Mdoe Paschal, Yeconia Anita, Buu Fanuel, Kusulla Simeon, Blacy Ladislaus, Guga Godfrey, Mduma Estomih, Kidanto Hussein
Department of Research, Haydom Lutheran Hospital, Haydom, Tanzania.
Med Devices (Auckl). 2020 Mar 18;13:87-92. doi: 10.2147/MDER.S241741. eCollection 2020.
The annual global neonatal mortality stands at 2.5 million deaths, 1 million of them dying within the first day of life. An additional 2.6 million are stillborn globally, the majority of them due to intrapartum events. Optimal fetal heart rate (FHR) monitoring has the potential to timely detect fetuses at risk and, if coupled with timely obstetric responses may save more newborns. Moyo is a new Doppler with nine crystals capable of monitoring FHR both intermittently and continuously.
To assess women's and midwives' opinions on the use of Moyo for intrapartum FHR monitoring.
We conducted a cross-sectional study using a structured questionnaire to assess women's and midwives' perception. Women who gave birth at the hospital who used Moyo were interviewed using a questionnaire immediately before discharge from the hospital. Twenty-eight midwives who have been using Moyo for more than 6 months were also interviewed using a structured questionnaire. Data were analyzed using excel and result presented in figures.
In total 113 postpartum women who were monitored using Moyo were interviewed before discharge. Out of these, 46 (40.7%) were first-time mothers and the rest were multipara. In total, 95 women (84.1%) used Moyo and other devices for FHR monitoring, 81 (72%) said Moyo was better than Fetoscopes and handheld Doppler, two-third 75 (66.4%) felt that Moyo was comfortable and 93 (82.3%) would like Moyo to be used on them in the future. Out of 28 midwives, 11 (39.3%) used Moyo continuous only, 3 (10.7%) used Moyo intermittently only and 14 (50.0%) used both intermittent and continuous. Thirteen (46.4%) midwives prefer to use Moyo both intermittent and continuous. Sixteen (55.6%) said Moyo was effective, 21 (75%) felt comfortable to use Moyo, and 13 (46.4%) said Moyo was easy to use.
The majority of midwives and women who used Moyo felt that Moyo was comfortable for intrapartum FHR monitoring. Moyo can be used both intermittently and continuously depending on the user's preferences.
全球每年新生儿死亡人数达250万，其中100万在出生首日死亡。全球还有260万死产儿，其中大多数死于分娩期事件。最佳胎儿心率（FHR）监测有潜力及时检测出有风险的胎儿，若能结合及时的产科应对措施，可能挽救更多新生儿。莫约（Moyo）是一款新型多普勒设备，有九个探头，能够间歇性和连续性地监测胎儿心率。
评估女性和助产士对使用莫约进行分娩期胎儿心率监测的看法。
我们采用结构化问卷进行了一项横断面研究，以评估女性和助产士的看法。在医院使用莫约分娩的女性在出院前立即接受问卷调查。对28名使用莫约超过6个月的助产士也进行了结构化问卷调查。数据用Excel分析，结果以图表形式呈现。
共有113名在分娩期使用莫约监测的产后女性在出院前接受了访谈。其中，46名（40.7%）是初产妇，其余为经产妇。共有95名女性（84.1%）使用莫约和其他设备进行胎儿心率监测，81名（72%）表示莫约比胎儿镜和手持式多普勒更好，三分之二即75名（66.4%）觉得莫约使用起来很舒适，93名（82.3%）希望未来还能使用莫约对她们进行监测。在28名助产士中，11名（39.3%）仅连续使用莫约，3名（10.7%）仅间歇性使用莫约，14名（50.0%）既间歇性又连续性地使用。13名（46.4%）助产士更喜欢既间歇性又连续性地使用莫约。16名（55.6%）表示莫约有效，21名（75%）觉得使用莫约很舒适，13名（46.4%）表示莫约易于使用。
大多数使用莫约的助产士和女性认为，莫约在分娩期胎儿心率监测时使用起来很舒适。莫约可以根据用户的偏好间歇性或连续性地使用。
