Fetal to Neonatal Heart Rate Transition during Normal Vaginal Deliveries: A Prospective Observational Study

Munyaw, Yuda; Urdal, Jarle; Ersdal, Hege; Ngarina, Matilda; Moshiro, Robert; Blacy, Ladislaus; Linde, Jørgen E.

doi:10.3390/children10040684

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…The reliability of new medical device readings is an absolute necessity for its clinical use. The Moyo is a reliable medical device [ 23 ], but in this study the false readings caused nurses to distrust the device. The same was found in a study in Tanzania, which showed that midwives were more likely to use FHRM devices if they provided reliable fetal heart rate readings [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Implementation barriers and facilitators of Moyo foetal heart rate monitor during labour in public hospitals in Nepal

KC,

Rönnbäck,

Humgain

et al. 2024

Global Health Action

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Background Globally, every year, approximately 1 million foetal deaths take place during the intrapartum period, fetal heart monitoring (FHRM) and timely intervention can reduce these deaths. Objective This study evaluates the implementation barriers and facilitators of a device, Moyo for FHRM. Methods The study adopted a qualitative study design in four hospitals in Nepal where Moyo was implemented for HRM. The study participants were labour room nurses and convenience sampling was used to select them. A total of 20 interviews were done to reach the data saturation. The interview transcripts were translated to English, and qualitative content analysis using deductive approach was applied. Results Using the deductive approach, the data were organised into three categories i) changes in practice of FHRM, ii) barriers to implementing Moyo and iii) facilitators of implementing Moyo. Moyo improved adherence to intermittent FHRM as the device could handle higher caseloads compared to the previous devices. The implementation of Moyo was hindered by difficulty to organise training ondevice during non-working hours, technical issue of the device, nurse mistrust towards the device and previous experience of poor implementation to similar innovations. Facilitators for implementation included effective training on how to use Moyo, improvement in intrapartum foetal monitoring and improvement in staff morale, ease of using the device, Plan Do Study Act (PDSA) meetings to improve use of Moyo and supportive leadership. Conclusion The change in FHRM practice suggests that the implementation of innovative solution such as Moyo was successful with adequate facilitation, supportive staff attitude and leadership.

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Section: Discussionmentioning

confidence: 99%

Implementation barriers and facilitators of Moyo foetal heart rate monitor during labour in public hospitals in Nepal

KC,

Rönnbäck,

Humgain

et al. 2024

Global Health Action

View full text Add to dashboard Cite

show abstract

Book Review: Policing pregnant bodies: From Ancient Greece to post-Roe America by Kathleen M. Crowther

Aulia,

Ersianti

2024

Feminism & Psychology

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A systematic catalog of studies on fetal heart rate pattern and neonatal outcome variables

Eenkhoorn,

van den Wildenberg,

Goos

et al. 2024

Journal of Perinatal Medicine

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Objectives To study the methodology and results of studies assessing the relationship between fetal heart rate and specified neonatal outcomes including, heart rate, infection, necrotizing enterocolitis, intraventricular hemorrhage, hypoxic-ischemic encephalopathy, and seizure. Methods Embase, Medline ALL, Web of Science Core Collection, Cochrane Central Register of Controlled Trials, and CINAHL were searched from inception to October 5, 2023. Results Forty-two studies were included, encompassing 57,232 cases that underwent fetal monitoring and were evaluated for neonatal outcome. Heterogeneity was observed in the timing and duration of fetal heart rate assessment, classification guidelines used, number of assessors, and definition and timing of neonatal outcome assessment. Nonreassuring fetal heart rate was linked to lower neonatal heart rate variability. A significant increase in abnormal fetal heart rate patterns were reported in neonates with hypoxic-ischemic encephalopathy, but the predictive ability was found to be limited. Conflicting results were reported regarding sepsis, seizure and intraventricular hemorrhage. No association was found between necrotizing enterocolitis rate and fetal heart rate. Conclusions There is great heterogeneity in the methodology used in studies evaluating the association between fetal heart rate and aforementioned neonatal outcomes. Hypoxic-ischemic encephalopathy was associated with increased abnormal fetal heart rate patterns, although the predictive ability was low. Further research on developing and evaluating an automated early warning system that integrates computerized cardiotocography with a perinatal health parameter database to provide objective alerts for patients at-risk is recommended.

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Fetal to Neonatal Heart Rate Transition during Normal Vaginal Deliveries: A Prospective Observational Study

Cited by 3 publications

References 22 publications

Implementation barriers and facilitators of Moyo foetal heart rate monitor during labour in public hospitals in Nepal

Implementation barriers and facilitators of Moyo foetal heart rate monitor during labour in public hospitals in Nepal

Book Review: Policing pregnant bodies: From Ancient Greece to post-Roe America by Kathleen M. Crowther

A systematic catalog of studies on fetal heart rate pattern and neonatal outcome variables

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