fear of repercussion.
  • Conducted at tertiary facilities with more exposure to new technology, limiting generalizability to smaller primary health care facilities.

Cite This Study

Lafontan et al. (2019) studied Skilled birth attendants providing labor care (n=28). Moyo electronic fetal heart rate monitor vs. Prior methods (Pinard fetoscope) was evaluated on Perceptions and experiences of using Moyo. The Moyo electronic strap-on fetal heart rate monitor was perceived by skilled birth attendants to make labor monitoring easier and reduce stress, despite challenges with adherence to routines and misidentification of maternal heart rate.

synapsesocial.com/papers/6aa39d9822af0bded4f42903https://doi.org/10.1186/s12884-019-2286-7
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Implementation of a novel continuous fetal Doppler (Moyo) improves quality of intrapartum fetal heart rate monitoring in a resource-limited tertiary hospital in Tanzania: An observational study2018 · 44 citations
  2. 2Functionality and acceptability of a wireless fetal heart rate monitoring device in term pregnant women in rural Southwestern Uganda2017 · 29 citations
  3. 3Evaluating the implementation of intermittent versus continuous fetal heart rate monitoring on intrapartum care and early neonatal outcomes using causal mediational modeling2026
  4. 4Implementation barriers and facilitators of Moyo foetal heart rate monitor during labour in public hospitals in Nepal2024 · 2 citations
  5. 5Study on the Application Results of a Flexible Wearable Fetal-Maternal Heart Rate Monitor During Labor2026