Use of wind-up fetal Doppler versus Pinard for fetal heart rate intermittent monitoring in labour: a randomised clinical trial.

ABSTRACT:

Objectives

In resource-poor settings, the standard of care to inform labour management is the partograph plus Pinard stethoscope for intermittent fetal heart rate (FHR) monitoring. We compared FHR monitoring in labour using a novel, robust wind-up handheld Doppler with the Pinard as a primary screening tool for abnormal FHR on perinatal outcomes.

Design

Prospective equally randomised clinical trial.

Setting

The labour and delivery unit of a teaching hospital in Kampala, Uganda.

Participants

Of the 2042 eligible antenatal women, 1971 women in active term labour, following uncomplicated pregnancies, were randomised to either the standard of care or not.

Intervention

Intermittent FHR monitoring using Doppler.

Primary outcome measures

Incidence of FHR

SUBMITTER: Byaruhanga R 

PROVIDER: S-EPMC4316429 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature