The Importance of Handheld Fetal Heart Dopplers in Midwifery Practice

Globally, perinatal deaths remain a significant concern, with an estimated 1.3 million babies being born stillborn every year and 700,000 early neonatal deaths occurring due to birth asphyxia. In low-resource settings, the incidence of fresh stillbirths and intrapartum-related asphyxia is still unacceptably high. As such, it is crucial that midwives have access to reliable and effective tools for monitoring fetal heart rate (FHR) during labor.

Handheld fetal heart dopplers are an essential tool in modern midwifery practice, offering a convenient and comfortable way to monitor FHR. Unlike fetoscopes, which require training and experience to use effectively, handheld Dopplers provide both visual and auditory feedback, making it easier for midwives to accurately assess fetal well-being.

In recent years, the introduction of handheld Dopplers in maternity wards has raised concerns about their proper use and training. A study conducted in a rural Tanzanian hospital found that midwives who had easy access to both devices mostly used fetoscopes, despite the Doppler being thought to be more comfortable and effective for assessing FHR.

Midwives' preferences for using either Pinard fetoscopes or handheld Dopplers are influenced by several factors, including level of device training, experience with using a device, reliable measurements, convenience, and comfort during use. When it comes to convenience and comfort, handheld Dopplers have an edge over fetoscopes, as they do not require charging and provide limited privacy.

However, both devices have their limitations. Fetoscopes do not need charging but may be painful for mothers and are prone to human errors. Handheld Dopplers, on the other hand, need charging and are prone to instrumental errors.

In conclusion, handheld fetal heart dopplers are an essential tool in midwifery practice, offering a convenient and comfortable way to monitor FHR during labor. While both devices have their limitations, midwives should be trained and experienced in using handheld Dopplers to ensure the best possible outcome for mothers and babies. As such, it is crucial that fetoscopes and Dopplers are equally available during midwifery training and in clinical practice.