{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T22:51:29Z","timestamp":1762642289001,"version":"3.28.0"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,12,5]],"date-time":"2019-12-05T00:00:00Z","timestamp":1575504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Using Doppler to improve detection of intrapartum fetal heart rate (<jats:styled-content style=\"fixed-case\">FHR<\/jats:styled-content>) abnormalities coupled with appropriate, timely intrapartum care in low\u2010 and middle\u2010income countries (<jats:styled-content style=\"fixed-case\">LMIC<\/jats:styled-content>) can save lives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To review studies using Doppler to improve detection of intrapartum <jats:styled-content style=\"fixed-case\">FHR<\/jats:styled-content> abnormalities and intrapartum care quality in <jats:styled-content style=\"fixed-case\">LMIC<\/jats:styled-content> health facilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>PubMed, Web of Science, Embase, Global Health, and Scopus were searched from inception to October 2018 by combining terms for Doppler, perinatal outcomes, and <jats:styled-content style=\"fixed-case\">FHR<\/jats:styled-content> monitoring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection criteria<\/jats:title><jats:p>Selected studies compared Doppler and Pinard stethoscope for detecting\/monitoring intrapartum <jats:styled-content style=\"fixed-case\">FHR<\/jats:styled-content>, or described provider and maternal preferences for <jats:styled-content style=\"fixed-case\">FHR<\/jats:styled-content> monitoring in <jats:styled-content style=\"fixed-case\">LMIC<\/jats:styled-content> settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data collection and analysis<\/jats:title><jats:p>Two team members independently screened and collected data. Risk of bias was assessed by Cochrane <jats:styled-content style=\"fixed-case\">EPOC<\/jats:styled-content> criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven studies from eight countries were included. Doppler was superior at detecting abnormal intrapartum <jats:styled-content style=\"fixed-case\">FHR<\/jats:styled-content> as compared with Pinard stethoscope, but was not associated with improved perinatal outcomes. Using Doppler on admission helped to accurately measure perinatal deaths occurring after facility admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Studies and program learning are needed to translate improved detection of <jats:styled-content style=\"fixed-case\">FHR<\/jats:styled-content> abnormalities to improved case management in <jats:styled-content style=\"fixed-case\">LMIC<\/jats:styled-content>s. Doppler should be used to calculate a facility indicator of intrapartum care quality.<\/jats:p><jats:p><jats:bold>PROSPERO registration:<\/jats:bold> CRD42019121924.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13014","type":"journal-article","created":{"date-parts":[[2019,10,24]],"date-time":"2019-10-24T15:33:04Z","timestamp":1571931184000},"page":"145-156","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Systematic review of Doppler for detecting intrapartum fetal heart abnormalities and measuring perinatal mortality in low\u2010 and middle\u2010income countries"],"prefix":"10.1002","volume":"148","author":[{"given":"Marya","family":"Plotkin","sequence":"first","affiliation":[{"name":"USAID's Maternal and Child Survival Program\/Jhpiego  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Kamala","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences University of Stavanger  Stavanger Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jim","family":"Ricca","sequence":"additional","affiliation":[{"name":"USAID's Maternal and Child Survival Program\/Jhpiego  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Fogarty","sequence":"additional","affiliation":[{"name":"Jhpiego, Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheena","family":"Currie","sequence":"additional","affiliation":[{"name":"USAID's Maternal and Child Survival Program\/Jhpiego  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hussein","family":"Kidanto","sequence":"additional","affiliation":[{"name":"School of Medicine Aga Khan University  Dar es Salaam Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie B.","family":"Wheeler","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31593-8"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.07.016"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00837-5"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71088-6"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.117359"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000339481"},{"issue":"2","key":"e_1_2_9_8_1","first-page":"CD006066","article-title":"Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour","author":"Alfirevic Z","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_9_1","doi-asserted-by":"crossref","unstructured":"MartisR EmiliaO NurdiatiD BrownJ.Intermittent Auscultation (IA) of Fetal Heart Rate in Labour for Fetal Well\u2010Being (Protocol).2017. doi:10.1002\/14651858.CD008680.pub2.www.cochranelibrary.com","DOI":"10.1002\/14651858.CD008680.pub2"},{"key":"e_1_2_9_10_1","unstructured":"WHO.Intrapartum Care for a Positive Childbirth Experience.Geneva Switzerland 2018."},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61571-2"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15020302"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1179\/146532808X375396"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2009.06.006"},{"key":"e_1_2_9_15_1","unstructured":"Cochrane Effective Practice and Organisation of Care (EPOC).Suggested Risk of Bias Criteria for EPOC Reviews.2017.http:\/\/epoc.cochrane.org\/epoc-specific-resources-review-authors%0Ahttp:\/\/epocoslo.cochrane.org\/epoc-specific-resources-review-authors. 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